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AMERICAN VALLEY 180 <br /> 690 <br /> WASTE OIL INC, <br /> � invoice Number: <br /> P O. Box 340 •Delhi, CA 95345 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA#CAR000272302 qq <br /> BILL TO: Jf.�5!MPLO JOB SITE: ' ~L <br /> A_;4 RYA�N;0CP• >iPGiNPLOT Invoice Date: <br /> aS7='7 H001AND P0 167771-10 BLAND RI) <br /> LATHROP. CA 953vi; LATHROP.CA BS330 <br /> Phone Customer P.O. <br /> 2415.85-251't Terms EPA# <br /> PRODUCT SHIPPING DESCRIPTION '�;ettiu G <br /> WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze <br /> 133 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Compliant Drained Used Metal Oil Filters <br /> `75•�u <br /> TERMS: Invoices over 30 Days are subject to a 1.5%service charge. Customer agrees to pay all legal fees if court action <br /> becomes necessary to collect this invoice. TOTAL <br /> By signing i herby cerlify 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 h <br /> waste does not contain any pCss.I have complied with the req uiremerrts of the applicable California used oil management regulation to determine this is true. agree to <br /> accept the additional charges for the disposal of this waste if the information I have provided about this waste is Incorrect. ppm,and the <br /> Generator's Certification:By signing I cartify that if I am a large quantity generator,1 certify that I have a program in prate to reduce the volume and toxicity of waste generat- <br /> ed to the degree I have determined to be economically affordable and that I have selected the practicable method of treatment,storage,or disposal currently ava liable to me <br /> which minimizes the present and future threat to human life and the environment: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 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 oll may be transported to a facility that is required to eomply 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 procoss used oil are required to meet those more stringent requirement,and same out-of-state fariiities that process used oil also meet <br /> those requirements,engineering certifications of tank integrity,and financial assurances for closure and accldental releases.It is iawful to send used oil to out of state facilities <br /> that comply only with federal used oil management standards and not these more stringent requirements. <br /> This notification is for information purposes only. <br /> By both parties signing this invoice it will$enre as an agreement that American Valley Waste Oil will submit con tion r <br /> waste has been transported to a licensed treatment or transfer facility. waste-Weams]to the generator that their <br /> DRIVERQLJ GENERATOR1 <br /> SIGNATUR ❑AT/ AUTHORIZED <br /> bi SIGNATURE, *' ' DATE—/(l <br /> DISP LIR �ASB�URYENVIRONMENTAL <br /> Q DK-DD(ON Q RIVERBANK OIL TRANSFER <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 4 PUMA YES LLC 0 AMERICAN VALr EY WASTE OIL,INC <br /> DIXON,CA 9562c CERES,CA 95358 Cf-i4U5 RI7. 6500 LIS HWY 95 521 INDUSTRIAL DR STE M <br /> 707-693-6008 RIVERBANK, CA 95367 YUMA,AZ 85365 LIVINGSTON,CA 95334 <br /> 208-541-1825 209-883,8181 <br /> EPA#CAT080012602 EPA#CAL000393680928-344-9828 209-667-8857 <br /> EPA#CAL000190818 EPA#AZR000521146 EPA#CALD00443004 <br /> MPC(712016) <br />