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AMERICAN VALVEY 166738 <br /> WASTE alfa . INC-. In <br /> Ntirnber . <br /> P. O . Box 340 • Delhi , CA 95315 <br /> PH , 1 -800 -732-4645• • FAX 209-6683880 <br /> EPA# CAR000272302F GIANT IRE tl . ld <br /> 330 KETTLEMAN LN 330 KETI l_CfuiAN LN <br /> BILL TOc t.01�t „ CA , 920 JOB SITE: l.c7L11„ 0�� S52d0 Invoice Date: <br /> i FOAX <br /> tp <br /> 20!)w36"228 BO <br /> Phone Customer P.O. Terms EPA# <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANT{TY PRiCE AMOUNT <br /> CODE >. <br /> NON - RCRA Waste Liquid Used Oil/Mixed Oils 221 1 • ` <br /> NON - RCRA Waste Liquid Used Antifreeze 133 ' -:r ^ � a ^fi : ` � } ~✓ <br /> NON - RCRA Waste Liquid Used Oily Water 223 <br /> Drained Used Oil Filters : <br /> TERMS: Invoices over 30 Days are sub}act to a 1 .5% service charge . Customer agrees to pay all legal fees if court action TOTAL fw,i <br /> becomes necessary to collect this 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 <br /> araste does not contain any PCBs. I have complied with the requirements of the applicable California used oil management regulation to determine this is true, I agree to <br /> accept the additional charges for the disposal of this waste if the Information I have provided about this waste is incorrect <br /> Generator's Certification: By signing I certify that if 1 am a large quantity generator, I certify that I 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 avallabla 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 mtinimize my waste <br /> gereradon and select the waste management method that is available to me that I can afford. <br /> American Valley 14rasle 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 requirements applicable to hazardous waste managemeht facili- <br /> ties. California facilities that handle or process used oil are required to meet those more stringent requirement, and some out-of-slate facilities that process used oil also meet <br /> those requirements, engineering certiflcations of tank integrity, and financial assurances for closure and accidental releases. It is iavrfut to send used dl 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 /> Uy both parties signing this invoice it vrill serve as an agreement that American Valley Waste Oil will submit confirmation for (certain waste streams) to the generator that their <br /> waste has been trarsported to a Acensed treatment or transfer facility. <br /> ' <br /> GENERATOR! <br /> AUTHORIZEDDRIVER j; SINATURE: r, r DATE:Uq : ' ^ <br /> DATE7SIGNATURE' s' y% <br /> DIS OS RECYCLING FACILITY <br /> b ; <br /> Q DK-DIXON ' ASBURY ENVIRONMENTAL Q RIVERBANK OIL TRANSFER Q GFR 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 95356 RIVERBANK, CA 95367 LA, CA 90021 STOCKTON , CA 95205 <br /> 707-693-6008 209.541 - 1825 209 *863.8181 213.746•D237 618-770-2577 <br /> EPA# CAT080012602 EPA# CAL000393680 EPA# CAL000190816 EPA# CAL000270577 EPA# CAL000417316 <br /> i <br /> MPC (7i20116) <br /> 9 ' d LO£L69£ Ball junooslQ tue10 BL £ : 60 ` 86 l• £ 100 <br />