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AMERICAN VALLEY 191774 <br /> WASTE OIL, INC. Invoice Number: <br /> P.O.Box 340•Delhi,CA 95315 <br /> PH- 1-800-732-4645•FAX 209-668-3880 <br /> EPA#CAR000272302 <br /> BILL TO: ]OB SITE: Invoice Date: <br /> MANTECATIRE 201 WEE A TIREAVE <br /> 201 W.EDISONAVE MA TELA, A 9633 <br /> MANTECA,CA 85336 4WK OILA,CA 35338 <br /> 4WK OIL <br /> Phone <br /> J- Customer P.O. Terms EPA# <br /> 209239.3558 GREG Ne130 D s CALA00010248 <br /> PRODUCT SHIPPING DESCRIPTION MANIFEST QUANTITY PRICE AMOUNT <br /> WASTE <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> a�360a-? <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 FEE GSOD <br /> TERMS: Invoices over 30 Days are subject to a 1.5%service charge. Customer agrees to pay all legal fees It court action TOTAL I <br /> becomes necessary to collect this invoice. <br /> By signing I herby certify that I have not mixed any of the waste described above wi vyother hazardous <br /> niar sed oil management regulation alien to tleterme content is mettF�is s han OtNepl agree topm,and me <br /> waste does not contain any PCBs.I have compiled with the requirements of the applicablemailed about this waste is incorrect- <br /> accept the additional charges for the disposal of this waste if the information I have p <br /> Generator's Certification:By signing I certify that if I am a large quantity generator.I certify that I have a program in place to reduce the volume and toxicity of waste ganerat- <br /> degree I able and that I have selected the practicable method of tr e made aGoode,orispeffort to sal <br /> available to me <br /> ed ttheminimize my waste <br /> which minimizes thave determined to be economically affordhe present and future threat to human rife and the environment:Or,if am a small quantity generator,I hav <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 flicablecility tho hazardoat is lus waste mared to lnagemeny with f facili- <br /> regulations applicable to management of used oil,but that is not required to compiy with the more stringent requirements app! <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 us oil to out of state facilities <br /> that comply only whh federal used oil management standards and not these more stringent requirements. <br /> This notification is for information purposes only. to th enerator that their <br /> By both parties signing this invoice it will serve as an agreement that American Valley Waste Oil will submit co a n for a win w to strew ) <br /> waste has been transported to a licensed treatment or transfer facility. <br /> ]���[ GENERATOR/ y <br /> DRIVERq�kn�� DATE�'�) U`l AUTHORIZED DATE f��3 Y <br /> SIGNATURE: <br /> SIGNATURE: <br /> DISPOSAL/REQYP=WaFAQLn AMERICAN VALLEY WA5TE OIL INC <br /> t0 DK-DIXCN ASBURY ENVIRONMENTAL O RIVERBANK OILTRANSFER O YUMA YES LLC 521 INDUSTRIAL DR STEM <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD. YUM US 85 95 LIVINGSTON,CA 95334 <br /> DIXON,CA 95620 CERES,CA 95358 RIVERBANK, CA 95367 YUMA,AZ 28 209-667-8857 <br /> 209-541-1825 209.863-8181 928.344-9828 <br /> EPA# A 008 EPA#CAL000190816 EPA#AZR000521146 EPA#CAL000443004 <br /> EPA#CAT080012602 EPA#CAL00039368D <br /> MPC 1712016) <br />