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AMERICAN VALLEY <br /> 2 1 7 <br /> WAS:" L, INC. invoice Number: <br /> P.O. Bax 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA# CAL000416714 <br /> BILL TO: ASSOCIATED TRACTOR JOB SITE: ASSOCIATED TRACTOR Invoice Date: <br /> 1323 W.CHARTER WY 1323 W. CHARTER WAY <br /> STOCKTON, CA 96206 3CARGONAUT&FRESNO <br /> STOCKTON, CA 95206 <br /> L'W <br /> Phone kCustomer P.O. Terms EPA <br /> 249-46-3003 ROCKY Net 34 Days CAD983606930 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 233 <br /> Drained Used Oil Filters <br /> 00 F C31i1 FFF <br /> Sales Tex 17o -) — <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 gs' <br /> becomes necessary to collect this invoice. 22 _ . <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 ss LESS than 1,000 ppm,and the <br /> waste does not contain any POSs.I have complied with the requirements of the applicable California used oil management regulation to determine this is true.I agree to <br /> accept the additional charges for the disposal of this waste if the information f have provided about this waste is incorrect. <br /> 5eaerator's'Cartirication:By signing 1.certify that if I am a large quantity generator,I beoify'4 afl have a program In place to reduce the vofume.and toxicity of waste generat- <br /> ed to the degree l have determined to be economically affordable and that f have selected the practicable method of treatment,storage,or disposal currently available to me <br /> which minimizes the present and future threat to human life and the environment:Or,if I am a small quantity generator,l 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 ail to out of state facilities <br /> that comply only with federal used oil management standards a9d not these more stringent requirements. <br /> This notification is for information purposes only.' <br /> By both patties signing this invoice it wipe e:as 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�al�ns11treatment,or transfer facility. <br /> GENERATOR/ <br /> DRIVER �f �^ w� AUTHORIZED <br /> SIGNATURE: 4 DATE: SIGNATURE: DATE, <br /> DISPOSAL/ RECYCLING FACILITY <br /> C) DK-DIXON Q ASBURY ENVIRONMENTAL O RIVERBANK OIL TRANSFER O CFR O GLOBAL MATERIAL MGMT <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD. 2035 E. 15TH ST. 1640 N.BROADWAY <br /> DIXON,CA 95620 CERES,CA 95358 RIVERBANK, CA 95367 LA,CA 90021 STOCKTON,CA 95205 <br /> 707-693-6008 707.693.6008 209-863-8181 213-746-0237 818-770-2577 <br /> EPA#CAT080012602 EPA#CAL000393680 EPA#CAL000190816 EPA#CAL000270577 EPA#CAL000417316 <br />