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AMERICAN VALLEY i5 j- 951 <br /> WASTE OIL, INC . Invoice Number: <br /> RD. Box 340 s Delhi, CA 95315 <br /> PH. 1 .800-732.4645 a FAX 209668.3880 y I EPA# CAR000272302 ' <br /> BILLTO: AMERICAN PAVEMENT SYSTEMS INC: JOB SITE: AMERICAN PAVEMENT SYS iTE Ce Date:M <br /> 101211TH ST SUITE 1000 17333COMC0NEXRD <br /> MODESTO, CA 96354 MANTECA CA 86330 <br /> Sales Rep <br /> Phone <br /> ,09_57&5860 TONY Customer P.O. Terms 46 EPA CAL000490484 <br /> w-esr3 d <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANITITI PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used OIUMIxed 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 <br /> TERMS: Invoices over 30 Days are subject to a f.5% WeAm charge. Customer agrees to pay all legal lass It court action TOTAL <br /> becomes necessary to collect this Iro arca. <br /> By signing I herby eanily that I hems rot mixed any of the wale desal6ed above wllh airy olha haiadwa wale. lha total hNtee wnienl to I Moan 1, ppm, end! Vie <br /> wafer tlaesral contain eery PCBs. I hams canpted wim Ver requinanords of The applkabte California used dl moceganenl regulalbn to detemJna mis labue. I wit" to <br /> accept the atldilieal chats la IhatlapwN of Ila Waste If IM infamekn I have provided abed this waste Is Incomect. <br /> Genmala's Cenlncellm: By ejgnhg I sanity met If I made Tame quantity generator, I madly met I hems a program In place to modest the volume and toelpity of wale aoneral- <br /> ed to the degree I have colemhhed to be economically affordable and that I have selected the prectkable meNod of Moment. storage, as dlapoeal cunta ly evocable to mo <br /> which minlmlza The preeenl and fula9lMal to human life and IM environmonl: Or, If I am a s,all quality gaarator, I have mads a Good faith effort to mbambe mry waste <br /> genemism ami salad the wale maragarant moping that Is available to me That I can afford. <br /> Amnkan Valley Waste Oil hereby advises the shove Generator Nat gonmaloa shipment of dean 01 may be treatowed to a fecillty hot Is requlmel to comply Win fedo al <br /> regulations applicable to management of ming oil, but that is not mqulrod to comply will the mote stdrgai requirements applicable to h umdom wage tnannommnt facill. <br /> tis. Caleanla facilities that manage or process wan al as mgWad to mal moa nam stdrgent raqubement, and some ort- f.etolo facimba Thal pmcea uaan o l also most <br /> those requirements, a geomnal cadifications of tens Nlogdty, and financial aeumda s lar clause end accounts) infamies. It Is lawful to send used of load of gals faatllies <br /> Net comply only with Iedeal used al management sta dads and nal these mare ebegorn roqulromonls. <br /> This rennalkn Is for Information purposes only. <br /> By both partes signing this Invoke it will save as an epsement Inst American Val19y Wale Oil will submit confirmation for (madmhn wage lumm ng to rho 9anomlmr that lhdr <br /> wase Ins been Irensadan to a teemed Vestment or twata facial.. <br /> GENERATOW <br /> DRIVER �)jf AUINORIZEO C <br /> SIGNATURE: i - OA : Z SIONANRE: .' - d 'f� - DATE: - <br /> >r <br /> DISPOSAL / RECYCLING FACILITY <br /> O DK-DIXON 01SBURY ENVIRONMENTAL O RIVERBANK OILTRANSFER 0CFR O GLOBAL MATERIAL MGMT <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, CA95367 LA, CA 90021 STOCKTON, CA 95205 <br /> 707-603.6008 2MMI-1826 209.863.8181 213.746,0237 818,770.2577 <br /> EPA# CATOBOO12602 EPA# CAL000393680 EPA CALOD0190816 EPA► CALOD0270577 EPA# CAL000417318 <br /> rarePeptm <br />