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QUALITY AUTO REPAIR <br />1246-A E_HARDING <br />STOCKTONr- CA 95205 <br />ALLEY <br />AMERICAN V <br />WASTE OIL, INC.' <br />P. O. Box 340 Delhi, CA 95315 <br />PH. 1-800-732-4645 * FAX 209-668-3880 <br />EPA. EA CAL000827878 <br />JOB SITE: <br />QUALITY AUTO REPAIR <br />1246 HAi:DING WAY <br />STOCKTONj CA 95205 <br />561U4 <br />Invoice Number: <br />f �a� <br />Invoice Date: <br />Payment Terms EPA# <br />RO. <br />Phone Customer. <br />V <br />WASTE MANIFEST QUANTITY PRICE AMOUNT <br />'PRODUCT SHIPPING DESCRIPTION--. -CODE <br />Y <br />USED OIL NON RCRA HAZARDOUS 221 <br />WASTE LIQUID. A HAZARDOUS WIFREEZE, NON <br />USED AUT WASTE LIQUID 343 <br />RCR <br />OILY WATER, NON FICRA HAZARDOUS 221 <br />WASTE LIQUID <br />TRINITY HEAVY DUTY PREMIX N/A <br />RECYCLED ANTIFREEZE 7 <br />NON HAZARDOUS WASTE LIQUID <br />N/A <br />'TRUCK TIME <br />N/A <br />GREASWEEP <br />at <br />• <br />any other waste, that the total halides are less than I 000 P.P.M.; and that additional charges for laqd disposal it this waste is over <br />I hereby certify. that I have not mixed this waste with <br />the waste does not contain any P.C.B.'s, I further agree to accept the add <br />l000 P.P.M. total,halides, or contalnes an P.C.B. s: <br />GENERATOR/SIGNATURE <br />AUTHORIZED <br />DRIVER - <br />AGREES TO PAY ALL LEGAL FEES IF <br />SIGNATURE'° <br />1:5%® SERVICE'CHARGE, CUSTOME <br />SUBJECT TO -TERMS: SO R 30, DAYS ARE Sip <br />INVO CT -THIS INVOICE. at is required to comply <br />COURT. ACTION BECOMES NECESSARY TO COLLECT <br />s the above Generator the Generators shipment of used oil may be transported to a facility th <br />Oil hereby advise red to comply with the more stringent requirements applicable to hazardous <br />American valley Waste 0 <br />iagement of used oil; but that is not requi required meet those morsn <br />tringent sttaindards <br />noat hale orprocessused oilare requwith federal re eg(I nd financl assurences� for closure anc <br />_guilations applicable to mar l - <br />waste, management facilities. California facilities th _ requirem, engineering certifications of tank Ini nt and not these more <br />used oil also meet those ageme <br />c ply only with' used <br />state facilities that process u oil to out-of-Atate,fa 111ties that comply -accidental releases. it is lawful to send used. <br />string requirements. <br />stringent o ly <br />notification info ion purp_AR$Dn Date <br />This not > Generator signed q—of the hazardou <br />Dat <br />Driver signed ener or s 0aiI the. geriVr. Nh_aMlilshed a program to reduce the volume or quantity and toxicity <br />By signing theinvoice the11callyr practicable. s) to the generatc <br />is determined by th' generator, to be qc9norr y" confirmations for (certain waste st . ream <br />waste to the degree.'as ice it will serve as an agreement that American Valle will submit confi ations o <br />)y both- parties signing this invoice itment or transfer facility <br />ported to license tre <br />at their waste has been trans <br />that <br />GY <br />ILI <br />L I REQYQUNWA� T -Y <br />PO O RAMOS ENVIRONMENTAL SERVICESt RIVERBANK OIL TRANSFER 1515 0, CA 95691 <br />ER ROAD • W. SACRAMENT <br />