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AMaAI���N VALLEY <br /> 4 i41 , INC.. a Invoice°Number: <br /> P O :Box 40,• Delo, G;k9531`5 <br /> PH..'1 80x-732-46'.4`5 • FAX 209.-668-3880 <br /> EPA#CAR600272302 <br /> BII L TO; RS&UCIATID_TRAG"TCR rOB STTEi Invoice Date: <br /> 1323V11' CHAI 1' II M ASSOCIATEI3 TRACTOR <br /> STO.CkT�]M;;GI41 2i 6 182�`1i!11 CHAI;tI'ERWA <br /> X:ACCE3NAUT&'FRIM0 <br /> STOCKTON,GA 952D6 <br /> Newi VMS Phone Cwsfotrler P.O. Terms EP <br /> f�RObUCT SHIPRING`DESCf 'fPTl01 MANIFEST QU AMOUNT <br /> VIIASTE' <br /> CODE; <br /> MON RGFiA.Waste Ligate! Used.Oil/Mixed=Oils 221 <br /> 0 <br /> NORCRA�Waste-Liquid U.sed:A.nti#reeze 133 <br /> NON RCRAWaste Liquid Used'Oily°Water <br /> Drained Used OiVFilters' <br /> �O <br /> HAZ.MSTE PiPK 11P-METAL SHAMNP&0,F_M§ <br /> Saks Tax <br /> w <br /> TERfiA$ 1nva1c-p over 30 Days are.--.subject to a 1,5%service.l arge Customer agrees to pay a legalfees--if court action TOTAL <br /> becarnes:riei; ssar}�toegllset,this.Invoice: ImL, 4a <br /> By signing l herby ceitffythat l have not mixed,any of the waste described'ahove with any.other hazarelous waste,tha tofal halide contends LESS than'i,f70d m,end fh <br /> waste does not contafn'any PCBs:I have compiled with the r0ufrefnents of the applicable Caiffomia.used•oli.management regulation determine this is fte.I agree to=; <br /> accept the;addltional charges for the disposal of this waste if the lnforniationl.have provided about this:waste is incorrect. <br /> Generator's Certification:.By signing I certify that if I'am a large quantity generator,I.certify.that I have,a program in place to reduce the volume and toxicity of waste gene''rat- <br /> ed io the degree f have determined to be economically affordable and that haveselected;the practicable method of'treatment;storage;or.disposal cumentfy availabla to <br /> which minimiies4he present and future threat to human life and the environment:0 fE I am:a small quantltygenerator,i have made a Good faith efforfto mlhirrifze'my waste <br /> generation and selectthe waste,management method that Is.available to me that I can afford. <br /> Amedcan Valley Waste Oil hereby advises the above Generator that generators shipment-of used oil may be transported to a facility that is required tp comply,wRft federal <br /> regulationsapplicable#o:management of.used oll,but that is not regcired^to complywith the:more stringent requirements applicable;to.hazardous waste managementAciil- <br /> ties;Calffomla#aeilltlesilhat han 'm <br /> dle.or process used oil are'required toeet thane more stringent requirement;and some out of=stat__e fac7lfties that pnocess used:o]Aelso meet <br /> those requirements englneenng certifications of tank integnty;;and finsncial.assurar ces for closure and accidental releases.It ls-.lawful to send used ditto out of state facilities <br /> that complyonly wRh Qeka,,used:oil management standards'.i d n6t these more stringent requirements. w <br /> This notification Isfor Information purposes only. <br /> By.both'p6dies,signing this invoice lt.will serve as an agreement-that American.Valley Waste Oil will submit,confirmation for(certain waste streams).to the generator that their <br /> waste has been t�jpp'ertedrta-ajlicensed treatment or transfer facility. <br /> DtRQ � r <br /> GENERATOR/ <br /> PRIZED Z-/1,j yNATUE: DATE: TU <br /> DATE; <br /> YCLING, FACILITY <br /> O--DK=I)IXOIV ASBIlRYENVIRONMENTAt: Q;RIVERBANKOILTRANSFER CFR a GzLOBAL°MATERIAL-MGMT <br /> 7300 CHEVRON WAY 1920 MORGAN Rd. 5300 CLAUS RD. 2035 E. 15TH ST. 1640 N.BROADWAY <br /> DfXON,CA 95620 CERES,CA 95358 RIVERBANK, £A 85367 LA,CA 90021 STOCKTON,CA 95205 <br /> .707-693-6008 209-541-1825 2097863-8181 213-746-0237 818-770'-2577 <br /> EPAkAT080012602 EPA#_CAL000393680' EPA#CALOOQ190m EPA#CAL000270577 EOA#CAL000417316 <br />