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AMERICAN VALLEY l o U i l <br /> WASTE OIL, INC. Invoice Number: <br /> P.O. Box 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645- FAX 209-668-3880 <br /> EPA#CAR000272302 <br /> N&S TRACTOR � r <br /> 0: OX 910 )OB SITE: N&S TRACTOR Invoice Date: <br /> M0 P.OWX.CA 95341 9340 W.CHARTER WAY <br /> STOCKrON,CA 95206 <br /> IM OIL <br /> Phone 209-944-5500gjj , rner P.O. Terms Net 30 Days EPA# CAL000265406 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST UAN'CTIY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NOW RCRA Waste Liquid Used Oily Water 223 <br /> Drained Used Oil Filters <br /> 'PERMS: Invoices over 34 Days are subject to a 1.5%service charge. Customer agrees to pay all legal fees it court action TOTAL, 0C <br /> becomes necessary to collect this Invoice. r <br /> By signing 1 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 1,000 ppm,and the <br /> waste does not contain any PCBs.I have complfed with the requirements of the appiiesble California used oil management regulation to determine this is true.t agree to <br /> acsept the additional charges for the disposal of this waste if the information I have provided about this waste is incoaacL <br /> Generator's Certification:By signing I certify that if t am a large quantity generator.t certify that l have a program in place to reduce the voiuma and tOXICity of waste generat- <br /> ed to the degree 1 have determined to be economically affordable and that 1 have selected the practicable method of treatment,storage.or disposst currerrtN available to me <br /> which minimizes the present and future threat to human INs and the environment:or,if I am a email quantity gert-ato,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 /> Arnerir an 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 wlih federal <br /> regulations applicable to management of used all,but that is not required to comply with the more stringent requirements appYcable to hazardous waste management fscili- <br /> tios,California faeilitles that handle or process used all are required to meet those more stringent requkrement;and some cut-ot state facltNes that process used oil also meet <br /> those requiremermts,engineering cerdflcations of tank integrity,and financial assurarmces for closure and accidental rekeases.It Is lawful to send used oil to out of state faclitties <br /> that comply only with fedaral used oil management standards and not these more stringent requiremetlte. <br /> This notifloation is for Information purposes only. <br /> By both pestles signing this Invoice it will serve as an agreement that American Valley Waste OR will submit confirmation for(certain waste streams)to the generator that their <br /> waste has been transported to a licensed treatment or transfer facility. <br /> GENERAMR1 <br /> DRIVER AUTHORIZED <br /> GNATsz`��� A SIDNATUR DATE: •► SIGHANRE: DAfE: <br /> Q15POSAL 1 REQYQLING EAQILI <br /> Q DK-DIXON ASBURY ENVIRONMENTAL a RIVERBANK OIL TRANSFER Q CFR 0 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, CA95367 LA,CA 90021 STOCKTON,CA 95205 <br /> 707-CM-6008 209.541-1825 209-863-8181 213-746-0237 818-770-2577 <br /> EPA#CAT060012602 EPA#CAL000393680 EQA#CALOW190616 EPA#CAL000270577 EPA#CAL000417316 <br /> tvwc t7=16I <br />