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AMERICAN VALLEY 159306 <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#R CAR000272302 <br /> <! <br /> BILL TO: AGUILLES AUTO BODY REPAIR JOB SITE: AGUILLES AUTO BODY REPAIR Invoice Date: <br /> 480 E.11TH ST 480 E. 11TH ST <br /> CALL AHEAD CALL AHEAD <br /> TRACY,CA 95304 TRACY,CA 95304 <br /> /A i Sales Re <br /> I'hon CustomeC Terms EPA# <br /> �e103-83196�� .tt FI�,EAD G.O.D. CALCpI­ nw,49 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY 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 Filters <br /> OIL COLLECTION FEE �� 0 <br /> Sales Tax <br /> TERMS: Invoices over 30 Days are subject to a 1-5%Service charge. Customer agrees to pay all legal fees it court action TOTAL <br /> beoemes necessary to collect this invoice. <br /> By signing Iherby 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,Qoo ppm,and the <br /> waste does not contain any PCBs.I have compiled with the requirements of the applicable California used oil management regulation to determine this is true.I agree to <br /> accept the additional charges for the disposal of this waste if the information 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 and toxicity of waste generat- <br /> ed to the degree I have determined to he economically affordable and that I have selected the practicable method of treatment,storage,or disposal currently available to me <br /> which minimizes the present and future threat to human life and the environment:Or,if I am a small quantity generator,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 /> American 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 with federal <br /> regulations appiicable to management of used all,but that is not required to Comply with the more stringent requirements applicable to hazardous waste management facili- <br /> ties.California facilities that handle or process used oil are required to meet those more stringent requirement,and some out-of-state facilities that process used oil also meet <br /> those requirements,engineering certifications of tank integrity,and fi0anoial assumifecs for closure and accidental releases.It is lawful to send used oil to out of state facilities <br /> that comply only with federal used oil management standards and not these more stringent requirements. <br /> This notification is for information purposes only. <br /> By both parties signing this invoice it will serve as an agreement that American Valley Waste Oil will submit contirmaiio in waste streams)to the generator that their <br /> waste has been transported to a licensed treatment or transfer facility. <br /> GENERATORI <br /> DRIVERAUTHORIZED r� <br /> SIGNATURE. DATE: SIGNATURE: GATE <br /> DISPOSAL/REGY"ING FACILITY <br /> O DK-DIXDN ASBURYENVIRONMENTAL O RIVERBANKOILTRANSFER O CFA Q GLOBAL MAtFRIAL I <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, CA 95367 LA,CA 90021 STOCKTON,CA 95205 <br /> 707-693-6008 209-541-1825 209-863-8181 213-746-0237 818-770-2677 <br /> EPA#CAT080012602 EPA#CAL000393680 EPA#CAL000190816 EPA#CAL000270577 EPA#CAL000417316 <br /> MPG(712016) <br />