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AMERICAN VALLEY 181332 <br /> WASTE OIL, INC. IlivoiceNuniber: <br /> P.D.Box 340-Delhi,CA 95315 <br /> PH.1-800-7324645-FAX 209-668-3880 <br /> EPA#CAR000272302 <br /> BILL TO. JOB SITE: <br /> Invoice Date:nT.377iq­du'-t""P.O. EPA# <br /> Phone _ <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE I <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 1-221 <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 /> Tcnw._Invacas 'v"'30 sre <br /> —a 'subject—loa 1.5%service charge. CustomU Customer agrees to pay all legal fees court action TOTAL <br /> beoome.s necessary 1.txrllect this Invoice <br /> By signing I herby certify that 14lam act mixed Oily of the waste ckscribad above with any other hazardous waste.the total halide content is LESS than 1,000 ppm,and the <br /> waste does not contain any PCBs.I have compiled with the requirements of lite applicable California used oil Management regulation to determine this is true.I agree to <br /> accept the addhionsi allows for the disposal of this waste If ft Information I have provided about this waste is Incorrect. <br /> Genci Certification:By signing I oertify that If I am n ii quantity generator,I cendi,that I have a program,In piece to reduce the volume arid toxicityof wauto generat- <br /> ed to the detires I have doerrillned to be economically affordable and that I have selected the practicable method of treatment,storage,or disposal currently available to me <br /> which allillmlTeS the present and future threat to human life and the environment Or,if I am a WWI quantity generator,I have made a Good faith effort to minimize my waste <br /> geloratlen and select the waste management method that is available to me teal I",n afford. <br /> American valley Waste Oil hereby achi"s the above Generator that generators shipment of used OR may be transported to a facility that is required to Comply with 1OLIK01 <br /> regulations applicable to management of used oil.but that is not required to comply with Dae more stringent requirements applicable to hazaldoua waste manngsrnent facill- <br /> I lin.California factitim that handile or process used Olt are required to meat those more stringent requirement,and soma out-of-state facilities that process used ail also moat <br /> ,hose niquiremOnts,isaginsai oarfficallow;of tank hitogrity.and financial assurances for closure and Occidental releases.It is lawful to sand used oil to out of state facilities <br /> that wanly only with federal used oil management standards and not these more stringent miquirainents. <br /> This notification is for Informalion purposes only. <br /> By both parties siunliv this Invoice it will wive as an agreement that American valley Waste Oil will submit confirmation for(certain waste streatils)to tho(jenergtitir that their <br /> waste hash d freatimint or transfer facility. <br /> GENERATO <br /> VER <br /> <RIOT <br /> 11 E: DATE . DATE: <br /> DISPOSAL/REQX60NQ FACILITY <br /> C <br /> 0 DK-DIXON ,0O ASBURY ENVIRONMENTAL 0 RIVERBANK OIL TRANSFER 0 YUMA YES LLC 0 AMERICAN VALLEY WASTE OIL,INC <br /> 7300 CHEVRONWAY 1920 MORGAN RD. 5300 CLAUS RD. 65DO US HWY 95 521 INDUSTRIAL OR STE M <br /> i DIXON,CA 96620 CERES,CA 95368 RIVERBANK, CA95367 YUMA,AZ 86365 LIVINGSTON,CA 96334 <br /> 1 707-693-6008 209-541.1826 209-8634181 928.344-9828 209-667-685'7 <br /> 2602 EPA#CAL000393680 EPA#CALOD01190816 EPA#AZR00052`Ii46 EPA#CALOOD443004 <br /> IVIPC(M.016) <br />