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AMERICAN VALLEY 164725 <br /> — WASTE OIL , INC . - InvoiceNnmber: <br /> P.O , Box 340 • Delhi , CA 95315 <br /> PH . 1 -800-7324645 * FAX 209-668-3880 <br /> EPA# CAR000272302 <br /> BILL TO: EAST BAY CLARKLIFT-CH SIDE: EAST SAY cLARKUFT Invoice Date: <br /> 4701 OAKPORT 5T � 1813 MOFFAT BLVD <br /> OAKLAND, CA 9460 t 905 l ' MANTECA, CA 95336 <br /> Phone 24658987JENIFEustomer P,O. Terms <br /> 09 ( EPA# <br /> c.a.D. I{ CAt�o3M27 <br /> PRODUCT SHIPPING DESCRIPTION I WASTE_ TMANIFEST QUANTITY` PRICE i AMOUNT <br /> ` <br /> CODE <br /> NOWRCRA Waste Liquid Used Oil/Mixed Oils I 221 � ,� <br /> _ ._ <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Drained Used Oil Filters <br /> C - nnr <br /> OIL COLLECTION FEE _ - �t _ Dn <br /> I �I k <br /> TERMS 1 % <br /> Invoices over 30 bays are subject to a .5service charge. Customer agrees to pay all legal fees II hurt action TOTAL <br /> . <br /> becomes necessary to collect this Invoice. - .-• ; <br /> By signing I herby certify that ) 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 compiled with the requirements of the applicable California used Olt management regulation to determine this is true, [ agree to <br /> accept the additional charges for the disposal of this waste R the information I have provided about this waste is incorrect. <br /> Generator's Certification: By signing I certitythal if I ant a large quantity generator, I ceniy that 1 have a program In plane to reduce the volume and toxicity of Waste general- <br /> ad to the degree I have datemdned to be economically affordable and that I have selected the practicable method of treatment, storage, or disposal currently available tome <br /> which minimizes the present and future threat to human life and the environment: Or, 8 I am a small quantity generator, I have made a Good falth 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 all may be transported to a facility that is required to comply with federal <br /> regulations applicable to management of used all, but that is not required to campy with the mora stringent requirements applicable to hazardous waste management facili- <br /> ties. California facilaies Ott handle or process used dl are required to meet those mom stringent require ment, and some out-of-state facl6ties that process Used dl also meet <br /> those regtdrernenta, engineering ceNficatiom of tank Integrity, and financial assurances for closure and accidents[ releases. it is lawful to send used oil to out of state facllitles <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 panics signing this Invoice It 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 Vamspodad to a licensed treatment or transfer facility. 6i$ <br /> GENERATOR/ / <br /> DRIVER n Al1TH0 JZ <br /> l SIGNATURE: DATE: ) SIGNATUrr DATE: :1 <br /> D ) SPQSAL I RECYCLING FAQ ITY r, <br /> 0 DK-DIXON &/ASBURY ENVIRONMENTAL O RIVERBANK OIL TRANSFER Q CFR O GLOBAL MATERIAL MGMT ' <br /> 7300 CHEVRON WAY 1920 MORGAN RD, 5300 CLAUS RD. 2035 E. 15TH ST. 1840 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 2U9#863-8181 21 &7460237 818-7704577 <br /> EPA# CAT080012602 EPA# CALOD0393680 EPA# CAL000190816 EPA# CALOOD270577 EPA# CALOD0417316 <br /> ! I <br />'t <br /> I <br />