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AMERICAN VALLEY 194062 <br /> WASTE OIL, INC. Invoice Number: <br /> P.O.Box 340-Delhi,CA 95315 <br /> PH.1-800-732-4645•FAX 209-666-3860 <br /> EPA#CAR000272302 <br /> BILL TO: JOB SITE: - nvoi Date: <br /> — - <br /> Ph no e v Customer RO. Terms EPA# <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST ANTITY PRICE AMOUNT <br /> _ CODE <br /> NON-MCRA Waste Liquid Used Oil/Mixed Oils 221 -- <br /> NON. <br /> Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Compliant Drained Used Metal Oil Filters <br /> TERMS: Invoices over 30 Days are subject to&1.544 service charge. Customer agrees to pat all toga)fees it txturt ticfion TOTAL <br /> becomes necessary to CbNecf tlbIs invoice. <br /> By slgrrirtg l herby Carttry Thal l have runt mixed txiy of ma Waste dt:r..rribetl above wilt.arty ottwr IM1zx'dous waste,Fite total(talide contain is LESS then 1,41(10 ppm.attd ttte <br /> waslu does not contain any P08s.I have eoMpk-d With fife rettu+rWrwolsot hra oppricabie Golifunmia.used ail management regulation to determine this is Inas.I agree to <br /> accept flu;additional charges for the disposal of nus waste if the information I kava txovided nba,lt this wasters ivcotr .t. <br /> Ganeralora Cedlicalbn:Ey signktg 1 certify that if I am a large quantity gareralor.I cedity Bret I have a program In place,to roriuoe the volume and toxicity of waste genorat- <br /> ed to the degree I have determined to be aconorn"lly affordable and that i have selacted lire praCtirable ntelhodof treatment,storage,or disposal currently avellable to me <br /> which mktimizes the present and tuhuc threat to human Ota and the envirorrnarl:CA,it I am a smta quantity genexata;I have made a Good tailn eflart to nOrltnize my waste <br /> generatiorr and select the waste management man4wd Ilial is available to me dratt can afford. <br /> American Valley Moate Oil hereby advises the above Otrneralor trot garerators shiprra.ni of used dl may tie iranspoderi to a facility that is required to comply with fedaral <br /> regulations applicable to mE"gemeot of used 04,but that not required to comply wadi the more stringent requirements app4cable to hazaitiuus waste managoinent taoi4- <br /> ties.California facilities that handle or process used al are requited to meet those more stringent requirement.and some cubof-state facllitft that process used o4 also inset <br /> those requirements,ongineering certilIxwrons of tank integrity,and iindnclal assumnnas for udusura and ecckiental releases.It is lawful to seW used oil la out of state fac4Nies <br /> Shat comply only with federal used WI Management standards and trot these nwre stimgerd requirements. <br /> This notification is for intorfoatidt W rposcw only. <br /> BY both parties s ning this itwuira iT coil ve tm an agree. American Valley Waste Ol will submit confirmahun tot ICM AJI,waste streams)to the generator fhat their <br /> waste has sprxted to n Ncen man :Ilty. <br /> GENERATOR' <br /> SIGIVER NATUR DATE:1 SiGNAT RE: �6 <br /> SIGNATURE: DATE: <br /> DISPOSAL./BECYCLIN G FACILITY <br /> 0 DK-DIXON 0 ASBURY ENVIRONMENTAL 4 RIVERBANK OIL TRANSFER Q YUMAYES LLC Q AMEWAN VALLEY WA gTe oa..INC <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD. 6500 US HWY 95 521 INDUSTRIAL DR OIL <br /> M <br /> DIXON.CA 95620 CERES,CA 95358 RIVERBANK, CA 95367 YUMA,AZ 85365 LIVINGSTON,CA 9'5334 <br /> 707.693-8008 209-541.1825 209.863.8181 928-3449826 208.667.8857 <br /> EPA#CAT080012602 EPAN CAL000393680 EPA#CAL000190816 EPA#AZR000521146 EPA#CAL000443004 <br /> MPC awe) <br />