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AMERICAN VALLEY 183178 <br /> WASTE OIL, INC. Invoice Number: <br /> P.O. Box 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645• FAX 209-668-3885 <br /> EPA#CAR000272382 <br /> BILL TO: JR.SIMPLOT ]OB SITE: JR SI�LOT f�`� r/•� �' <br /> ATrN:RYAN MOCK 1�TT7 HC��vLAN7 RD Invoice Date: <br /> LATH HQVOP,CA ND f 3 LATHROP, CA 99330 <br /> LATHRQF�,CA 95H30 <br /> Phone 209-858.2611 Customer P.D. Terms EPA# <br /> Ne#3tl Days CAD980814800 <br /> WASTE <br /> PRODUCT SHIPPING DESCRIPTION MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> NDN-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Compliant Drained Used Metal Oil Filters <br /> OIL COLLEC71 ON FEE <br /> v_ <br /> TERMS: Invoices over 30 Daysare suhje.ot to a 1.5%service charge. Customer <br /> -becomes necessary to collect this invoiceagrees to pay all legal Fees if court action TOTAL <br /> By 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 1,000 ppm,and the <br /> waste does not contain any PCBs.I have compiled with the requirements of the applicable California used oil management regulation to determine this is true-I agree to <br /> accept the additional charges for the disposal of this waste If the information I have provided about this waste is incorrect. <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 generat- <br /> ed to the degree i have determined to be socnomically affordable and that have selected the practicable method of treatment,storage,or disposal currently avallable to me <br /> whlch minimizes the present and future threat to human life and the environmerrL Or,if I am a small quantity generator,I have made a Good faith effort to minimize my waste <br /> generation and select the waste management metflod that is available to me that I can afford. <br /> American Valley Waste Oil hereby advises the above Generator that generators shlpment of used oil may be transported to a facility that is required to comply with federal <br /> regulations applicable to management of used oil,but that is not required to comply with the more stringent requirements applicable to hazardous waste management facili- <br /> ties.California facilities.that handle or process used oil are required to meet those more stringent requirement,and some out facilities that process used oil also meet <br /> those requirements,engineering certifications of tank integrity and financial assurances for closure and accidentef releases.It is lawful to send used ail to out of state facilities <br /> that comply only with federal used ail management standards and not these more stringent requirements. <br /> This notification is for information purposes only. <br /> By boar parties signing this invoice it will serve as an agreement that American Valley Waste Oil will submit conrirrn (cerraln waste streams)to the generator that their <br /> waste has been transported to a licensed treatment or transfer facility. <br /> I)RiVER GENLEIII I51GNATLIRE: AURIZE <br /> DATE: f1 Hr 0 51TU C]ATE qI� oe <br /> DISPOSAL/ RECYCLING3 FACILITY <br /> 0 DK-DIXON (VASBURY ENVIRONMENTAL Q RIVERBANK OIL TRANSFER Q YUMA YES LLC Q AtuIERlGAN VALLEY WASTE pl�INC <br /> 7300 CHEVRON WRY 1920 MORGAN RD. 5300 CLAUS RD, 6500 US HWY 95 521 INDUSTRIAL DH STE M <br /> DIXON,CA 95620 CERES,CA 95356 RIVERBANK, GA 95367 YUMA,AZ 85365 LIVINGSTON,CA 95334 <br /> 707-693-8008 209-541-1625 209-863-8181 92M44-9828 209.657-8857 <br /> EPA#CAT080012602 EPA#CAL000393680 EPA#CAL000190816 EPA#A7R000521146 EPA#CALODOW004 <br /> MPC[712010 <br />