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AMERICAN VALLEYS b ® 2 4
<br />WASTE IL, M. Invoice Number:
<br />P. 0.. -Box 340 • Delhi, CA 95315
<br />PH. 1-800-732-4645 : FAX 209=668-3880
<br />EPA. CAL000827878
<br />Invoice Date:
<br />QUALfITY AUTO
<br />REP.- AUTO REPAIR
<br />io�• i
<br />e�
<br />t i t•
<br />FUEL SUR C114ARGE: $5.t30
<br />I hereby certify that i have not,mixed this waste with any other waste, that the total halides are less than 1000 P.P.M.; and that a ,3
<br />the waste does not.contain any P I further, agree. to accept the additional charges for legal disposal if this waste is over TTA
<br />1000 P.P.M. total halides, or an P.C.B: s. -
<br />- NERATOR AUTHORIZE
<br />DRIVER
<br />SIGNATURE NATURE
<br />SIGT'SIGNA"URE `
<br />TERMS: INVOICES OVER 30 DAYS ARESUBJECTTO A'1;50/. SERVICE CHARGE, CUSTOMER AGREE P ALL LEGAL FEES IF
<br />COURT ACTION BECOMES NECESSARY TCO"COLLECT THIS INVOICE
<br />American Valley Waste Oil hereby advises the above,Generator the Generators shipment of used oil may be transported to a facility that is required to comply
<br />With federal regulations applicable to. management of used :oil, but thatzis not requireflo comply with the more stringent requirements applicable to #�azardou -
<br />waste management facilities. Califomia,farilities that handle or.process used oil are `required"ta inee4,'those`miore stringent requirements, and some out -of
<br />state facilities that, process used,oitalso;meet;chose.,requiremgnts;-engineenngcertifications'ef tank integrity, and financial assurances for closure and
<br />accidental *releases'. it is,lawful,to,send used oil,toout-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..'
<br />Driver signed
<br />Oate Generator signed' Date
<br />lume or quantity and toxicity of the hazardous
<br />By signing the invoice the generator certifies that the generator has established a�program to reduce the vo
<br />waste to the degree, as determined by the generator„to:be economically: practicable
<br />.'f=•
<br />h parties signing this invoice it will serve. as an,agreement that American Valley_ will submit confirmations for (certain waste streams) to the generator
<br />By bot
<br />that their waste has been transported, to a license treatment or •transfer, facility. ;
<br />DISPOSAL/•RECYCLING FACILITY
<br />® RIVERBANK OIL TRANSFER, /RAMOS ENVIRONMENTAL SERVICES
<br />1515 SOUTH RIVER ROAD • W. SACRAMENTO, CA 95691
<br />5300 CLAUS. ROAD r RIVERBANK, CA 9.5367,,% g16 371-5747 •EPA # CAD044003556
<br />209-863-8181 EPA#,CAL000190816:�,,,, MPC (1012C
<br />Phone Customer P.O. ms EP CRL000120780
<br />2209-462-i i i0 ALAN C.O.%.
<br />PRODUCT SHIPPING. DESCRIPTION
<br />.., .
<br />WASTE-
<br />CODE
<br />MANIFEST
<br />QUANTITY
<br />PRICE
<br />AMOUNT
<br />221
<br />343
<br />USED OIL NON RCRA HAZARDOUS`
<br />WASTE -,LIQUID
<br />USED.AUTOMOTIVE ANTIFREEZE, NON^'
<br />RCRA-HAZARDOUS WASTE:LIQUID '
<br />OILY WATER. -NON RCRA HAZARDOUS'
<br />WASTE LIQUID
<br />221---
<br />21 -TRINITY
<br />TRINITYHEAVY DUTY PREMIX
<br />RECYCLED ANTIFREEZE
<br />N/A'
<br />NON HAZARDOUS WASTE LIQUID
<br />TRUCK TIME
<br />N/A!.
<br />'
<br />GREASWEEP
<br />N/A" ;
<br />FUEL SUR C114ARGE: $5.t30
<br />I hereby certify that i have not,mixed this waste with any other waste, that the total halides are less than 1000 P.P.M.; and that a ,3
<br />the waste does not.contain any P I further, agree. to accept the additional charges for legal disposal if this waste is over TTA
<br />1000 P.P.M. total halides, or an P.C.B: s. -
<br />- NERATOR AUTHORIZE
<br />DRIVER
<br />SIGNATURE NATURE
<br />SIGT'SIGNA"URE `
<br />TERMS: INVOICES OVER 30 DAYS ARESUBJECTTO A'1;50/. SERVICE CHARGE, CUSTOMER AGREE P ALL LEGAL FEES IF
<br />COURT ACTION BECOMES NECESSARY TCO"COLLECT THIS INVOICE
<br />American Valley Waste Oil hereby advises the above,Generator the Generators shipment of used oil may be transported to a facility that is required to comply
<br />With federal regulations applicable to. management of used :oil, but thatzis not requireflo comply with the more stringent requirements applicable to #�azardou -
<br />waste management facilities. Califomia,farilities that handle or.process used oil are `required"ta inee4,'those`miore stringent requirements, and some out -of
<br />state facilities that, process used,oitalso;meet;chose.,requiremgnts;-engineenngcertifications'ef tank integrity, and financial assurances for closure and
<br />accidental *releases'. it is,lawful,to,send used oil,toout-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..'
<br />Driver signed
<br />Oate Generator signed' Date
<br />lume or quantity and toxicity of the hazardous
<br />By signing the invoice the generator certifies that the generator has established a�program to reduce the vo
<br />waste to the degree, as determined by the generator„to:be economically: practicable
<br />.'f=•
<br />h parties signing this invoice it will serve. as an,agreement that American Valley_ will submit confirmations for (certain waste streams) to the generator
<br />By bot
<br />that their waste has been transported, to a license treatment or •transfer, facility. ;
<br />DISPOSAL/•RECYCLING FACILITY
<br />® RIVERBANK OIL TRANSFER, /RAMOS ENVIRONMENTAL SERVICES
<br />1515 SOUTH RIVER ROAD • W. SACRAMENTO, CA 95691
<br />5300 CLAUS. ROAD r RIVERBANK, CA 9.5367,,% g16 371-5747 •EPA # CAD044003556
<br />209-863-8181 EPA#,CAL000190816:�,,,, MPC (1012C
<br />
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