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• AMERICAN VALLEY 59 9 <br /> IWASTE OIL INC. Invoice Number <br /> P 0 Box 340 • Delhi, CA 95315 <br /> PH 1-800-732-4645 o FAX 209-668-3880 <br /> 6 EPA CAL000827878 <br /> Invoice Date <br /> BILL <br /> J/TO: aJOB SITE: <br /> ffa <br />' Phone Customer PO Payment Terms EPA# <br />' PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> USED OIL NON RCRA HAZARDOUS <br />' WASTE LIQUID 221 <br /> USED AUTOMOTIVE ANTIFREEZE, NON <br /> RCRA HAZARDOUS WASTE LIQUID 343 <br />' OILY WATER, NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br /> TRINITY HEAVY DUTY PREMIX <br /> RECYCLED ANTIFREEZE NIA <br /> HAZARDOUS WASTE LIQUID r ' <br /> TRUCK TIME NIA <br /> INON <br /> GREASWEEP NIA <br /> 1 <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 <br /> the waste does not contain any PC B's I further agree to accept the additional charges for legal disposal it this waste is over TOTAL , 1 f � <br /> 1000 P P M total halides,or container any P C B's <br /> DRIVER ``- GENERATOR AUTHORIZED <br /> SIGNATURE SIGNATURE /SIGNATURE <br /> TERMS INVOICES OVER 30 DAYS ARE SUBJECT TO.A 1 5% SERVICE CHARGE CUSTOMER A,BEES TO PAY ALL LEGAL FEES IF <br /> COURT ACTION BECOMES NECESSARY TO 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 regulationsapplicableto management of used oil,but that is not required to comply with the more stringent requirements applicable to hazardous <br /> waste management facilities California facilities that handle or process used oil are required to meet those mare stringent requirements and some out of- <br /> state facilities that process used oil also meet those requirements, engineering certifications of tank integrity, and financial assurances for closure and <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 f `� <br /> Driver signed 2- I Date Generator signed ,, Date <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 economically practicable <br /> By both parties signing this invoice it will serve as an agreement that American Valley will,submijconfirmations for(certain waste streams) to the generator <br /> that their waste has been transported to a license treatment or transfer facility " <br /> i <br /> DISPOSAL / RECYCLING FACILITY <br /> tJ RIVERBANK Olt_TRANSFER O RAMOS ENVIRONMENTAL SERVICES <br /> 5300 CLAUS ROAD• RIVERBANK, CA 95367 1515 SOUTH RIVER ROAD•W SACRAMENTO, CA 95691 <br />' 209 863 8181 •EPA#CAL000190816 916-371-5747•EPA# CAD044003556 <br /> MPC(10!'e <br />