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AMERICAN VALLEY 161775 <br /> WASTE OIL, INC. Invoice Number: <br /> P.O. Box 340 a Delhi, CA 95315 <br /> PH. 1-BOO-732-4645 a FAX 209-668-3880 <br /> EPA#CAR000272302 <br /> BILL TO: JOB SITE: Invoice Date: <br /> )°H y[{)oT/' �q iaJc <br /> Phone Customer P.O. ernsEPA# <br /> <' I .LL 1 I I e"-T• <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used OlitMixed Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 S <br /> / : . <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Drained Used Oil Filters <br /> TERMS: larked over 30 Days are subject W a 1.8%66Nka charge. Customer agrees to pay all legal saes H court action TOTAL _ <br /> becomes neceasery to wfleet this Involly. <br /> ey mpnep t herby canny mel I he,not mlaal any nt me..de enbed armee arch any myna hawmu.caeca,MI tam hand.nmment Is-S&S den t,arr ppm,and Ma <br /> waste does not when day PCs .I have sampled weh the requirements of the eradicable Ge6'fa n19 peed all mmmepnneM reputation W Bertram,this V true.)spas W <br /> emapt the maddened aelg69 for Me depmeal of this Wake If the Inlamaton IItave peakded about this weal the located. <br /> Gmasta's Carthusian!By sgnal,I certify that it I am a la9e quantity wa so or,I certdy Mat I have a aeprem W place to ad"tit¢volume Mal Widely of waste generef. <br /> ed to Me degree I neve dwterminnal to im ecoremicelty affordable and had I have indmis d Me pmothaae Mi thctl of vawmad,sterns,o-6epoael cuneney ardi a ieto me <br /> wheat minlmuse de paaent aM future threat W human lite and this envtanmenR Or,if I am a small quaraty 9eneMac I rave made a Gaud feiet effort to minimize my waste <br /> generation and salad the waste management method that is available to me that I own mead. <br /> Mgdcan Valley Wean,al M1wabyrm,kee Me aWvo Gmmentor that penerhwa01parent,twat dlmay to traneamesd me faelpty Rat Ie retailed tocomply W federal <br /> reputations eppikilble to managementof used a1.but that s na aaluhed to oamply wiRl Ile mare Makers requlanehs applealas to ha'mNous Waste maragement faclli- <br /> aq.Calfornla IagildW that handle or p�weee Used oil are requimd to mea Moes mad nbegent requiamen4 est some rut-oFaWta fecill ids that process,aced oil also meat <br /> yoke restatements,a�piosem,f ciedllcalions of tank Initialand Variant)......fW rows awl acCladi aleaees.It o lawful W ser used ole to outet at.%f.cilitar, <br /> Mat tangly only wllh Ndpm Metal of management standards est rot mase maR adMlknl requkeerents. <br /> This Bahamas Is far Information manses only <br /> ler bah garters aknina M'a Mvolc.4 Wila�•a as an.greemen+Mat Anadoan valla Wane ole wen wubmrcmamrma tceneln amts cbecres)m hheassamtgrtlatth.t <br /> wase hes be.n VarepMetl to a liwnatl IreetmeM IX V.ns(a ledlity. <br /> GENERATORI <br /> DRIVER <br /> SIGNATURE: DATE: DATE:, /I <br /> DISPOSAL/ RECYCLING FACILITY <br /> 0DK-DIXON 0ASBURYENVIRONMENTAL ORIVERBANK OIL TRANSFER0CFR 0GLOBAL MATERIALMGMT <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, CA95357 IA,CA 90021 STOCKTON,CA 95205 <br /> 707-893.8008 20&541-1825 209-863-8181 21&74541237 818.770-2577 <br /> EPA#CAT060012602 EPA#CALDD03936M EPA#CAL.000190B16 EPA#CAL000270.577 EPAP CAI-000417318 <br /> — w9sisaw <br />