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eL <br /> AMERICAN VALLEY 177044 <br /> WASTE OIL, INC. Invoice Number: <br /> P.O. Box 340 - Delhi, CA 95315 <br /> PH. 1-800-732-4645 - FAX 209-668-3880 <br /> EPA# CAR000272302 <br /> CHINCHIOLO CHINCHIOLO 1 <br /> BILL TO: 4799 N.JACK TONE RD JOB SITE, 4769 N,JACK TONE RD Invoice Date: <br /> STOCKTON,CA W216 6TOGKTON,CA 96240 <br /> A: FAIRCHILD <br /> Sales Rep <br /> Phone ,09-401,6403 noel Customer P.O, Terms Net 16 Days EPA# GALO(}0364947 <br /> 205-4743389 tt111�.e <br /> PRODUCT SHIPPING DESCRIPTION MANIFEST QUANTITY PRICE AMOUNT <br /> WASTE <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> NON <br /> -RCRA Waste Liquid Used An133 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Compliant Drained Used Metal Oil Fillers <br /> 61 L <br /> SALES TAX <br /> TERMS: Invoices over 30 Days are subject to a 1.5%service charge. Customer agrees to <br /> becomepay all legal fees if court action TOTAL < <n <br /> s necessary to collect this invoice,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 I <br /> waste does not contain any PCBs.I have compiled with the requirements of the applicable California used 0 management regulation to determine this Is Ill t agree to 1 <br /> accept the additional charges Tor the disposal of this waste If the information I have provided about this waste is Incorrect. fl <br /> Generator's Certificallow By signing 1 certify that if I am a large quantity generator,f certify that I have a program in place to reduce the volume and toxicity of waste generat- <br /> ed to the degfee 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:Ol 1 am a small quantity generator,I have made a Good faith effort to mtnlmlze my waste f <br /> generation And seSect RIO wade management method that Is avallable to me that I can.aflard. <br /> American Valley Waste all hereby advises the above Generator that generators shipment of used oil may be transported to a facAity that Is required to comply wish federal j <br /> regu4ations applicabls to mwmgemsnt of used oil,but that ie not required to comply with the more slringsnt plquiraments appllcebie to hazardous wasto management facrfi- <br /> tics.Cal fecllilias that handle or process used all are requ-ired to mesl those more strirtgenl requirement,and some out-of-stale facilities that process used o!r also meet j <br /> those requirements,engineering cerilllcalions of tank Integrity,and financial assurances for closure and accidental rell is lawful to send used oil to out of all facilities <br /> that comply only with federal used oil management standards and not these more string@nt requirements. j <br /> This notdioatlon is for Informationur <br /> p posse only. <br /> 13y both parties s9gnSng this invoke It will serve as an agreement that Amarfcan Malloy Waste Oil will submit comfirmatlon for(r:erteln waste streams)to the generator that their <br /> waste has been transported to A hcer sed treatment of trRnefer facility. <br /> DRIVER ;OENEFIATORI <br /> SIGNATURE: AUTHORIZED y 4 <br /> DATE: i f SIGNATURE: t , 1 1 i,\yV t ` DATE: i <br /> DISPOSAL I RECYQ1 <br /> _SNC FACALI <br /> O DK-DIXON 0`A6BURY <br /> ICAN VALLEY WASTE 011,INC <br /> 7300 CHEVRON WAY 1920 MORGAN RD MENTAL O 5309 CLAUS RD RIVERBANK OIL TRANSFER O 850.4 US'H'W, 96 A YES LLC O 52e1RINV DUs7RIALIR 5TE M <br /> 707-69 CA 85820 CERES,CA 95358 RIVERBANK, CA <br /> 707-8038008 95367 YUMA,Az 85365 LIVINGSTON.CA 95334 <br /> 209.541-1825 209.863.8161 928-3449829 209-667-SB57 <br /> y EPA#CAT0643012802 EPA#CAL000393680 EPA#CAL000190816 EPA#AZR000521146 EPA#CALOD0443004 <br /> MPC{72016} <br />