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AMERICAN VALLEY A^; <br /> WASTE°'®IL, INC. Invoice Number: <br /> P.O. Bax 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> TOR GUN AVATION EPA# CAR000272302 <br /> 61 i:,.ii`�tP,0H TOP GUN AVA`1•ION <br /> BILL TO: 6I .l�:i RGH v <br /> TT3N: w JOB SITE: TJ3 ,CA Invoice Date: <br /> Phone Customer P.O. Terms '.w1 I­' j EPA# <br /> �L <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> a - <br /> NON-RCRA Waste Liquid Used Antifreeze i33 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Compliant Drained Used Metal Oil Filters <br /> TERMS: Invoices over 30 Days are subject to a 1.5%service charge- Customer agrees to pay all legal fees if court action TOTAL 'F <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 applicablo California used oil management regulation to determine this is true.1 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 targe 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 1 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 applicable to management of used all,but that is not required to comply with the more stringent requirements applicabte 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 financiat assurances for closure and accidental releases.It is lawful to send used cit 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 viii 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 /> AUTHORIZED <br /> SIGNATURE r sr <br /> DATE: SIGNATURE, y r DATE: <br /> DISPOSAL/ RECYCLING FACILITY <br /> O DK-DIXON Q'�SBURY ENVIRONMENTAL 0 RIVERBANK OIL TRANSFER Q YUMA YES LLC O AMERICAN VALLEY WASTE OIL,INC <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD. 6500 US HWY 95 521 INDUSTRIAL DR STE M <br /> DfXON,CA 95620 CERES,CA 95358 RIVERBANK, CA 95367 YUMA,AZ 85365 LIVINGSTON,CA 95334 <br /> 707-693-6008 209-541-1825 209-863-8181 928-344-9828 209-667-8857 <br /> EPA#CAT080012602 EPA#CAL000393680 EPA#CAL000190816 I=PA#AZRGO0521146 EPA#CAL000443004 <br /> MPC f7120161 <br />