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AMERICAN VALLEY 189523 <br /> WASTE OIL, INC. Invoice Number: <br /> P.O. Box 340 - Delhi, CA 95316 <br /> PH. 1-800-732-4645 - FAX 209-668-3880 <br /> EPA#CAR000272302 <br /> BILL TO- CENTRAL AUTO REPAIR <br /> 46IMIRSAVE 1 POI VJ013 SITE: MINITRAL At REPAIR Invoice Date: <br /> MAN7'ECA.CA 95336 491 &ITERS AVE <br /> X M01-f-E I T <br /> MANrECA,CA 95336 <br /> ZVI OIL 4M AF <br /> Phone <br /> 20"25-3081 Customer ?f3. Terms1110"t <br /> 209-82s-3oe8 Not 15 Days <br /> PRODUCT SHIPPING DESCRIPTION MANIFEST CAL000166776 <br /> WASTE 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 /> OIL COLLECTION FEE <br /> TERMS:. Involves over 30 Days are subject to a 1.5°ia service charge. customer agrees to pay all legal fees if court actior9 TC?TAL <br /> becomes necessary to collect this invoice. <br /> Sy signing 1 herby certify that I have not mixed any of the waste described above evith any other hazardous waste,the total halide cont®nt is LESS than 1,DOD ppm, <br /> and The <br /> Generator's Certification:By signing I certify that if I am a larg waste does not contain any PCBs,l have complied with the requirements of the applicable Gafifornia used oil management regula#ion to determine this is true,i ag <br /> accept the additional charc�es for the disposal of this wasto if the infarmation I have provided about this wasteit incorrect. ree to <br /> ed to e quantity generator,I certify that I have a program in place to reduce the volume and toxicity of waste generat- <br /> the degree f have determined to be economically affordable and that I have selected the practicable method of treatment,storage,or disposal currently available to me <br /> which Minimizes the Present and future threat to human life and the environment:Or,if I am a small quantity generator.I have made a Good faith effort to minimize my waste <br /> generation and select the waste management method that is available to Me that I can afford. <br /> American Valley Waste Oil hereby advises the above Generator that generators shipment of used oil may be transported to a facility that is required to comply with federal <br /> regulations applicable to management of used oil,but that is not required 10 comply with the more stringent requirements applicable to hazardous waste management facili- <br /> ties.California facilities that handle or Process used oil are required to meet those more stringent requirement,and some out-of-state facilities that process used oil also meet <br /> those requirements,engineering certifications of tank Integrity,and financial assurances for closure and accidental releases.It is lawful to send used oil to out of state facilities <br /> that comply only with federal used oil management standards and not these more stringent requirements, <br /> This notification is for information purposes only, <br /> By both parties signing this Invoice it will serve as an agreement that American Valley Waste Oil will submit confirmation for(certain waste streams)to the generator <br /> waste has been transported to a licensed treatment or transfer facility. their <br /> DRIVER GENERATORf <br /> SIGNATURE.' DATE4,,/ AUTHORIZED <br /> DATE: , /? <br /> generator that their <br /> T <br /> Q11SPOSAL IRECYCLING FACILITY <br /> DATE: ,. <br /> 0 DK-DIXON .&ASSURY ENVIRONMENTAL 0 RIVERBANK OIL TRANSFER 0 YUMA YES LLC 0 AMERICAN VALLEY WASTE OIL.INC <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, CA 95367 YUMA,AZ 85365 LIVINGSTON,CA 95334 <br /> 707-693-6008 209-541-1825 209-863-8181 <br /> 928-344-9828 209-6($7-8857 <br /> EPA#CAT080012602 EPA#CAL000393680 <br /> EPA#CAL000190816 EPA#AZ8000521146 EPA#CAL000443004 <br /> MPC(7120 16) <br />