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09/18/2013 14:56 12093341-873 FLAGCITY CHEVP-'' PAGE 05109 <br />79082 <br />AMERICAN VALLEY <br />WASTE OIL, INC- <br />-7 <br />NC. Invoice Number: <br />714 H `� P, 0. Box 340 • Delhi, CA 95315 <br />PH, 1-800-732-4645 * FAX 209-668.3880 ' 1 8 2013 <br />EPA. CAL000827878 <br />Q <br />ENVIRONMENTAL Invoice Date: <br />HEALTH DEPARTMENT <br />BILL TO' <br />FLA( CITY (,HF__`VR0Nk <br />6421 (;APiTOI. AVE <br />E-�7C14, CA <br />Phone Customer P.O. <br />PRODUCT SHIPPING DESCRIPTION <br />USED OIL NON RCRA HAZARDOUS <br />WASTE L10U1D <br />USED AUTOMOTIVE ANTIFREEZE, NON <br />RCRA HAZARDOUS WASTE LIQUID <br />OILY WATER, NON RCRA HAZARDOUS <br />WASTE L10 U 11D— <br />TRINITY HEAVY DUTY PREMIX <br />RECYCLED ANTIFREEZE <br />NON HAZARDOUS WASTE LIQUID <br />TRUCK TIME <br />CREASWEEP <br />,ji0$ SITE- <br />EI»AG CITY (;-,HEVIRC)N <br />I jVVy 12 & I-'iViN <br />CA <br />.._1 F)Ayrnent Term, $. <br />WASTE MANIFEST <br />CODE ` <br />221 <br />343 <br />221 <br />NIA <br />N/A <br />NIA <br />wR+Faw <br />QUANTITY I PRICE <br />' 11 _. g's. I further agree to accept the additional cYlergds far Isgel dlsposAf if true waste Is over TOTAL <br />! hereby certify 111nt ! hgvR eat miRxG ibis waste vuttl� any other wast, that the iotas halldsfi are less the t0�0 Rp•M.; and that <br />The waste dopra not contain any — Logo P.P_.M. total hrtlides, or cantalr an F.C.i3Ja, r ATOFI % AUTFiORlzl;l3 11 <br />AMOUNT <br />DRIVER F ��` SIGNATURE SIGNATU <br />SIGNATURE �„ <br />�.. �• INVOICES OVER 34 DAYS ARE SUBJECT TO A 1.5% <br />SERVICE INVOICE, CHAIRfaE. CUSTOMER AGREES To PAY AL1, LEGAL FEES IF <br />I <br />TEIiV1. . <br />COURT ACTION BECOMES NECESSARY To COLLEGi THIS rted to rt facility that Is requited to mp <br />wnt requirements aflpllcable to hazardou <br />fired to Comply with the more stringent and some pvt-o <br />AmarloAn vallay Waste G1ii horraby advtses me ataove Qeriorator the (�nnaratars shlpmertt of used ell may bore <br />with fedprni regulations applicable to management of used oil, bt(t that ,, not oil <br />ith federal used oil mr�nngernent standards and not tiligae moi <br />meat iho^e mcloirernents, anAlneerfnp ceiSlficaWlo of tAnK integrity, and financial assurances for cto9urc an <br />waste management facllltlos- California facklltlas that handle ar process used oil are required s, meet those mora ndfin stringent req tem <br />state facilltles that process used oil Also <br />accidental releases, It is lawful to send usrd oil to out of -state fsacilitl®s khat comply only <br />stringent requirements. <br />This notification is for Information purposes only. ( �W,_ <br />_ Date <br />_ __ DAto- <br />� . � _ Generator signed �.�t`�9 __�:� �• <br />Driver signed r �o tt,® generator Doftiti@4 that the generator has abItatiod a proslrgrn ie reduce tl�e volume or q. uentfty and 1,oxielty nt the gm, *(o' <br />oy sig 9 the gen®rator. be economically practirabl5, will submit confirmations tar (certain wa3te st -am") to the generA` <br />waste to the degree, as dRterminod by <br />Ry both parries slgninq twt invoice it will serve AF an agreement that r %ciloan Va ay <br />trot their wasto has been krAneported to a nceristj treatment or transfer facility, <br />D SS <br />� POI�IN F ��l li`f <br />C, " JVERBANK OIL TRANSFER <br />5300 CLAUS ROAD + RIVEFSANK, CA 95367 <br />ok�.A1Ri • F�PA.4CAI-000190616 <br />O RAMOS ENVIRONMENTAL. SEWCES <br />1515 SOUTH RIVER ROAD • W SAOSAMEtlTC1, GA 95891 <br />516.371 5747 • EPA 41 CAD044003556 Mr <br />