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AMERICAN VALLEY <br /> WASTE OIL , INCA Invoice Number . <br /> P. O . Box 340 m Delhi , CA 95315 <br /> PH , 1 -800-7324645 • FAX 209 -668-3880 <br /> EPA# CAR000272302 <br /> BILL TOO TOB SITE : Invoice Date : <br /> Phone ! Customer P. O . l erms EPArT <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST (OUAWITY PRICE AMOUNT <br /> 1 <br /> CODE <br /> NON - RCRA Waste Liquid Used OiliMixed Oils 221 <br /> NON - RCRA Waste Liquid Used Antifreeze T 133 <br /> NON - RCRA Waste Liquid Used Oily Water 223 <br /> Compliant Drained Used Metal Oil Filters <br /> pm If I <br /> , <br /> I <br /> { I <br /> , <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 <br /> becomes necessary to collect this invoice . <br /> Bysigning I herby certifythat 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 requiremerds of the applicable Californa used oil management regulation to determine this is true. I agree to <br /> accept the adoftional charges forlhe disposal of this waste if the information I have provided about .his vraste is incorrect , <br /> Generators Cediiication: By signing I certify that if I am a large quantity generator, I certify that t 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 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 tt.e waste management method that Is available 10 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 federa4 <br /> regulations applicable to management of used oil, but that is not required to comply with the more strio-gent requirements applicable to hazardous waste managernent °acilk <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 ol! also meet <br /> those requirements, engineering certifications of tank integrity, and financial assurances for closure and accidental re'eases. It is lawful to send used oil 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 will serve as an agreement that American Valley Waste Oil will submit confirmation for (certain waste slreamsl to the generator the= their <br /> waste has been transported to a licensed treatment or transfer facility. <br /> GENERATOR/ <br /> CRIVER AUTHORIZED <br /> SIGNATURE: DATE : . SIGNATURE: -DATE:.. <br /> , <br /> iDISPOSAL / RECYCLING FACILITY <br /> 0 DK-DIXON 0' ASBURY ENVIRONMENTAL O RIVERBANK OIL TRANSFER O YUMA YES LLC Q AMERICAN VALLEY WASTE OIL, INC <br /> 7300 CHEVRON WAY 1920 MORGAN RD, 5300 CLAUS RD. 6500 US HWY 95 521 INDUSTRIAL DR STEM <br /> DIXON , CA 95620 CERES , CA 95358 RIVERBANK, CA 95367 YUMIA, AZ 85365 LIVINGSTON , CA 95334 <br /> 707-693-6008 209 -541 - 1825 209-863118181 928-344-9828 209- 667-8857 <br /> EPA4 CAT080012602 EPA# CAL000393680 EPA# CAL000190816 EPA# AZR000521146 EPA# CAL000443004 <br /> atPG (W20 16) <br /> £ ' d Z £ 88- I. £ 6 60Z ' eUl ' aeIIIN vv ] d90 : £ 0 6l• ZO Oe (] <br />