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m v = N =p <br /> N Opp O <br /> O <br /> QC) v <br /> Tl C N <br /> O *kO N <br /> o w D <br /> 0 c <br /> fn o <br /> (D <br /> m �. W -0 <br /> _ (D v <br /> \TERICAN VALLEY $ o- <br /> In�'Qiceut C/) <br /> WASTE OIL, INC. v 3 <br /> O <br /> P.O.Box 340-Delhi,CA 95315 <br /> PH 1-800-732-4645•FAX 209-668-3880 <br /> N <br /> ' EPR#CAR000272302 (D(D <br /> I;I1.L'1'0: U)JOB SITE: <br /> O <br /> 'r Phone- Customer P.O. <br /> Terms EPA# <br /> , n `G <br /> PRODUCT SHIPPING DESCRIPTION MANIFEST QUANTITY PRICE AIV40L1NT C/)WASTE O <br /> CODE cD 0 <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 ;_i -2 n O <br /> n Z3 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 (7 <br /> NON-RCRA Waste Liquid Used Oily Water 223 � D <br /> Compliant Drained Used Metal Oil Filters O <br /> O <br /> C)II,COLLECif()N vii � <br /> (D <br /> Z <br /> O <br /> r N <br /> n � <br /> •W n <br /> 4)Its m <br /> I <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 rtece88ary to collect this invoice. (n <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 Ippm.and the Q <br /> All waste does not contain any PCBs.I have complied with the requirements of the appHcabte California Used oil management regulation to determine this I"me to f O <br /> accept the additional charges for the disposal of this waste If the Infomiahon I 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 effort my waste T.and to -wet- <br /> i <br /> ed to the degree I have determined to be economically affordable and that I have selected the practicable method of treatment,storage.or disposal c - tablex to par ae me <br /> which mimmltas the present and future threat to human life and the environment:or,if I am a small quantity generator.I have made a GoI <br /> generation and select the waste management method that is available to me that I can afford. vd faith <br /> American Valley Weare Oil hereby advises the above Generator that generators shipment of used oil may be transported to a facilit that is - <br /> Y required to al <br /> regulations applicable to management of used oil,but that is not required to comply with the more stringent requirements applicable to hazardous w facri,, <br /> ties.California facilities that handle or process used oil are required to meet those more stringent requirement,and some out-of-state facilita:s that p meet < <br /> those requirements,engineering certifications of tank integrity,and financial assurances for closure and accidental releases.It is lawful to send us x7 oil SeotRles <br /> that comply only with federal used oh management standards and not these more stringent requirements. W <br /> This notification Is for lniamation purposes only. O <br /> By both parties signing this invoke It will serve as an agreement that American Valley Waste oil will submit confirmation for(certain waste stye. to - , t t Z3 <br /> waste hes been transported to a Ifcensed treatment or transfer facility. <br /> GENERATOR! W <br /> DRIVER - _ AUTHORIZED �• N <br /> SIGNATURE: ��-� DATE: •`� - SIGNATURE O <br /> jVjQSAL/RECYCLIN , FA ILITY <br /> . Q pK-DIKON O ASBURY ENVIRONMENTAL Q RIVERBANK OIL TRANSFER Q YUMA YES LLC trv, ((D <br /> 7300 CHEVRON WAY 1920 MORGAN RD, 5300 CLAUS RD. 6500 US HWY 95 M 0 <br /> DIXON CA 95620 CERES,CA 95358 RIVERBANK, CA95367 YUMA,AZ85365 D Q <br /> 707-693'6009 209.541-1825 209-663-8181 <br /> 928-#AZR 28 l <br /> CA7080012602 Epq#CAL000393680 EPA#CAL060190816 EPA#AZRp00521146 = 0 <br /> (D <br /> O cri <br /> O <br /> N 1• <br /> W W <br /> CD <br />