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AMERICAN VALt.VV 15 34 a4c. Invioice Number: P.O. Box 34() - Delhi, CA 9531 S P!-1, 1-800-732-4645 - FAX 209-66A-�Y6FION IVI ENTAL HEALTH -C" .1 EPA#CAL000416714 rARMINGTONFREGH BILL TO: 6 Box �3ww JOB SITE: Invoice Date: X A.Nil;l I Rep, Phone Customer P.O. Terrlllst,D PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT CODE NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 NON-RCRA Waste Liquid Used Antifreeze 133 NON-RCRA Waste Liquid Used Oily Water 233 Drained Used Oil Filters I AZ WAST It. PICK tip 41INNill.)II r TERMS; Invoices over 30 Days are subject to a I seiviv�charge. Customer agrees to pay all legal fees it court action TOTAL becomes necessary to collect this Invoice, 713 By signing I herby certify that I have net mixed any of the,waste&scrihed above with any When hazardous waste,the total halide content is LESS than 1,000 ppm,and the waste does not contain any PCBs.I have compiled with it),,,rprue-Ginenir,of the applicable California used oil management regulation to determine this listrue.I agree to accept the additional charges For the disposal of that waste it the imormation I have provided about this waste is incorrect Generator's Certification:By signing I certify that it I am a large quantity generator,I certify that I Clave a program In place to reduce ilia volume and toxicity of waste generat- ed to the degree I have determined to be economically affordable and that I have selected the practicable method of ueaftriont,storage,or disposal currently available to me which minimizes the present and future threat to human life and the.environment:Or,if I am a small quantity generator,I have made a Good faith effort to minimize my waste generation and select the waste management methocl that is available to me that I can afford. American Valley Waste Oil hereby advises the above Gew.,,nor that generators shipment of used oil may be transported to a facility that is required to comply with federal regulations applicable to management of used oil.but that is net requited to col with the more stringent requirements applicable to hazardous waste management facili- ties.California facilities that handle or process used oil are"allied to meat those mere stringent requirement,and some out-of-state facilities that process used oil also meet [how requirements,engineering ceafficirtions of tank integrity,and financial assurances for closure and accidental releases.It is lawful to send used oil to out of state facililkee that comply only with federal used oil inundUpinent standards and not these more stringent requirements. This notification is for information purposes only. By both parties signing this invoice it will serve as an agreement that American Valley Waste Oil will submit confirmation for(certain waste stream)to the generator that their Waste has been transported to a licensed treatment or transfer facility. GENERATOR/ DRIVER AUTHORIZED SIGNATURE: DATE; SIGNATURE DATE: i DISPOSAL/ RECYCLING FACILITY 0 DK-DIXON C) ASBURY ENVIRONMENTAL 0 RIVERBANK OILTRANSFER 0 CFR 0 GLOBAL MATERIAL MGMT 7300 CHEVRON WAY 1920 MORGAN RD, 5300 CLAUS RD. 2035 E.15TH ST. 1640 N. BROADWAY DIXON,CA 95620 CERES.CA 95358 RIVERBANK, CA95367 LA,CA 90021 STOCKTON,CA 95205 707-693-6008 707-693-6008 20-1363-8181 213-746-0237 818470-2577 EPA#CAT080012602 EPA#CAL000393680 E PAuy CALGO01 90816 EPA#CAL000270577 EPA#CAL00041731 6 li(7*016)