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AMERICAN VALLEY 179154 <br /> WASTE OIL, INC. Invoice Number: <br /> P.O. Bax 340 - Delhi, CA 95315 <br /> PH. 1-800-732-4645 - FAX 209-668-3880 <br /> EPA# CAR0002723029VO <br /> BILL TO: 9�CK 0INI� J'ATER USTMCr SOB SITE: TOCKTON E.WATEPEilST. , <br /> • 676'I E MAIN t Invoice Date: <br /> STOCKTON.{..A 352DII X. GILUS <br /> STOCK ON,CA 9601 <br /> GM OIL <br /> 1'r]luf ROD Ewa <br /> Phone 209�-948.05B7 L) Customer P.O. Terms EPA# <br /> telt 30 t7ays CAL000022111 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 - <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> 1 <br /> Compliant Drained Used Metal Oil Filters <br /> HA!VETE FI S K UP-METAL.1.;HAV441r:.a( ­,AI ) <br /> HA?'1VA53L EI CK UP-A13o OR13LNTi7'FNDUL � f <br /> E WHTY LJ'RL W FOR' HLt Yl LI Nta d <br /> z4S.00 <br /> _ _ _ SALf:S TA.X- !. ` if �� r"•y ..i <br /> Tffh'iAS Invoices aver 30 Days are subject to a 1.5%service_charge YCustomer agrees to pay all legal feseif 0urt action TOTAL <br /> becomes necessary to collect th.s 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 V <br /> waste does not conta n any P:Bs.I have complied with the requirements of the appiicab'e California used oil management regulatlan to determine this is true I agree to <br /> accept the addit onai charges for the disposal of this waste if the information t have provided about this waste Is rncorrect. <br /> Generator's Certification By signing I certify that if I am a large quantity generator,I certify that I have a program in ptaca to reduce the volume and toxicity of waste generat- <br /> ed to the degree I have determ ned 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 quant,ty generator,I#lave 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 /> Amer can 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 oil,but that is not required to comply with the more stringent requ rements applicable 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 nut-of-state fac lities that process used oil also meet <br /> those requirements,engineering certifications of tank integrity,and financial assurances for clr.sure and accidental releases 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 mora stringent requirements. <br /> This notification is for information purposes only, <br /> By both parties s gning this Invoice it will serve as an agreement that American Valley Waste Oil will su it,conflrrnation for(certain waste streams;to the generator that their <br /> waste has been tr70spodO to a licensed treatment or transfer facility <br /> GENERATOR/ <br /> r� DRIVER41.1myiZED <br /> SIGNATURE: �� '' �DAJ �'r7), IGNFiIRE. _�--�— - —GATE <br /> DISPQ$ALLRECYCLING FACILITY <br /> O DK-DIXON O ASBURY ENVIRONMENTAL O RIVERBANK OIL TRANSFER Q YUMA YES LLC O AIVIERI-AN:ALLEY WASTE OIL INr <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD. 6500 US HWY 95 521 INDUSTRIAL OR STE M� <br /> DIXON,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 209-567-8857 <br /> EPA#CAT080012602 EPA#CAL000393680 EPA#CALW0190816 EPA#AZR000521146 EPA#CAL000443004 <br /> MPC tMrfF <br />