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AMERICAN VALLEY 173063 <br /> WASTE OIL , INC . Invoice Number: <br /> P. O . Box 340 • Delhi , CA 95315 <br /> PH . 1 -800-7324645 • FAX 209-668-3880 <br /> EPA# CAR000272302 'l� <br /> BILL TO : EAST BAY CLARKLIFT FHM JOB SITE: EAST BAY AT 13LV IFT Invoice Date: <br /> 4701 OAKPORT ST 1813 MOFFAT BLVD <br /> OAKLAND, CA 946014906 MANTECA/, C,A @55336 <br /> Layll <br /> P one Customer P.O. Terms � A# as — - <br /> 209, 465.8987JENIF CAL000304327 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST 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 /> Drained Used Oil Filters <br /> TERMS: Invoices over 30 Days are subject to a 1 .5% service charge, Customer ag regal lees If court aetlon TOTAL <br /> becomes necessary to collect this Invoice. <br /> By algnkv I herby cortily that I have not mixed any of the waste described above with tory other hazardous waste, the total halide content Is LESS than 1 .000 Ppm, and the <br /> waster does not Contain any PCBs. I have ctmp!ted with the requirements of the opinkable Callfonda used off manegerasre regulation to datemthe INS is true. I agree to <br /> accept the additional charges for the disposal of this waste if the information I have provided abort this waste is incorre L <br /> Oe neraior's Certit(oalion: By sighing I elxtRy that R I am a terga quantity oanerator, I certify that I have a program In Puree to reduce the volume end toxicity of waste general- <br /> ad to the degree I have determined to be scotomicatfy affordable and that I have selected the practicable method of treaunent, Manager or disposal currently evagablo to me <br /> which minimizes the present end future threat to human lie and the environment or, v I arm a small quarmfty generator, I have made a Good faith effort to minimlza my waste <br /> ganeabon and aecct the waste management method that to available to me #011 can afford, <br /> Mtedcen Valley Waste Oil hereby advisee the above Generator that generators shipment of used oil may be tmnaponed to a facility lhal fa required to comply with federal <br /> regulations applicable to management of used ail, but that Is not required to compY with the more etrirgerri requirements appl:�cahle to hazardous waste management 1!210111- <br /> ties, Cziomia raci flies that handle or proceaa used oil ale requred to meet those more Stringent requiremerd, and aemo eut-of smte fecflRies that process used W Oise mast <br /> thoss requirements, onginaering certifications oftanit integrity, end finanelal assurances for ofesum and accidental mlseaes. h in lawful to send used oil to out of state Iacloves <br /> that comply only with federal used di management standards Ord not these more stringent requirements. <br /> This nallfioahan Is for Information purposes only. <br /> By both parties Signing this invoice R will sane as an aqreernent that American Valley Waste Oil wifi submit confirmation for (certain waste streams) to the generator that their <br /> waste has been tronIns+++• alicensed treatment or transferfooddy. <br /> GENERATOR! <br /> S GIY . URE: DATE O DATE: <br /> i <br /> Q P F AMERICAN VALLEY WASTE 014INC <br /> Q DK DIXGN AS13URY ENVIRONMENTAL Q RIVERBANK DILTRANSFER 5211NDUSTRVILDR # M IAL MATERIAL MOMT <br /> UVINGSTON.CA 4snil <br /> 7300 CHEVRON AY 1920 MORGAN RD, 5300 CLAUS RD. N. BROADWAY <br /> DIXON, CA 95620 CERES, CA-95358 RIVERBANK, CA95367 9.667.8857 ;KTON, CA 415205 <br /> 707-693-6008 209.541.1825 209,860.8181 CALOOM3004 70.2577 <br /> EPA# CATOBOO12602 EPA# CAL000393680 EP00AL000190816 CAL000417316 <br /> MPC 170161 <br /> I <br />