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AMERICAN VALLEY4 ro <br /> L UU <br /> WASTE OIL, INC. Invoice Number- <br /> P.O.Box 340-Delhi,CA 95315 <br /> PH.1-800-732-4645-FAX 209-668-3880 <br /> EPA#CAR000272302 <br /> BILL TO vANDEP01, JOB SITE: vAi i DE P'ZiL-RiPON <br /> S.;RQNAGa RL) Invoice Date: <br /> Phone Customer P.O. Terms <br /> EPA# <br /> ?-!at 30 OaS ( AL0O02V12je <br /> PRODUCTIAIWAG"8 iPTf6N <br /> WASTE MANIFEST QUANTITY 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 /> —--------- <br /> HA7 bNA I L H Ck�!1--6/4,1,,D;L ,H-(-.4;,Nfl,-. <br /> ligreetro T_11�1lased <br /> =Invoices over 30 ect to.a 1.5%service charge. Customer l, <br /> "111=e. - f- lf-urt action <br /> 0"Sary to coli'm payTOTAL <br /> ---. I ZellLJCIIJ <br /> By signing I herby certify than I have not mixed any of the.waste descnbed above With any other hazardous Waste,the total halide coatanyt I.LESS than 1,000 ppm,and the <br /> waste does not contain any PCBs.I have complied with the rcWwantants of the applicalile California used oi management regulation to determine this Is true,I agree to <br /> accept the additional charges for the disposal athis waste it the Information I nave ImovKied aieut this wastes is fmafact. <br /> Generator's <br /> certiticalion:By signing I codify that it I am a large quantity generator.I certify that I have a program in pi**to real"the volume and toxicity of waste generat- <br /> ed to the degree I hawse determined to be econcontuany arlardable and dial I bevc"We0 the Pfact'OVI)IO method Of treatment.5101`80,Or disposal Currently available to me <br /> which minimizes the present and fulure threat 10 human Ida Sari the environment:Or.If I am a small quantity generator,I have made a Good faith effort to minimize my waste <br /> generation and acted the waste mer"anwril method fbal is available to me that I can afford. <br /> American Valley Waste Qt hereby advises the above Generator that generators shipment of used oil may be transported to a 1261ity that Is required to comply with federal <br /> requfalions applicable to management of used Oil,but that is not requited to comply wdh 11te ftiore strinjenj requircments applicable to hazardous waste management faciii- <br /> 11".California taclirlies that handle or process Used 011 am required to meet thoso mote sinrigent towroment and some out-of-stiste favi hiss that Process used oil also mliai <br /> those(011uirOnl0nis,engineering COrlIfications of leak intogr..and financial asstwancesfor closure and eccidennaf releases,it K lawflil to send used all to out of stale facilities <br /> that comply only with federal used oil management wandards and not these mom stringent requirements. <br /> This notification is for information purposes Only. <br /> as an agreement that Arnencan Valley Waste 00 will submit confirmation for fcortain waste streams)to the generator that their <br /> By both parties signing this invoice if will" I <br /> waste has be"t ed I merit or tron'sler laclfily. <br /> GENEAATOR)' <br /> DRIVER AUTHORIZED <br /> SIGNATURE: GATE: 21 SIGNATURE: DATE: <br /> DISPOSAL/flECYCLING FACILITY <br /> 0 DK-DIXON 0 ASBURY ENVIRONMENTAL 0 RIVERBANK OIL TRANSFER 0 YUMA YES LLC 0 AMERICAN VAUEY WASTE UL*10 <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD, 6500 us HWY 95 521 INDUSTRIAL DR STEM <br /> DIXON,CA 95620 CERES.CA 95358 RIVERBANK. CA95367 YUMA,AZ 85365 LIVINGSTON,CA 9W34 <br /> 707.693-6008 209-541-1825 209-863-8181 928-344-9828 209-667.M7 <br /> EPA#CAT08001 2602 EPA#CAL000393680 EPA#CAL0001MB16 EPA#AZR00052114(3 EPA#CAL00D443004 <br /> PAPCI71MIS) <br />