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_WMERICAN VALLEY 66375 <br />T IL INC. Invoice Number: <br />P. O. Box 340 • Delhi, CA 95315 <br />f, PH. 1-800-732-4645 • FAX 209-668-38130 <br />EPA. CAL000827878 <br />_A01 <br />Invoice Date: <br />'0: <br />JOB SITE: <br />R <br />QUALITY AUTO <br />REPAIR <br />LITY AUTO REPAIR <br />1246 HARDING <br />WAY <br />6-A E. HARDING <br />_.� <br />ON, CA95205 <br />CKTON, CA 95205 <br />ads .S~ seta a <br />f�U <br />Customer, P.O. <br />Payment Te s <br />EPA# <br />one <br />C.O.D. <br />CAL000120780 <br />= <br />09-462-1110 ALAN <br />PRODUCT SHIPPING DESCRIPTION_ <br />WASTE <br />" ' MANIFEST <br />QUANTITY <br />PRICE <br />AMOUNT <br />CODE <br />USED OIL NON RCRA HAZARDOUS" <br />221 <br />` N <br />WASTE LIQUID <br />NON <br />4 <br />USED AUTOMOTIVE -ANTIFREEZE, <br />343 <br />Sc� <br />RCRA HAZARDOUS WASTE LIQUID <br />OILY" WATER, NON RCRA HAZARDOUS <br />221 <br />WASTE LIQUID <br />SS <br />.TRINITY HEAVY. DUTY PREMIX, <br />d /A <br />�(p <br />AECLcD. ANTIFREEZE <br />CY <br />N� <br />NON HAZARDOUS WASTE LIQUID <br />--- <br />TRUCK TIME <br />GREASWEEP <br />N/A <br />FUEL SUR CHARGE <br />I hereby certify that I have not mixed this waste with any other was4e, that the total halides f are fess than 1000 P.P.M.; and that <br />the waste does not contain any I further agree to accept the addibonai charges for legal disposal if this waste is over Y <br />1000.P.P.M. total he es any RC.B.'s. <br />DRIVER -. GENERATOR/ AUTHORIZE <br />SIGNATURE I SIGNATURE <br />SIGNATURE <br />TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TOA 1,5% SERVICE CHARGE. CUSTOME AG TO PAY ALL LEGAL FEES IF <br />COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. <br />American Valley <br />regulations applicable to managemadvises the ent of used oil, butt at is notve Generator the orrequiried to compiypment of ®wih' he more stringent oil may be edrequiremeto a nts appl cathat is ble to ha comply <br />with fedoil are <br />e out <br />waste management <br />that facilities., <br />foilnia alsocme'es that et those andle or requiremeprocess, engine ring certifications of tank ntegrityeand financiaal assura es for c osu a and <br />state facile process <br />accidental releases. it is lawful to send used oil to out-of-state facilities that comply only with federal used oil management standards and not these more <br />stringent requirements. <br />This notification is for information. purposes only. Date <br />Driver signed , Date Generator signed <br />By signing the invoice the generator certifies that the generator has established a program to reduce the volume or quantity and toxicity of the hazardous <br />waste to the degree, -as determined by the generator, to be'economicaily practicable. <br />By both parties signing this invoice it will crus as an ageement that American Valley will submit confirmations for (certain waste streams) to the generator <br />that their waste has been transported to a license treatment or transfer facility. <br />DISPOSAL /RECYCLING FACILITY <br />RAMOS ENVIRONMENTAL SERVICES <br />5300 CLAUS ROAD • RIVERBANK; GA 85367 1515 SO <br />O RIVERBANK OIL TRANSFER UTH RIVER ROAD • W. SACRAMENTO, CA 95691. L <br />ono.uRa-R1 R1 • EPA # CAL000190816 916 371 5747 •EPA # CAD044003556 <br />MPC (10/2094 <br />