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G Tr A11IEWAN:VALLEY ` - <br /> t7 { I►STEOIL, sIC. Invoice Number: <br /> P.O. Box 34.0`- Delhi, CA 95315 <br /> PH. 1-800-732-464&:-'. <br /> -800-732-4645 •FAX 209-668-3880 <br /> EPA# CAR000272302 <br /> BILL TO: ASSOCIATED TPAC OR. JOB SITE: A>�,SOCIATED TRACTOR Invoice Date: <br /> 1323 W.CHARTER VV 1323 W. CHARTER WAY <br /> STOCIDN, CA 95206 X:ARGONAUT&FRESNO <br /> STOCKTON, to 95208 <br /> ';:� ' <br /> Phone Customer P.O. Terms EPA# <br /> 09-466-300 ROCKY Net 30 Days C-A,D98WO6930 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> Nc31v FtRR'1Nate Liquid UsectOII1NflXei:Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 _ <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Drained Used Oil Filters <br /> C4L COLLECTIGN FEE <br /> Sales Tax <br /> TERMS Invoices over 30 Days are subject to a 1.5%service charge. Customer agrees to pay all legal fees if court action TOTAL <br /> becomes necessary to collect this invoice. <br /> By signing I herby certify that I have not mixed any of the waste described above with'any other hazardous waste,the total halide content is LESS than 1,00 ppm,and the <br /> waste does not contain any PCBs.I have complied with the requirements of the applicable California used oil management reouiation to determine this is true.I agree to <br /> accept,the.addiUonal charges for„the dtspgsal of this.waste if.the inforrrtatlon I have provided about this waste is incorrect. <br /> Generator'sCertrficatlon:By signing I certify:that'if I am a large`quantity generator,`I certFfythat I have a;program in place to reduce the volume and toxicity of waste generat- <br /> ed to the degree I have determined to be econom#cally affordable and that I have selected the practicable method of treatment,storage,or disposal currently.available to me <br /> which minimizes the present and;uture 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 <br /> generation and select the waste management method that is available to me that I can afford. <br /> American Valley Waste Oil hereby advises the above Generator that generators shipment of used oil may be transported to a facility that is required to'comply with federal <br /> regulations applicable to management of used oil,but that is not required to comply with the more stringent requirements applicable to hazardous waste management facili- <br /> ties.California facilities that handle or process used oil are required to meet those more stringent requirement,and some out-of-state facilities that process used oil also meet <br /> those requirements,engineering certifications of tank integrity,and financial assurances for closure and accidental releases.It is lawful to send used oil to out of state facilities <br /> that comply only with federal used oil management standards and not these more stringent requirements. <br /> This notification is for InfcrmalJon purposes only. <br /> By both parties signing this invoice it will servegs an agreement that American Valley Waste Oil will submit confirmation for(certain waste streams)to the generator that their <br /> waste has been transported to a'licensed treaf66rit or transfer facility. "1 <br /> GENERATOR/ �•_,_= <br /> DRIVER - AUTHORIZED <br /> DATE: e'.ti ���1••,�. <br /> SIGNATURE: `” i-s;'':/ ,7 % <br /> / . �" SIGNATURE: ✓ DATE:/` <br /> DISPQSAL 1 RE Y LING FA ILITY <br /> O DK-DIXON CF-ASBURY ENVIRONMENTAL O RIVERBANK OIL TRANSFER Q CFR Q GLOBAL MATERIAL MGM T' <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS„RD. 12035 E. 15TH ST, 1640 N. BROADWAY <br /> DIXON,CA 95620 CERES,CA 95358 RIVERBANK, CA95367 LA,CA 90021 STOCKTON,CA 95205 <br /> 707-693-6008 209-541-1825 209-863-8181 213-746-0237 818-770-2577 <br /> EPA#CAT080012602 EPA#CAL000393680 EPA#CAL000190816 EPA#CAL000270577 EPA#CAL000417316 <br />