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06 / 11 / 2021 1 : 43 PM FAX 2099488625 AMCE SAW �J 0002 / 0002
<br /> AMERICAN VALLEY �
<br /> WASTE OIL INC „ . NEW
<br /> Znwioce Nurr►bGn
<br /> to
<br /> Pa 0 . Box 340 • Delhi , CA 95316
<br /> dI PH . 1 -8007324$45 * FAX 209668- 880
<br /> I NONE.
<br /> EPA# CAR000272302 �-
<br /> RILL TOO* NACVIE SAW JOBSITE: ACMi= SAW
<br /> 1204 E, MAIN 1204 E . MAIN ST vo Ge Istel '
<br /> 5I"OG.I T01q , CA '�52ut3 A: AIRPORT
<br /> : 1"CiK1~Cja � CIA $6206
<br /> Ed IPhOite ' Customer R.d. Terms EI'A#
<br /> �t�� 351- 1 '�17 ',1OHN
<br /> *19 Rap
<br /> Net $ 0 Days CAL000178438 .
<br /> P ' , `.:IPR1 .ODUCTFSHIPPING aESCFiIPTItON ' MANIFEST t�UAN7tlY ' RICE ' AMOUNT
<br /> • . WASTE
<br /> CODE
<br /> .NbN-RCRA 'Waste -iquii7 'C7sec�' OiIIIVCix d Oils • . . 2 1 ' . :; .. ; ,:.;.: , . K:: - . , s •,.�4 , . . . , old
<br /> to
<br /> NON-RCRA Waste Liquid Used. Antifreeze
<br /> NOWRCRA Waste Liquid Used Oily Water 1 1
<br /> 223 1 1 1 '
<br /> Compliant Drained Used Metal Oil Filters
<br /> IN
<br /> 41 HAZ WASTE F1 CK LIP - 01 L 8 GAS to X N f �, : -
<br /> ► . j t
<br /> . i ' : ' r' '. 0
<br /> I Not.
<br /> 1 do
<br /> I IN, 11 door old" I I ft I W doll dd�ddd� L told
<br /> to
<br /> do-
<br /> TERMS: invoices over~ 30 Das are subject io a 1 , 5% service 0 arg�. Custom$r r pay legal' fees if Court action
<br /> 1. bEoomes neCassary is collf3ef this invoice. T©TAL loot
<br /> ,I
<br /> a3 ON
<br /> By' aigning I herby cartify'ihat I have not.mixed any of the waste described above with .any other hazardous Waste, the,tota! hailtlb cantent 'ts LE$$ than 1 ,400 ppm, 'and the
<br /> ' =pepwai3te'does not Contain any PCBs, i have oq 1, of th with the requlYbmenta of the ''epplicable't aiifornla used 61) Management regulation to dbterrnine this is tnre. i• agrea to
<br /> a I NE', the additlpnai charges the disposalto a, ihis, wt I I t I B ,lnformatipn i have provided. abeut thls waste !s incorr4ot,
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<br /> GeYieretor s' CertitiCation: By signing I certify that if f am a lairge quantity generator. I oeitify that f Have progrem In place to taduco the 'volURto anci.toxiiaty Cf Waste" IP 0 49 NO do I
<br /> Brat- o '
<br /> ed to the degree t have sentdetermined to be eoonoinlaaily affordable and that i• hava salacted the praoticsble methd6d of treatment, storagA, or dtsposat CttrlAnfiy available to me
<br /> which minimi;es the present and future threat to human life and the environment 'Or, if I am a smaltquantlty generator, f have made,a• e, or faith effort to nriy avail bl waste
<br /> ,generatioh and select the Waate management method that is available to me that 1 can afford. ' -
<br /> Arrferican Valley, Waste Oil hereby advises the abova Genei'ator.that generators shipment of used oil may trs tranSpvrted to a facility that i5 require# to comply with federal
<br /> regulations applicable to management of used oil, but that Is not required to comply wfth the more atri Ant r
<br /> ties. Cal ifomla aciiities:that handle or process used oil are required to meet those mora stringent requirement agid some otrt of s alta facllitieadtohat .p,o ass used o►1e Isoemeet
<br /> 41, ' those regplrements, engineering• certiflcationa of tank lntegrity, and financial .aSsurances for Closure and Accidsnal releases, , lt lB lawful to send uaeq oil to out of state iacifi[ies'
<br /> that ooinpty 'oniy with federal used cil m$nagement standards And rid theae 'mbre stringent m4ulrbments,
<br /> Thia ;ndtifioation is for information purposes only. ' I
<br /> f� ;
<br /> t3y both patties algning this Invoice 1t will set�a an agreement that American Valley Waste Oil will submit Riilmf3tion fo certain .waste am • the generator that their
<br /> waste has been transported to a kenas Areatrrient or transfer ility,
<br /> ' • r } r
<br /> GENERATOR/ rt l
<br /> DRIVER • ' ' t' � '�' .
<br /> uCt(aNATUIiEr. ' .% ' , i . f � 'r r AUTHORI2F� / i
<br /> DAT1=: ( SIGNATURE:• DATA:
<br /> iIt
<br /> �' 1AL I RE� YCLiNG FAC.� LtTI to to
<br /> CIS°D1xQN • ON
<br /> Q ASBURY ENVIRONMENTAL Q RIVERBANK QILTRANSFER 0 YUMA YEN$ LIN 0 AMERICAN VAU Ev, W�5rE oil INa
<br /> 7300 e1HEVRC7N WAY ' 1921) MORGAN Rd: 5300 CL'A�5 Rp, 6500 US NWY 95 521 •INC/USTRIAL pFf STEM
<br /> DIXO9 dCA 95820 CERES, CA 85358 RIVERBANK, CA 95367 . • YiJMA, AZ '85365 LIVINGaSTQN, QA '95334
<br /> I Ed 707. 688,80oB 208-641rt 825 209�a63,8181, ' i
<br /> EPA# CAT080012B02 ' EPA#' CAL06039388D 928-3444828 . 20$=667.8857 j
<br /> . EPA#� CAL060180816 ' EPAN' AZFi000$2114g EPA# CALA00443004
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