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AMERICAN VALLEY 204624 <br /> RIC <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: 9ATCACH RANCH TOB SITE: KA nisch RAPICH Invoice Date: <br /> %974 E.FAIFr1-HILD RD. 9$i 4 E.FAIPC HILD RI: <br /> �TOCKTON,CA 115215 STOCKLCfd.CA I&M <br /> X cuv- r sales Rep: <br /> Phone ;� 015-7L9q SaM Customer P.O. Terms EPA# <br /> C.O.D. CAL000311206 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTr7Y PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> C.J rte' 9 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Compliant Drained Used Metal Oil Fitters <br /> oil (,OI I_Fi:T IC>[J FEF l <br /> uo <br /> TERMS: Invoices over 30 Days are subject to a 1.5Y service charge. Customer agrees to pay all legal fees ff court action TOTAL <br /> becomes necessary to collect this invoice. <br /> By signal I herby nedtly the I have not mixed any of the waste described above with any other hawdous waste,the total halide carded is LESS than 1,000 ppm,and Me <br /> waste does not contain sw PCBs.I have complied with the requlremeds of Me acodkeas California used oil management regulation to determine this a Ms.I agree to <br /> accept Me additional charges for the disposal of this waste R the information I have provided about this waste Is interred. <br /> Generator's Certification:By signing 1 call Mat it I am a large Warmly generator,I catRY Mat I have a program In place to reduce Me volume and Undcity of waste general- <br /> ed to the degree 1 have determined to be economically affordable and Met I have selected the preolicabie method of treatment.storage,or disposal cu su ly melede to me <br /> which minimizes the preent and future threat to human life and the marrodnent 01,if I am a small quedtty ganemtoc l have made a Goad forth effort to minimize my waste <br /> generation and select the waste management metimd that is available M me Mat I can afford. <br /> American walisy Waste Oil hereby edvlees the above Generator that generamre shipment of used oil may be transported to a facility the is required to comply with federal <br /> regulatiore applicable to management of used oil,but that is not required!M comply with the more shingent requirements applicable to hoodcus waste management hmill- <br /> Nes.California facilities that handle or process used oil are required to meet Mose more stringent requirement,and some out-of-state facilities Mat process used oil also meat <br /> Mase requirements,engineering wtification,of tank integrity,antl financial assurances for closure and!accidental scones.It Is IawWi on send used oil to out of state facilass <br /> and comply only with fedeml used oil management standards and not these more stringent requirements. <br /> TNs nrotigcation is for Information puryoses only. <br /> By both parties signing this invoice if will serve as an agreement Mat American Vany seem 011 we submit conmmation for(tartan waste streams)to Me generator Mal their <br /> waste has been hensported to a kneed treatment or harder fadlhy. ,-�-- <br /> DRIVERGENERATOW <br /> j . .� AUTHORIZEDSIGNATUREDATE / . <br /> DATE: <br /> DISPOSAL/RECYCLING FACILITY ` <br /> O DK-DIXON O'ASBURY ENVIRONMENTAL O RIVERBANK OILTRANSFER O YUMAYES LLC O AMERICAN VALLEY <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD. 6500 US HWY 95 WASTE OIL,INC. <br /> DIXON,CA 95620 CERES,CA 95358 RIVERBANK, CA95367 YUMA,AZ 85365 97674TH ST.#13 <br /> 707.593-6008 209-541-1825 209-863.8181 928-3449828 DELHI,CA 95315 <br /> EPA#CAT080012602 EPA#CAL000393680 EPA#CAL000190816 EPA#AZR000521146 209£67-8857 <br /> EPA#CAL000469438 <br />