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AMERICAN VALLEY <br /> WASTE OIL, INC. Z 0 i 5 <br /> Invoice Number: <br /> P.0• Bax 340 - Delhi, CA 95315 <br /> PH. 1-804-732-4645 - FAX 209-668-3880 <br /> EPA#CAR000272302 <br /> BILL TO: 11riF'ts r <br /> Arrhl PY acq calms~ ]OB SITE: -$F7 8Ih1PL0T <br /> 16777 FIGA,LAND RD .0 r r 7 HOV'4-A1 z RSG Invoice Date: <br /> tA'r r-il?Cp.CA 9533ti LATHROp CA 95330 <br /> Phone ?eas�og -�a11 Customer P.O. <br /> Terms EPA# <br /> iJet3u�$ �AC35aslLf1-;Va�i, <br /> PRODUCTS DESCRIP710N ' <br /> WASTE MANIFEST ❑UANTrry PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils <br /> 221 <br /> NGN-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 2y� G <br /> 7 LG.]2r�3ry i <br /> Compliant Drained Used Metal Oil f=ilters <br /> OIL C:ULLEC IJUN 1-EE <br /> TERMS: invoices over 30 pays are subject to a 1.5%service charge. Customer agrees to pay all legal fees if court action <br /> becomes necassary to coiled this invoice, TOTAL <br /> 13y signing I herby certify that I have not mixed any of the waste described above with any other hazardous waste,the total halide content is LESS than 1,ODt] - e <br /> waste does not cvntain any PCBs.I have complied with the requirements of the applicable California used oil management ppm,acrd the <br /> accept the additional charges for the disposal of this waste if the in formation l have provided about this waste is incorrect, <br /> regulation to determine this Is true.I agree to <br /> Generator's Certification:By signing I certify that it I am a large quantity generator.I certify that I have a pragram in place W reduce the volume and toxicity of waste <br /> ed to trio degree I have determined to be economically affordable and that t have selected the practicable me <br /> method of treatment,star or disposal currently available to a <br /> which minimizes the present and future threat to human life and the envrronmenf:Or.if I am a smaJI uanf genaste <br /> generation and select the waste management method that is available to me that I can afford- <br /> sod <br /> generator,i have made a Good faith effort to minimize my waste <br /> American Valley Waste od hereby advises the shove Generator that generators shipment of used oil may he transported to a facility that is required to comply with federal <br /> regulations applicable to martagemeni of used cit.but that Is not required to comply with the more stringent requirements applicable to hazardous,waste management faciii- <br /> ties,Caltfomia facilities that handle or process used oil are required to meet those more stringent requirement,and some cut-of-state facilf les that process used oft also meet <br /> those requirements,engineering cartificwans or tank integrity,and financial assurances for closure and accidental releases.It is iawfuI to send used oil to out of slate facilities <br /> That comply only with federal used oil management standards and clot these more stringent requirements. <br /> This notification is for information purposes only, <br /> By both parties signing this invoice it will serve as an agreement that American VnIley Wast@❑l1 will submit confirmation for(certain waste streamsf 10 the generator that their <br /> waste has been Transported to a licensed treatment or transfer facility. <br /> LURNER GENERA RI <br /> TURE: ?" AUTH081 <br /> DATEc+! / 5IGNATUR <br /> POSAL R FQVQIN n, F CI ! Y <br /> DK-DIXON Q AS BURY ENVIRONMENTAL <br /> 7300 CHEVRON WAY 1920 MORGAN RD. RIVERBANK OIL TRANSFER ❑ YIIMA YES LLC AMER6CRN VALLEY WA311 p1t INC <br /> DIXON,CA 95620 CERES,CA 95358 5300 CLAUS RD. 6500 US HWY 95 $21 INDUSTRIAL DR STEM <br /> 707-893-6008RIVERBANK, CA 95367 YUMA,AZ 95365 EIVINGSTON,CA 85334 <br /> 209.541-1825 209-863.8181 <br /> EPA4 CAT080012602 EPA#CAL0003936a0928-344-9828 209.667-9857 <br /> EPA#CALti001 goal EPA#AZR000521146 EPA#CAL000443oo4 <br /> MPC(7120181 <br />