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0`Am_ERiCAN VALLEY <br />WASTE OIL,. INC. <br />P.* 0., Box 340 - Delhi, CA 95315 <br />PH. 1-800'732-4645 - FAX 209-668-3880 <br />EPA. CAL000827878` <br />f <br />TO: JOB SITE: <br />UALITY AUTO REPAIR QUALITY AUTO REPAIR <br />,A <br />1246—A E. HARDING 1246 HARDING WAY <br />STOCKTON, CA 95205 <br />STOCKTON CA 95205 <br />62925 <br />Invoice Number: <br />ut;-9.� 7 f,=0 <br />Invoice Date: <br />'Phone-. <br />Custornef P.O.- <br />Payment Terms <br />=0120780 <br />209-462-1110 ALAN <br />PRODUCT SHIPPING DESCRIPTION <br />ST <br />WAE' <br />MANIFEST <br />QUANTITY <br />PRICE <br />AMOUNT <br />CODE-: <br />USED OIL NON RCRA HAZARDOUS <br />WASTE LIQUID <br />221 <br />USED AUTOMOTIVE`ANTIFREEZE, NON <br />RCRA HAZARDOUS WASTE LIQUID.: <br />343 <br />OILY WATER- NOWRCRA HAZARDOUS <br />WASTE LIQUID' <br />221, <br />TRINITY HEAVY DUTY PREMIX <br />RECYCLED ANTIFREEZE;. <br />,N/A__ <br />NON HAZARDOUS WASTE LIQUID <br />TRUCK TIME <br />N/A <br />GREASWEEP: - <br />N/A <br />FUEL SUR CHARGE - <br />$5.00 <br />I hereby certify that I have not mixed this waste with anyothetwaste, that the.total halides are less than ,1000�RM.; and that <br />the waste does, not• contain any RC.B.'s. I further agree to accept the additional charge0ot legal disdosal if th waste isover TOTAL <br />1000 P.P.M. total halides; or containes any P.C.B.'s. <br />DRIVER GENERATOR/ AUTHORIZED <br />SIGNATURE > SIGNATURE / SIGNATU <br />TERMS: INVOICES OVER 30 TAYS ARE7SUBJECT TOA 1.5%'SERVICE' CHARGE. CUSTOMER UBEES TO PAY ALL LEGAL FEES IF <br />COURT ACTION BECOMES NECESSARY -TO COLL5.&T-HIS, INVOICE. <br />American I Valley Waste Oil hereby advises the above GeneratorI the Generators shipment ,of used 611 m6y' be iransp 8'rted to a facility that, is required to comply <br />with federal regulations applicable to management of used olll,but that Is not required to comply with the more stringent requirements applicable to hazardous <br />waste management facilities. California facilities that handle I• or process used oil are required to'.aieet those more stringent requirements, and some out -of-, <br />those requirements' engineering certifications of tank integrity; and financial assurances for closure and <br />state facilities 1hat process used oil alw meet <br />accidental releases. It Is lawful to send used oil to out-of-state''ficilities that comply only with federal use oil management standards and not these more <br />stringent requirements. <br />This notification is fori�matlo purpo on <br />signed Dat a I �nerator sign Date <br />5K, <br />Driversth in.vl?rhe generatorcertiffies that the generator, has established a program to uce the or quantity and toxicity of the hazardous <br />= <br />By signing the <br />waste to the deg .. ree, as determined by the generator, to be economically practicable: <br />By both parties signing this invoice it will serve as an agreement that American valley will submit confirmation for (certain waste streams) to the generator, <br />that their waste has been transported to a license treatment or transfer facility. <br />DISPOSALT ECYCLING EACILITKa-. <br />IVERBANK OIL TRANSFER 0 'RAMOS ENVIRONMENTAL SERVICES <br />5300 CLAUS ROAD *'RIVERBANK'CA 95367 1515 SOUTH RIVER ROAD 9 W,SACRAMENTO, CA 95691 <br />flAl Af%A40nPir, : I 916-371-5747.- EPA*# CAD044003556 <br />