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4kk <br /> r AMERICAN VALLEY 205060 <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: JOB SITE: 16'7lp � f - -�j <br /> RIE LA FAILS INC. RIELLA FARMS INC. Invoice Date: <br /> 9251 S`tiGir E RD 9251 S 6NOLFE RD <br /> FREtIvH CAM P,CA 952?1 FRENCH CAMP,CA g5231 <br /> i <br /> Phone Customer P.Or. Terms EPA# <br /> PROD C.O.D. CALEIU04100931 <br /> CRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 �L�$70`�33 1 <br /> 110 <br /> NON-RCRA Waste Liquid Used Antifreeze; 133 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Compliant Drained Used Metal Oil Filters <br /> OIL COLLECTION FEE <br /> �rSr� <br /> TERMS: Invoices over 30 Days are subject to a 1.51/6 service charge. Customer agrees to pay all legal fees if court action TOTAL <br /> becomes necessary to collect this invoice. ��,� <br /> By signing I herby certify that I have not mixed any of tha waste described above with any other hazardous waste,the total hailde content is LESS than 1,goo ppr and the <br /> waste does not contain any PC6s.I have complied with the requirements of the applicable Galifornla used oil management regulation to determine this is true.I agree to <br /> accept the additional charges for the disposer of this waste if the information I have provided about this waste is inccirl <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 economically affordable and that I have selected the practicable method of treatment,storage,or disposal currently available to me <br /> which minimizes the present and future threat to human life and the environment:O,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 oil may be transported to a facility that Is required to comply with federal <br /> regulations applicable to management of used all,but that is not required to Comply with the more stringent requirements applicable to hazardous waste management facill- <br /> ties.Califcrnia tacilities that handle or process used oil are required to meet those more stringent requirement,and some out-of-state facilities that process used oil also meet <br /> those requirements,engineering cariiffcations of tank Irtegrity,'and financial assurances for closure and accidental releases.It is lawful to send used <br /> that comply only wth federal used cil management standards and not these more stringent requirements. oil to out of state facilities <br /> This notification is for Information purposes only. <br /> By both parties signing this invoice it will serve as an agreement that American Valley Waste Oil will submit confirmation for(certain waste streams)to the generator that their <br /> waste has been transported to a licensed treatment or transfer facility. <br /> DRIVER GENERATOR! <br /> SIGNATURE: 77 J AUTHORIZED <br /> DATES / SIGNATURE: <br /> DISPORALIRECYCLNG FkCILITY <br /> Q DK-WXON AS33URY ENVIRONMENTAL O RIVERBANK OIL TRANSFER O YUMA YES LLC O AMERICAN VALLEY <br /> 7300 CHEVRON WAY 1920 K40RGAN RD. 6300 CLAUS RD. 6500 US HWY 95 WASTE 01,INC. <br /> DIXON,CA 95620 CERES,CA 95358 RIVERBANK, CA 95367 YUMA,AZ 85365 9767 4TH ST.#B <br /> 707-693-6008 209-541-1625 209-863.8181 928-344-9828 DELHI,CA 95315 <br /> EPA#CAT080012602 EPA4 CAL000393680 EPA#CAL000190816 EPA#AZR000521146 209-667-8857 <br /> EPA#CAL000469438 <br />