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AMERICAN VALLEY .} <br /> WASTE OIL , INC • Invoice Number . <br /> _ P, O.+ Sox 340 • Delhi ; CA 95315 <br /> PH . 1 -800-732 -4645• • FAX 209-668-3880 <br /> EPA# CAR000272302 <br /> GIANT TIRE & & Gvwr � IRE . <br /> MO ICE fTLIwM I L14330 KETTLC~MAN LN <br /> BILL T4 : JOB SITE <br /> „ � ` LODI,> 0,A . 9,5240 InmAice ffat <br /> Sellas Rcp : Fel X <br /> Phone Customer P. O . Ter t 010, Q% EPA# Is, Ln04 027 <br /> PRODUCT SHIPPING DESCRIPTION MANIFL$T QUANTITY PRICE AMOUNT <br /> WASTE <br /> CODS <br /> NON- RCRA Waste Liquid Used Oil/Mixed Oils - 221 <br /> NON - RCRA Waste Uquid Used Antifreeze 133 <br /> NON - RCRA Waste Liquid Used Oily Water 223 . <br /> Drained Used Oil Filters t , ;� ;• ` ,�j j <br /> TERMS: Ihvgices 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 /> By signing I herby certify that I have trot mixed any of the waste described above with any other hazardous waste, the total halide contest is LESS than 1 ,000 ppm, and the <br /> waste does not contain any PCBe; I have complied with the requirements of the applicable Califoreiia 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 I am a large quantity generator, I certify that I have a program in place to reduce the volume and toxiofty 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 the xvaste management method that is available to 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 federal <br /> regulations applicable to management of used oil, but that is not required to comply with the rrore stringent requirements 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 out-of•state facilites that process used oil WWI meet <br /> those requirements, engineering certfficalions of tank integrity, and financial assurances for closure 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 more•str'ngent requirements, <br /> This notification is for information purposes only. d <br /> By both parties s'.grinithtg•lnvoice it will serve as an agreement that American Valley Waste Oil will submit confirmation for (certain waste streams) to the generator that their <br /> waste nas beep,transported b a licensed treatment or transfer facility. <br /> f ''f " • GE ERATOR/ . <br /> VS! � ,. .�,�,. .^w « 7 ti HORIZED f i :-• , •:'r <br /> ;3f NATURE: ✓'f <br /> D . t", �-/ DAT r' r' ' IGNATURE: j DATE: <br /> � .QISPCSAL !.RECYCLING FACILITY <br /> O DK-DIXON ' O ASBURYENVIRONMENTAL Q RIVERBANK OIL TRANSPEQ' 6E Q GLOBAL MATERIAL MGMT <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 6300 CLAUS RD., 2035 E. 15TH ST 1640 N. BROADWAY <br /> CIXON, CA 95620 CERES, CA 95358 RIVERBANK, CA95367 LA ; CA 90021 STOCKTON , CA 95205 <br /> 707-693 .6008 1 209-541 -1825 209-863-&81181 213446-0237 8iS-770.2577 . <br /> EPA# CAT080012602 EPA4 CAL000393680 EPA# CAL000190816 EPA# CAL000270577• EPA# CAL000417316 <br /> Lid LO£L69£ eailjunoosia fue10 e8£ 60 ` 8L L £ foo <br />