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AMERICAN VALLEY 153538 <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 /> SILL TO: JOB SITE5!—// -7 <br /> T Invoice Date: <br /> Ire Y <br /> Phone 7 `� Customer P.O. T arts E # <br /> � 3 v3 (COD <br /> PRODUCT SHIPPING DESCRIPTION ANIFES <br /> WASTE UANTITY 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 233 <br /> Drained Used Oil Filters <br /> TERMS: Invoices over 30 Days are subject to a 1.5%service charge. Customer agrees to pay ail legal tees if court action TOTAL <br /> 9' <br /> becomes necessary to collect this invoice. <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 1,000 ppm,and the <br /> waste does not contain any PCBs.I have complied with the requirements of the applicable California used oil management regulation to determine this i1,true.I agree d <br /> accept the additional charges for the disposal of this waste if the information I have provided about this waste is incorrect. to <br /> Generator's Certification:By signing l 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 be economically affordable and that I have selected the practicable moth pd of treatment,storage,or disposal toxicity <br /> f Wastavaile <br /> to me <br /> which minimizes the present and future threat to human lite and the environment:Or,ifI an,a small quantity ganerator,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 he transported to a facility that Is required to comply with federal <br /> regulations applicable to management of used oil,but that is not required to comply with the more stringent requirements applicable to hazardous waste management facili- <br /> ties.California <br /> to send used oil to out of state facilities <br /> facilities that handle or process used oil are required to meet those more stringent requirement,and some out-of-slate facilities that process used oft also meet <br /> those requiremen#s,engineering certifications of tank integrity,and financial assurances for closure and aaidenfal releases.h is lawful <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 ini will serve as an agreement that American Valley Waste oil will submit confirmation for(certain waste streams)to the generator that their <br /> waste has been transported to a licensed treatment or transfer facility. <br /> DRIVER GENERATOR/ <br /> SIGNATURE: OATS AUTHOR[ZED r�� <br /> SIGNATURE: Ol DATES <br /> DISPO L R CYC�LI G FACILITY <br /> 0 DK-DIXON 0 ayE URS ENVIRONMENTAL 0 RIVERBANK OIL TRANSFER 0 CFR 0 GLOBAL MATERIAL MGMT <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 5300 01-AUS 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 707-693-6008 209-863-8181 213-746.0237 818-770-2577 <br /> EPA#CAT050012602 EPA#CAL000393680 EPA#CAL000190816 EPA#CAL000270577 EPA#CAL000417316 <br /> - MPC(72016) <br />