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AMERICAN WOLLE Y 177662 <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 <br /> BILL TO: 470110AKPOPTO t$ AYrI romj�� JOB SITE: EAGT 12Ai CLAIRkLIFT ljr�/� � <br /> 1A is MOFi=AT EILVC Invoice Date: <br /> QA OLAND, CA 949014966 f.AO ►JPrCA 95398 <br /> Phone mer P.O. Terms EPA# <br /> GV G dAx.0603911327 <br /> PRODUCT SHIPPING DESCRIPTION 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 /> OILCOLLECIIONFEE <br /> TERMS: fnvoioesover 30 ays are au trot to-a 1 .5% service charge. Customer agrees m pay illIe9N fees ii court action TOTAL <br /> becomes neces9aryio trolled the invoice, <br /> BY algriatg I herby certify Ilial I have rot mitred any of the waste described above with arty other hazardous waste, tiro tolel halide Content Is LESS then 1,000 ppm, end the <br /> wsate does not contain any PCBs. I have compiled with the requirements of the appl;ceWe California used ell managernm regutabon to d8afrrllne this is tnro. I agree to <br /> SCOW the additional charges for the disposal of this waste If the ktformatfon I have payAdod about this waste is Incorrect. <br /> Generator's Certification: By signing I certify that it I am a fmga quantity generator, I cod* that I have a program in place to reduce the volume and toxidly of waste garoat- <br /> ad to the degree I have determined to be eoonom(ca6y affordable and that 1 have selected the practicable method of trealmanl, elorage, or dispose( currently available to me <br /> which mintoltus the present and future threat to human rife end the onvhonmeft Or, 81 am a small quantity gonerota, I have made a Good fable effort to min;mlze my waste <br /> gonenatton and select the waste management method that to avaAable to me that I can afford <br /> Amsdcan Vel'oy vW5te Oil hereby advises the above Ganarator Ihet generators shipment of used oil may be i ansported to a fact ty that is required to comply nith lydral <br /> reg Aaljorrs aapplFcable to management of treed oil, but U16 is not required to coml>ty with tho more stringent raquireirmnts epPlicabte to hazardous waste managamern fW11- <br /> I ties. 0401 is fACIRIes that handle or process used ori are required to most those more ebingent requirement, and some ouPof-slate facilitles that process used o8 also meet <br /> those rsquhamonta, So9lneerLV certifications o) tank Integrity, and financial assurances for closure and accldemal releases. It Is lawful to eand used all to out of state fao0ltfoa <br /> that comply only with federal used oil management standards and not these more Stringent req$remonts. <br /> This notindation is for information purposes only. <br /> By born parties signing this invoicait will sane as an agreement that American Valley Waste 07 wit submitcadfnnalfon for (certain waste streams) to the generator that their <br /> v asto has been transported to a licensed treatment or barufer seely. _ <br /> GENERATOR( <br /> DRIVER AUTHORIZED <br /> SIGIVATUflE: DATE. -// 5;' SIGNATU - DATE: <br /> DISPOSAL / gECN ING FACILITY <br /> O DK-DIXON C'rAASBURY ENVIRONMENTAL O RIVER13ANK OIL TRANSFER O YUMA YES LLC O AMERICAN VALLEY WASTE OIL INC <br /> 7300 CHEVRON WAY 1920 MORGAN RO, 5300 CLAUS RD. 6500 US HWY 95 521 INDUSTRIAL OR STE A4_ <br /> DIXON, CA 95620 CERES, CA 95358 RIVERBANK, CA 95367 YUMA, AZ 85365 LIVINGSTON, CA 96334 <br /> 707.693-BDOB 209,541-1825 209-863-8161 928344&9828 209667.8857 <br /> EPALc CAT08DW2602 EPA# CALOOD393680 EPA# CAL000190816 EPA# AZR000521146 EPAa CAL000443004 <br /> j <br />