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06 / 11 / 21021 1 : 43 PM FAX 2099488625 AMCE SAW 0001 / 0002
<br /> 1 . . . . ,
<br /> AMERICAN VALLEY I 'N. INe `78
<br /> WASTE 011.. , . INC . Invoice Number ;
<br /> P. O . Box 340 ' * Delhi, CA 95315
<br /> PN , -80Q-732-4645 �. FAX 209I�668%ill _
<br /> Ill I EPA# CAR000212302 fj C /
<br /> BxLL TO *m ACME SAW JOB SITE: ACME SAW/FOL. SOM L.�;WN '8�1� Dafie:
<br /> it 1204 E , M AII'•# ,1128 r541 rnYa"t .
<br /> $70Clr1,01I CA $5206 At PERRY CITY
<br /> FOLN CA IBS680
<br /> Alto
<br /> PhoneCustomer P.O. Terms EPA# IN
<br /> „JIM IN.lr t 50 Days CAIN 00293732
<br /> I IN
<br /> ` ' I I
<br /> IN PRODUCT 3i-1IFPING DE3 � RIPTI�N ; :,.• MANIFEST QUANTfr • ' RICE . AMOUNT
<br /> WASTE
<br /> It
<br /> . • . ' . .. CODE
<br /> . .. : . . _. , . . . . . _. . , & .
<br /> NONE RGRA Waste Liquid Used t0il/tillixed ' t0ils' 229 : <, _ .. _ ,. ..
<br /> • NON=RCRA Waste Liquid Used Antifreeze 9 �3
<br /> IN NON-RCRA Waste Liquid Used Oily Water 223 '
<br /> I III NIP
<br /> N I
<br /> : :�.' Compliant Drained Used Metal Oil Filters
<br /> it I •
<br /> Pep
<br /> HAZ �►,'yAS I' k: Ft G`Iti �lfJ FUEL :; .l '�' !T' 7,7 " -#i; 1V ' lit
<br /> 1 14�
<br /> :,' ; ; . ..
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<br /> t CG. .
<br /> IN, 56 GAL Of til C7F' U .N CER T ST EEL RE '�
<br /> 4: .. jot, I NIP
<br /> NIP I
<br /> IN
<br /> I I✓Yf1 ,Y
<br /> NIP TERMS: Ihveices over 30 Days are •subjeot to a 1 it service ohaill Customer ON' p � 1leg ai fees if court action "TOTAL � 8 '
<br /> becomes necessary to collect.this invoice.
<br /> 6y signing I herby certify that, I have not rpNed any, of the waste described above witlil other hazardous waste, the total halide content is LESS than •'1 ,000 .ppm, . and the,
<br /> . waste does not contain any ,008s. I have complied with the•requirements of the applicable California used oil management regulation to determine this is true. I agree to
<br /> 'adoept the additional charges for the disposal of this waste if the information I have provided about this waste is incorrect, •
<br /> Pill :1 1: laanersttor'e Certification:• 8y signingl certify that if I am a (arge' quantity gene fator, I certify that 1 have ,a program in place to reduce tha •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 /> t' :, ra. , , ,;which minimizes the present and fututo;fhreaf to human life and•the environment: Or, if I am a small quantity generator, l have made a Good 'falth effort to minimita my waste
<br /> g@nerdtion and select the waste management method that is available to ;me that I can afford.
<br /> At71d� ICan Valley Waste Oil hereby advises the above Generator that generators shipment of used oil may be transported.to' a facility that is "Uirad to Comply with federal
<br /> regulatlons applicable to management of wad oil , but that is nut required to comply with the more stringent requirements applicable to hazardous waste managament •facili
<br /> Iles, California facilities that handle or process used Cil are required to most those more stringent requirement, and some out-of-state 1aeilities that prooass used oil also most
<br /> those rgquirements, engineering certifications of tanK inteS�rity, and financial assurances for closure and •accidental releases. It Is1awtul to send used oll' to out of state faCilitIs*
<br /> thatcomply only with federal used Cil management standards and not these more stringent requirements.
<br /> This notification Is for information purposes only,
<br /> a PitBy both parties signing chis Invoice it wIII serve:as an agreement that American Valley Waste Oil will submit confirmation for (certain ate streams) to the generator that their
<br /> ,waste has been transported to a licensed treatment or.trans er facility, r
<br /> i . GENERATOR/
<br /> DRIVER �/ f T AUTHORIZED ,�- f
<br /> DATE: / SIGNATURE: J)ATE; •3 • �) /
<br /> : � •- .
<br /> / _ r
<br /> I IN
<br /> 44 , TSEMPAL . P. RECYCLING FACILITY
<br /> N, INTO DK�tiiXQN Q ASBURY ENVIRONMENTAL. 0 RIVERBANK OIL TAANSFEFt 0 YUMA YES IN %}' AMEflICAN VALLEvwASTE O[L, IND`
<br /> 7800' CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS Rb: t35t)D US ,WWY 95 521 (NDt18Tfl (AL t7fl"STEM
<br /> 'bIX0N, CA 949@20 CERES ,, CA 95358 RIVERBANK, CA 95367 ' . YUMA, AZ 85365 LIVINGSTON, CA 95334
<br /> 707 699-6008 4209.541 -1 $25 . 209-863.8181 , 92$-3448828 209w667457
<br /> EPA# CAT080012002 ' EPA# CAL000393680 EPA# CAL000190816 EpA# A ROt70521i46 EPA# CAL000443004 "
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