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AMERICAN VALLEY 168311 <br /> WASTE OIL, INC. Invoice Number: <br /> P.O,Box 340•Delhi,CAMM5 <br /> PH,1-600-7324545-FAX 209-668-3880 <br /> EPA#CAR000272302 r <br /> N&STRACTOR JOB SITE: N&STRACTOR ^ Invoice Date: <br /> BILL TO: P.O BOX 9'10 1340 W.CHARTER WAY <br /> MERCED,CA 95341 STOCKiON,CA 95206 <br /> 1M OIL <br /> Phone 209-944-5500 BRA tomer P.O. Terms 14800 Days EPA# CALOD0256406 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST U 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 223 <br /> Drained Used Oil Fitters <br /> TERMS:lnwfoes ovar 30 Dugs are subject to it 1.5%swce Charge.Cusiomer agrees to pay an 19921 fees if court action TOTAL <br /> becomes necessary to Collect this rnvalCe. hakia and <br /> 9y signing I herby cwti:y that I have nos nivad any of ttla Waste dusaked aaove wilh ary Cher haserd edLn 11 n a gtnt ropulatiantto tdeot� IHun stwu a140 groe t o <br /> vrsele does notcanSarn arty PGBs.l fwvo cwnPGed with the+B4uicrmei:ts o}the ap�EaWe Galifarnia used Oil man <br /> aueept the addedlatd CnWW5 for the dsposal of I%S waste it the Inforrratlarl l hwe provided abaft this waste b Irweroct. <br /> Genamtot^a wtgeaaorr:By signing I canlfy that it I am a large quantity generamr,I corlity that I nava a Progrem In Place to radrme the volurrw and tdak'ty o1 Coale panarat- <br /> 0d to the degree S have deimniined to be ecanornically <br /> alordablo and mat I have seWhil the I> c��ft:efhOd of ttentmont storage.or dtspoael alnentlY waaobie to me <br /> 'Which mirknlzm+lie Presets and fuha9 threat to human life and the emironnwt•.Or,it I am a mull quentlty generator.I have rtiade a Good calm e!llifl to mintrilie my e <br /> rd <br /> ga codon and eekct the waste managwwwt method that k nvallado to ala Uut I Can&b <br /> fo wed Y nsponed to n IaGltt r that Is requked 10 ownpty with federal <br /> American VA1kY Waste 01 hereby advlsea the ebpvo CieM1el'atnr Vidr genas o c pmant e a iC"to hV�0W waste prarr OTiont fV*' <br /> reputations appkaNa to ntanoganent of umod os,but that a not FeKluked <br /> to Cpmpy With Lila mar°atringant process need dl also meet <br /> ties.California facilities Ihstt•.erdl0 or process used oil are regtdred m rneotthose more.atrtngmt requlremenL and so"oul-abstate 3ac11tkathat pros <br /> shwa repWrernerca,es ftt dug ceniliratl0he of tank Intagrtty,and financial aaS1a'arc=for cloeure and audden W releesca It Is Tdw%l to send toed oe fo out of stela}acsillea <br /> that oamply only wit federal used 011 managwne[A standards and not these more stangent rarN <br /> Tide notitteaeon is for inlormanon Wrimm only. <br /> By horn Partin signng tris Invoice k rt1il nerve=an agrwywnt Rmt Amadou Halley Waale OA Will nrlxna con[uTnatiOn it,Icorta'n vez.le isneemsl to the generator that shdr <br /> wade hag been transpated 10 a taHrts id treaMMM OF usnAlef tacWty- <br /> GENERATOR+ J <br /> AUTHORIZED �^� DATE' <br /> SIONAT9R <br /> 9RNER DATE: SIGKATURE: <br /> E LING <br /> GLOBAL MATERIAL MGAdT <br /> DK-DIXON ASBURY ENVIRONMENTAL Q RIVERMNKOILTRANSFER ❑CFR <br /> CIAUS <br /> D. <br /> E,15TH <br /> AY <br /> 7309 CHEVRON WAY 1929 MORGAN R0. R�IVERSAN}(ROA 95387 �CA 99021sT STTOCKTOH CAw�5 <br /> DIXON,CIL 95620 C RES,0-641 CA 95358 291.863.8181 213.748-0237 818-77D-2577 <br /> 707-693.6008 209,541-1825 <br /> EPAif CAT060012602 EPAtl CALM0393WO EPA#CALODD19D818 EPA#CA1A00270577 SPAS CAL0D0417316 <br /> Mrc prowl <br /> z <br />