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AMERICAN VALLEY <br /> 189845 <br /> V WASTE OIL, INC. Invoice Number <br /> PQ.Box 340-Delhi, CA 95315 <br /> PH. 1-800-7324645-FAX 209-668-3680 <br /> BILLTO; VANOEPOL EPA#CAR000272302 <br /> PO BOX 1107 JOB SITE: VAN DE POL-RPON <br /> STOCKTON,CA 95201 $is S.FRONTAGE RD Invoice Date: <br /> RIPON,CA 95368 <br /> Phone 209.471-5257 RONNI Customer P.O. 1Terrns EPA# <br /> tAt 50 DAI S, CAL00025az30 <br /> PRODUG I IPTION WASTE MANIFEST UANTfiY PRICE —AMOUNT <br /> CODE <br /> NON-RCRA 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 <br /> HAZ WASTE PI CK Lip-ABSORBEN T S AN D(A L <br /> T_ <br /> TERMS: Invoi6ft Over 30 DOYS are subiecl to a 1.5%service charge. Customer legal fees III court action <br /> Lbewnres n sary to colied this Invoice. TOTAL <br /> BY fog I harpy 000ttly that I haft not rnix <br /> Od any Of the WOStP described above with arry other hazardous waste,the total halide Content is LESS than 1,000 PPm,and the <br /> waste does not contain any PCBs.I have c"O"Pilled with the loqUi(enlolils of the applicable California used oil managerriern reguiation to datermins this IS true.I agree to <br /> 0006011 the additional any for the disposal of this waste I the information I have provided about this waste is ihopffeat, <br /> Geqemiorla Certification:By sign"I cenify that it I am a farge,quantity qooerotor.I cortily Do Olur-arid toxicity of waste general- <br /> that I <br /> edtothedegme have determined to be w0fOmicalfy affordable and that I have seeded Me practicable method to red Am" <br /> f treatment.Storage. disposal cumnily avail"tome <br /> I <br /> wh,ch minimizes he present WW hit"throat to human We aid the environment:(X if I am a 3mal quanfity generator.I have made a ,,Or effort to mlr*l)lze MY waste <br /> generation and selmt the waste management method that IS available to me that I can afford. as, <br /> Ameneen Valley Wale 00 hereby advises the above Generator that generators shipulent of used oil may be transported to a facility that is required to Comply with tode-ir-W. <br /> regulations applicable to management of used oil,but that Is not required to comply with the more sairWrit MotnferWts applinabie to hazardour waste management iauni- <br /> fies.California facilificis that handle Of Poems used oil we required to meet those more stringent reWinmahL and <br /> these"Irements,engineering certifications of tank irdeltrity,end financlai 30(ho 01.111-of-State fWlitkm that process used all also mew <br /> assurances for ctusurea"d accidental releases.It is lawful to send used off to owl of state fa0jIjtje8 <br /> that comply only with federal used 0 1 nwhagOmOrlt Standards and M the"Mom stringent reQuirwrients. <br /> This notiffoatinnIS for 1r)(OrlykillOn purposes only. <br /> By both parties Signing this lnvc*-,e 11 will swvu US an agreement that American Valley Waste 0 <br /> OW to a L OnSed <br /> waste has Keen ad 11,�k"ed reatment or transfer facility, 11 will Sub"llt L'Ohl'I'matien for(certain waste Streams)10 the(10"WatOr that their <br /> DRIVER GENERATOR/ <br /> AUTHORIZED <br /> SIGNATURE: DATE 2,,251-,2� SIGNATURE: <br /> �AT <br /> DJ3_P_QSAL RECYCLING FACILITY <br /> 0 DK-DIXON 0 ASBURY ENVIRONMENTAL (D RIVERBANK OIL TRANSFER 0 YUMA YES LLC 0 MCFIrAN VALLEY" Cili,.,W <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 6300 CLAUS RD, 6500 US HWY 95 521 INDUSTRIAL DR STE M <br /> DIXON.CA 95620 CERES,CA 06358 RIVERBANK, CA 95367 YUMA,AZ 85365 LIVINGSTON,CA 95334 <br /> 707.693-60M 209-541-1825 209.863-8181 <br /> W012W2 928-344.9828 209-667-M7 <br /> EPA#CATO <br /> EPA,#CAL000393680 EPA#CAL000190816 EPA#AZA000521146 EPA#CAL000443004- <br /> We 17vo 3 tiff <br />