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May 3019 , 10614a P • 3 <br /> AMERICAN V'ALLE'Y' 165639 <br /> f�'�\�•, Invoice NFumber:WASTEfir. , iiv � . I <br /> P. O . Bax 340 • Delhi, CA 95315 <br /> PH , 1 - 800111117324645 o FAX 209-868-3880 <br /> BPA# CAR000272302 <br /> BTLLTO :TO : KLUDT OiL JOB SITE: Li WIDEN PETERS PIRE G)EPAR1gTe Date.' <br /> A. 0. 130Y, 0166 17725 E. HWY 26 <br /> LUlai, Cit 95249 U LADEN . CA 96236 <br /> Phone Customer P.O. Terms EPA# <br /> 2tY.a -a;;� 7-x110 JtlMrE Nst30 Deys CALa0009444fi <br /> PRODUCTS ii''� S N WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODs" <br /> NON -RCRA Waste Liquid Used oil/Mixed Oils 221 C& � <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> i <br /> NON - RCRA Waste Liquid Used Oily Water 223 <br /> Drained Used Oil Filters <br /> cILCOLLECT IONFE1A E �i <br /> 11hoso (eqtArements, <br /> : invoices over 30 Days are subject to a 1 .5°h service charge. Custorner agrees to pay all legal fees if court action TOTAL <br /> es necessary to collect this Involca. yy <br /> ning t herby cortiry that I have not mbced any of the waste described above with a pie Caclo olthel hazardous <br /> aza used ori mutagen nt regutah Ida I atctlon to detormine ittb is trueontent Is LESS than 1 ,()co p agree apm, and lis <br /> does not contain any PG9s. I have complied vAh the requirements of the apps b <br /> t the additional charges for the cisposal of this waste if the infarmatlon 1 have provided about this waste is iricorreol. <br /> ratoes C5rti9^atbn: By slghing i certify that if t am a large quantity generator, I certify that I hatiie a program in piece to reduce the vclun:e and toxioky of waste generat- <br /> the degree I have determined to be a;or:omiceI affordable and that I have sdseted the practicable method o' treatment, storage, or disposal currently available to me <br /> mintmizes rho present and future threat to human life and the environment: Or, N i am a small quarI generator, I have made a Good faith effort to minimize M waste <br /> fetlon and select the waste management method that is available to me that t can afford. with federal <br /> ican VOW Waste Oil hereby advises the above Generator that generators stVpmendtn of rn�ore nslmayent reqube irements applicable 'aPl able toathazardouss wast m 13 reITilro to anagement taclil- <br /> ations applicable to mamfiemant of used oft, but i'nat Is not required to Comply stringent <br /> CalHorrgafacilv1lesthat harudto orprocess used oh are required to meat those moraatringont rsquire•nent, and someout-of-state fac0as that process usedcitalsomeet <br /> requirements, enginearing cartiflcatians of lank Integrfty, and finanotat assurances for closure arxf auacldenw! releases. Itis lawful to Bond us•d di to cul of $late tac41lle9 <br /> that comply only wtti federal used oil management standards and not these more stringent requifemants. <br /> TI notillcation is for information purposes only. <br /> eyboth parties signing this Invoice It wil serve as an agreement that American Vallair Waste U4 wit submit ocui meal n cart * waste stRafne) to thegenerator that their <br /> Iv <br /> has been transported to a lNnsed treatment or transfar facility. <br /> GENERATOR/ : r <br /> FIDIRIVER ' , S ONTUAE: � OATE�"�E: IAA 6 L / E QIL�IXON kSBURY ENVIRONMEfI O RIVERBANK OiLTRANSFER O CPR E. 16TH SIT O GLOBALN B ATERIAL AYMGMT <br /> 7300 CHEVRON WAY 1920 MORGAN R0. RV 0 CLAUS 13DS AHK, CA 95387 �3 CR 90IY2i STOCKTON, CA 95205 <br /> DIXON, CA 98820 CERES, CA OW58 213.748.0237 818.770.2871 <br /> 707111893 .8008 209.541A825 209 .883.8181 <br /> EPA$ CAT0800i2602 EPAA CAL000383680 EPA# CAL000190811) EPA# CA1.000270577 EPA's CAL000417316 <br /> atvC (7/zotay <br />