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FROM FAX NO. Mar. 09 2009 03:50PM P1 <br /> AMERICAN VALLEY 86064 <br /> WASTE OIL, INC. Invoice Number: <br /> P. 0. Box 340 • Delhi, CA 95315 <br /> PH. 1.800-732-4645 - FAX 208 668-3880 <br /> EPA. CAL000827878 <br /> Invoice Dae-- <br /> BILL <br /> ate_RILL TO: ,iUS SITE: <br /> S&B GAS MARKET S&B CAS MARKET <br /> 515 W. 11 TM ST 515W- 11TH ST <br /> TRACY, GA 95376 TRACY, GR, 95376 <br /> X, 13E <br /> Phone t --'t ustomer P-O. Payment TeP <br /> M9-834 R 8838 SANJAY G.C� , �i CAL000863575 <br /> PRODUCT SHIPPING DEE CRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE r <br /> USED OIL NON RCRA HAZARD US <br /> WASTE LIQUID 221 <br /> USED AUTOMOTIVE ANTIFREE E, NON <br /> RCRA HAZARDOUS WASTE LIQUID 343 <br /> OILY WATER, NON RCRA HAZARDOUS <br /> WASTE LIQUID <br /> TRINITY HEAVY. DUTY PREMIX <br /> RECYCLED ANTIFREEZE N/A <br /> NOWHAZARDOUS WANE LIQ ID <br /> TRUCK TIME N/A <br /> GREASWEEP N/A <br /> Trinity EAended Life Premix lr yded Antifir <br /> I hereby certify that I have not mixed this este with any other waste,that the total halides are less than 1000 P.P.M.;and that <br /> the waste does not contain any P,C,f3,'s:I further agree to accept the additional charges for legal disposal if this waste Is over TOTAL <br /> 1000 P.P.M,total hafid or contain n PC.B.'s, <br /> DRIVER GENERATOR/AUTHORIZED <br /> SIGNATURE SIGNATURE SIGNATURE <br /> TERMS: INVOgtS OVER DAY ARE SUBJECT TO A 1-5% SERVICE CHARGE. CUSTOMER AGREES TO PAY ALL LEGAL FEES IF <br /> COURT ACTT N BECOMES NECE SARY TO COLLECT THIS INVOICE. <br /> American Valley waste Oil hereby adviSGS 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 that is not required to comply with the m6re stringent requirements applicable to hazardous <br /> waste management facilities, California facilities that handle or process used oil are required to meet those more stringent requirements,and sortie 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 lised oil to out-of-state facilities that comply only with federal used oil management standards and not these more <br /> stringent requirem _ <br /> This notification i fo i ma n purpo s only. <br /> Date Generator signed � R J� �Ll � Date <br /> Driver signed _ __.._ <br /> By signing th voic t generator co ifies that the generator has established a program to reduce the volume or quantity and toxicity of the hazardous <br /> waste to the egree,as determined by t e generator, to be economically practicable. <br /> By both parties signing this invoice it will serve as an agreement that American Valle v1�t�rpitconf>�ations for(certain waste str ams)to the Operator <br /> that their waste has been transported to license treatment or transfer facility. C7�J�f� Teti 7�� � 7 <br /> � C"�-•ems- -v_ <br /> DISP SAL[RECYCLING FACILITY i" e nv C,,- -eML40 �.. oz';U/L <br /> O RIVERBANK OIL IRAN FER O RAMOS ENVIRONMENTAL SERVICES <br /> 5300 CLAUS ROAD•RIVERBANK,CA 95367 1515 SOUTH RIVER ROAD•W. SACRAMENTO,CA 95691 <br /> 209.863-818 •EPA ft 9AL000190816 916.371.5747•EPA#CAD044003555 <br /> MPC-(10!20+ <br />