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AMERICAN VALLEY <br /> >155299 <br /> WASTE OIL, INC. Invoice Number: <br /> P.Q.Box 340•Delhi,CA 95315 <br /> PH,1-800.732-4645-FAX 209-668.3880 <br /> BPA#0�l4cx�ZT23o? <br /> BILI,TO; CALIFORNIA MATERIALS JOB SITE: CALIFORNIA MATERIALS I� y <br /> nVoc Date: <br /> P.O BOX 82314 3736$.H WY 99 FRONTAGE <br /> STOCKTON,CA 95213 STOCKTON CA 96205 <br /> 1 MONTH OIL <br /> I35.� <br /> Phone custo�m+eerr�P.O. /� Terms EPA# <br /> 209-639-�9202KE1IIN t/7(;go �76176p&ys CALDgQ3B0534 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST ANTTY PmdE AMOUNT <br /> CODE <br /> NON•RCRA Waste LlquId Used 011iMixed 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 /> OIL COLLECTION FEE gg00 <br /> Sales Tax <br /> TERMS:Invoices over 30 pays are subJact to a 1,6 J service charge Customer agrees In pay all legal tees If court acllen TO41L / r� <br /> becomes necessary la collect fhle invoice. <br /> Hy signing I herby certify that 1 have flat maxed any of the waste deserted above with any nitw hUNdous waste,the total halide concent Is LESS than 1,004 ppm,end the <br /> waste does rot oonlalh any 0133,I have eompllad with the requirements of the appllcable OsTomia used oil management:eg:t'altan to deldrmine thla is true.I agree to <br /> accept the addltional charges tar the disposal of this waste if the information i have ptovkied about this watts Is Incorrect, <br /> 4+e tori CertiHaatkut:Hy signing I comfy tiwt it I am a large quaOlty gonerator,l eerily that i have a program En place to reduce the volume aro toxiolty of waste generat- <br /> ed tothe degree I have detortnined to to economlcatlY a7adabla"that I have selected the praukcabio me'hed of tlealmerl:,storage,or disposal curranlly avalfable tome <br /> which mWmlzes the present and future threat to human life and the environment:Or,if I sane small quantity ganarata.7 haVe made a Good falth offort to minimize my waste <br /> gerwatlon and se}eot the waste management mathod khatls avallable to"that I ow afford. <br /> Amerirmh Valley Waste Oil hereby advises the above Generator that generators shipment 0f used oii maybe transported to a lacinty that is required to owply with tedaral <br /> regulations appiloable to management of used oll,but that Is fret required to comply wkh the mora stdrvont requlremenls appikable to hazardous was`.e management fac€Ii- <br /> ties,egi fomla laclllties that halls or process used oil are required to most those more stringent requirement,w1c;acme mt-of-slate ftallllEss that process used oil aim meet <br /> those mquifemenis,englneefing cattifloations al tank Integrity,mid financial assurances for oiosum and acckiental releases.It Is lawful to send used oll to out of state tacllll es <br /> that comply only with federal used ai management standards and not these mare athlngant requlrena nm. <br /> This notification Is la Inlamallon purposes only. <br /> W both parkas sfgning this Invoke It will serve as an agreement that AmerloM Valley Waste Alf will subml:con0rmatlorr f edam este streams)to the generator ilial their <br /> waste has been transported to a Ib Iment or transfer fe IIAV- <br /> GENERATCR! .I <br /> AAIVER AUTHORIZED <br /> SIGNATURE: /1,/^ DATE: 35NA7UP.E: <br /> D DK-OIXON A813URY ENVIRONMENTAL O RIVERBANK OIL TRANSFER O CFR O GLOHAI.MATERIAL MGMT <br /> 7300 CHEVRON WkY1920 MORGAN RD. 5300 CLAUS RD. 2035 E.15TH ST. 1640 N.BROADWAY <br /> D1XON,CA 85620 CE.RES,CA 95358 RIVERBANK, CA 85387 LA,CA W21 STOCKTON,CA 96205 <br /> 7Q7-893-5068 707.893.6068 208.863-8181 213.748.0237 818-770-2577 <br /> EPAA CAT08012602 EPA#OAL000383880 EPA#CAL000190816 EPA#CALOW270677 EPA#CALo60417318 <br /> hipot72a1e1 <br />