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06 / 11 / 2021 1 : 50 PM FAX 2099488625 AMCE SAW [a] 0002 / 0002
<br /> Nook* WON, AMERICAN VALLEY 17 8 0 4
<br /> WASTE OIL, INC . Invoice Number:
<br /> P. O . Box 340 Delhi , CA 95315
<br /> PH . 1 =800-7324645 * FAX 209668-3880
<br /> r EPA# CAR000272302
<br /> ACME 8AW AGME SAW r�' f l
<br /> ,BTU T09 1204 E . {MAIN J013 ~�X"I`�' 1204 E , MAIN ST Invoice Date: j
<br /> I'Cifo::KONIN CA X5205 : AIRPOK!" IL
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<br /> Phont3 ?0 - 3591917 JOHN
<br /> Customer I . O. . Terms EPA# r
<br /> 1404: 50 Df;ys CALOW1 .7 3
<br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRIDE AMOUNT
<br /> CODE !
<br /> NOWRCRA Waste Liquid .USed Oil/Mixed Oils 221 )
<br /> NON "RCRA Waste Liquid Used Antifreeze 133
<br /> NON -RCRA Waste Liquid Used Oily Water 223
<br /> Compliant Drained Used Metal Oil Filters
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<br /> IJJAZ WAS*fE 14 CK UP GAS f l �l r• >� �, �_ . LrL� f'f.7 .-� � ��,44
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<br /> TERMS: Inveices ,over 30 Days are subject to a 1 ,5% service charge- Customer agrees tis pay all: lefial W60 rt action t� 1 AL
<br /> bac4mes necessary to collect this invoice.
<br /> By signing t herby certify that I have notimixed any,of the waste described above with any other hazardous waste, the total halide content is LESS than 1100015pm, aK1 the
<br /> waste does not contain any .PCBs. I have tompaiee with the requirements of the applicable California used oil management regulation to determine this is true, I agrea .to
<br /> accept the additional charges, for the disposal of this waste if the inforrnetion I have provided about this waste is incorrect. NO d
<br /> NO Gensrator's•Certlfication: By signing I certify that if I am a large quantity generator, I Certifyfhat I have a program in place to reduce the volume and toxicity of waste generate
<br /> td to the degree I have determined to ba economically affordable and, that I have selected the prattitabie method of treatment, storage, or. disposal currently AvallaWe to me
<br /> •which ruin imizos•the ,present and future threat to human.iPfe and the• envimir ment, 06 If I am a small quantity generator, I have. made a Good faith effort to minimize my waste l
<br /> generation and select the waste management method that is available to me that I can afford. Li
<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 i
<br /> . , 'regulations appilcable to;,management of used all, but.that is not required to comply with the more siring,eht requiromQnts applicable to hazardouB waste management facial-
<br /> JJea.. CaiifomIa facllltles that handle or process used oil are required'to meet those more stringent requirement, and some out-of-state fecilfties that process used oil also meet
<br /> those requirements • an6eering certlflcations of tank integrity, and financial assurances for closure and accidental ,releases. it is lawrul to send used ail to out, of state facilities
<br /> that Comply only with federal used oil management standardS and, not th�+sb mora• stringent requirements-
<br /> This notification Is for InforiNnation purposes only. l
<br /> By, both parties signing this invoice it will serve as an agreement that American Valley Waste Oil will subnift tt�iflmation,tort6" ;n waste a) to thta generator that their
<br /> waste has baan tranqpoded to a licensed treatment or transfer facility. !
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<br /> GENERATORNI
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<br /> ,S1GNA URE; _ r.% ofte �sI _ DATE: ^�` lJ� DATE:
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<br /> `-� -D` SPQSAL / RE E I G FACILITY 0
<br /> DKPDIXON ASBURY :ENVIRONMENTAL Q . R )VERBANKOILTRANSFER Q., Y.UMAYES LLC QllME10ANVALLFYWASTE OIL, INC
<br /> 7300 CHEVRON WAY ' 1920 MORGAN RE), 5300 CLAUS RD. 14 1 6500 US HWY 95 521 INDUSTRIAL OR STEM
<br /> DIXQNr CA 95520 CERES, CA 353. 58 P PiVr=RBANK, CA 85367• • YUMA, AZ 85365 LIVINOSTON, CA 95334 i
<br /> 9a7-X53-60ota tog=S41 - 18$5 209-863-8181 328.344,$$2$ 248:667-8857
<br /> e0mi cAT0800f2em EPA# CAL000393680 EPA# 'CAL000180816 EPA# AZR000521146 EPA# CAL000443004
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