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AMERICAN VALLEY 183400 <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 : i AST BAY UAPKLiPTj- iy1 L42? .> <br /> 4701 OAXPORT S7 JOB SITE: EAST BAY Ct AF2KLIFT Invoice Date ; <br /> OAKLAND, CA 946014906 1813 MOFFAT SLVO <br /> MANT <br /> Phone 20y.A8&8887 JENIFEbt Customer P.O. Terms P - - —" _ — <br /> 1 CAL004594927 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QU @RICE 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 /> OIL COLLECTION PEE <br /> TERMS: involoosover3ovays are subject to a 1 .596 service charge. Customer agrees to pay an legal fees if court TOTAL <br /> becomes necessary to cored this invoice <br /> BY sighing I horby certify that I hate nut mixed any of the waste described above with any other hazardous weals, the total halide content IsLESS than 1,00o ppm, and the <br /> weals does not conlnln any PCes. I have complied with the requirements or tho applicable Cegfomia used ON management regulation to determine this is true. I agree to <br /> accept the addilional charges for the diapwal of this wash it the In(ormalion I have provided about this waste Is Incorrect. <br /> Generator'* Ceriffkatkn; By a;=Q , 1 certify that 01 am a faBe quantity gonemto, I aartify that I hays a progrom in place to reduce the Volume and toxkfty of waste ganerat- <br /> ed to this degree t have determktad to be econornica6y affordable end that I have selected the practicable rmthod of treatment, dotage, or disposal currently ava"a to me <br /> whFch mbimires the Valiant and future threat to human its and the environment: O, If I am a snail quantity generator, I have made a Good faith effort 10 minanlze my waste <br /> 98narafion and salient the waste management method that is avalabte to me that I can afford, <br /> American Valay Nrsle Oil hereby advises the above Gwisralor that generators shipment of used oil may be transported to a faedety that is required to comply with toderai <br /> ragrdallona apykable to rinartagem at or used oil, but that Is not required to oompy with the mom stringent requhemems appWabte to hazardous waste management fsdi- <br /> ties. California facilities that handie or process used dl am required to meet those mora attitgent requirement, and some out•of•slate faclllUe3 that process used oil also meet <br /> arose requiromenls, engineering eorilloa4ons of lank integrity, and gran c al assurances for closure and accidental raleaaes. It is lavfirl to Bond used nn to nn a Nap raotitMa <br /> thin ".nary any wah roan It d ail Iiwmycuknt stmroa,oa mw net mese more emngenl requrirements, <br /> Thio nonkatfon is for inrormatfon purposes only. <br /> By both parties sgring this Invoica It win serve ae an agreement that American Valley waste Oil vAll aubmit conrrrmeGon for (certain waste streams) to the generator that their <br /> waste has been transported fo a licensed treatment or transfer facility, <br /> DRIVER GENEAATORI <br /> AUTHOA <br /> SIGNATUR : DATEIC WJ iISIGNA DATE: <br /> d <br /> DISPOSAL / RECY-C ING FACILITY <br /> ODK-DIXON (WASBURYENVIRONMENTAL RIVERBANK OIL TRANSFER QYUMAYES ULC QM1EWAnVAUCYWASTEMING <br /> 73DO CHEVRON WAY 1920 MORGAN RD. 53D0 CLAUS RD. 6500 US HWY 95 521 INDUSTRIAL OR STEM <br /> DIXON, CA 95620 CERES, CA 95358 — RIVERBANK, CA95357 YUMA, AZ 85365 LIVINGSTON, CA95334 <br /> 707.693.6008 209.541 -1826 209.863.8181 928344.8828 209.687-8857 <br /> EPA* CAT0800128D2 EPA# CAL00039SBOO EPA4 CAL000190816 EPA# AZR000521146 EPA* CAL000443004 <br /> fAPtr p20161 <br />