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rITY AUTO R E' IF, <br />6-A E. HARDING <br />CKTQN, CA 95205 <br />AME RIC'AN X ALMS <br />I <br />AT' IL;' <br />P. 0.' ' — Box 340 Delhi, :CA %95315- <br />PH' 1=800=732=4645 - FAX 209-668-3880 <br />EPA.-.CAL000827878 <br />JOB SITE:. <br />QUALITY Aute REPAIR <br />1246 HARDING WRY <br />STOCKTON, CA 95205 <br />X *. A' <br />9X2-+--1 <br />Customer P.O. <br />Payment Termb <br />rn. D. <br />P-R'OD UCT <br />SHIPPING DESCRIPTION' <br />I WAST <br />E <br />- MANIFEST <br />CODE <br />�USE- NWRCRA�HAZARDOUS221 <br />WASTE LIQUID <br />'USED AUTOMOTIVE ANTIFREEZE, NON <br />RCRA HAZARDOUS WASTE LIQUID 343 <br />OILYWATERNON-RCRAHAZARDOUS <br />.�l <br />221 <br />LIQUID <br />TRINITY HEAvY-.DUTY.PREMIX N/A <br />'REG E6ANTIFREEZE' <br />NON HAZARDOUS , WASTE LIQUIDT <br />TRUCK TIME N/A <br />GREASWEEP N/A <br />mmi <br />Invoice Number: <br />Invoice Date: <br />I hereby certify that I have not mixed this waste with any other waste, that the total halides are less than l000 P.P.M.; and that <br />the waste, does not Go i <br />contain any RC.B.'s- I further agree to accept the additional charges for legal disposal if this waste is erTO <br />1000 RRM. total halides, or contairies an .'a <br />DRIVER <br />GENERATOR/ AUTHORIZED <br />SIGNATURE SIGNATURE I SIGNATURE' <br />TES MO. VE J 30 DAYS E SUBJECTEGAL FEES IF <br />ER AGREES TO PAY AL <br />00 ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. ansported to a facili is required to mply <br />'. America - n I Valle . yWaite ''pl'c <br />l hereby advises the aboveGenerator the Generators shipment of used oil may be tr eq t pp cable to zardous <br />used oil, but that Is not required to comply with the more stringent r uirern <br />with federal 7regUlatlohs applicable to *management of rocess used oil are required to.meet those more stringent r ui menu, an a out -of - <br />waste *I'' CaliforniaacllitM that handle grprocess management facilities. those 'requirements, engineering certifications of tank integrity,,and fine all dards <br />or closure and <br />state facilities <br />acl I lities that process used oil also meet Ilities that comply only with -federal used oil manage dards d not these more <br />'a cciden tal releases. it cess I to send used oil to out-of;state fac <br />u <br />s ngianrreq6ir6ments. <br />This notification Is for I a Y. Date <br />rator signed <br />prNer signed:Date i and toxicity of the hazardous <br />pro r qua <br />By'sighing the I Ice'th enerator e, i les that 'the generator hasiestab a ram to reduce the vol <br />.waste to'the degree, as.determined by the generator, to �beecononlcAly'priiactnlcable. <br />Bybboth parties; signing this invoice it will serve as-anAgreementAhat AmerValleywiiiautmit confirmations for (certainwaste streams) to the genera\o <br />r <br />ht - <br />license trd6trhO <br />that their waste hiis' transported to a dr1ransfeefacilitY. <br />Seen <br />'DISPOSAL / <br />EKIn <br />"0 RAMOS ENVIRONMENTAL SERVICES <br />VERB'ANK OIL TRANSFER -1515 SOUTH. RIVER ROAD # W. SACRAMENTO, CA 95691 <br />00 <br />e-53 bLAUS;'ROAb`.: RIVERBANK, .916-37'175747;9 EPA.#,CAD044003556 <br />0190816 <br />EPA'-# CAPP, --------- MPc (1 <br />