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AMERICAN VALLEY <br /> WASTE OIL, INC. hivoice NllT]1ber:.. <br /> P.O. Bax 340 • Delhi, CA 95315 <br /> FH. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA# CAR000272302 <br /> 7 �-7 <br /> BILI,TO: JOB SITE: 74 rHuIELTIE Livoiee D� <br /> _ :t7+#G fc.FAL-�fC-R ate: <br /> f- _- •;;r <br /> Phone tomer P.O. Terms EPA# --� <br /> I <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used OOMixed Oils 221 <br /> NDN-RCRA Waste Liquid Used Antifreeze 133 <br /> I <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Compliant Chained Used Metal Cil Filters <br /> - - I <br /> I <br /> I <br /> TERMS: Invnaces over 30 Days are subject to a 1.5%service charge. Custon-or agrees°o pay all legal fees if court action TOTAL <br /> becornes necessary to ctlllect this invoice. <br /> By signing i herby certify that l have not mixed any of the waste described above with any other hazardous waste.the Tota'.halide content Is L E 5 S than 1,600 ppm,and the <br /> waste does riot contain any PCBs.I have complied with the requirHmeots of the applicable California used oil management regula'icn to determ•ne th s Is true.I agree to <br /> accept the additional cl arges for the disposal of this waste it the Information I have provided about this waste rs incorrect. <br /> Generator's Certification:By signing I codify that if i am a large quantity generator.I certify that I have a program,-)place to reduce the vo=ume and toxicity of waste generat- <br /> ed to the degree I have determined to be economically affordable and that I have seie(ted the practresbie method ottrealmerlt,storage.or disposal currently available to me <br /> which mininiiaos the present and future threat to human IFe and the environment;pr,if I am a;mall quantity generator.I have made a Good faith effort 10 rntnlrmze my waste <br /> generation and select the waste fnanagement me3thud that is available to me that I:;an afford. <br /> American.Valley waste Oil hereby advises the above Generator wiat generators sn,pxrent of usad o+1 may be transpoded to a facility that Is required to comply with federal <br /> regulations applicable to management of used oil,nut that IF oaf required to comply with the mrsre stringent req uire rrlenIs applicable to hazardous waste management facili- <br /> ties.Calitornil Facilities Thal handre or process user-!o11 are required to meet those more stringent requirement.and Borne out-of-state tacilrhes that process used all also meet <br /> those requirements,engineering certifications of=an.x integrity,and flnant.ral assurances for Ctnsure and accidental roleas,s.It Is lawful to sand used ail to out of state fac±litles <br /> .hat cornuly r.)nly with federal used oil managemen-standards and not these more stringent requirements- <br /> This notification Is for Information purposes only <br /> By bash part)®s signing this invoice a will serve as a,agreement that American Valiey Waste 0:1 will submit confirmation for{certain waste streams}to the generator that the[ <br /> waste has been transported ru a licensed treatment or tra*t i'er facility, <br /> r GENERATORI <br /> DRIVE AUTHORIZED <br /> SIGNATURE i,- �1,• �" . 0 BATE 'SIGNATURE: <br /> TT � DATE. <br /> DISPOSAL / RECYCLING FACILITY <br /> 0 laid-C]IXON 0 ASBURY ENVIRONMENTAL Q RIVERBANK OIL TRANSFER YUMA YES LLC O A.MFRI(,AN v'ALLEY WASrL OIL.INC <br /> 7300 CHEVRON WAY 1920 MORGAN RD 5300 CLAUS RD. 6500 US HWY 95 521 1NI7USTRIAL DR STE M <br /> DIXON,CA 95620 CERES.CA 95358 RIVERBANK. CA 95367 YUMA,AZ 65365 LIVINGSTON,CA 95334 <br /> 707-593-5008 209-511.1825 209-853-8181 928-344-9828 209-667.8857 <br /> EPA#CAT080012602 EPA#CAL000393680 EPA#CAL000190816 EPA#AZR©O0521146 EPA#CAL000443004 <br /> MPC i7'2016� <br />