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'—'� rr'e AMERICAN VALLEY 205063 <br /> Id WASTE OIL INC. <br /> � Invoice Number: <br /> P.O. Box 340• Deihl, CA 95315 <br /> PH. 1-800-732-4645•FAX 209-668-3880 ,, ®® <br /> EPA#CAR000272302 C,� <br /> BILL TO: RIELIA FARMS INC. JOB SITE: R IEUA FARMSINC. 6 3 <br /> 8251 8 VK3LFE RD 9251 S v1lDLFE RD Invoice Date; <br /> 1=REiVCH CAMP,CA 1152:1 FRENCH C4MP,GA 95231 <br /> Phone �MARIO* <br /> Customer P.O. Terms # <br /> ,:2© <br /> PRODLl CRIPTION <br /> WASTE MANIFEST QUANTffY PRtAMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <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 /> FACILITY FUEL SURCHARGE 2�r7C� <br /> SALES TAX- <br /> TERMS: Invoices over 30 nays are subject to a 1.5%service charge. Customer agrees to pay all legal fees if court action TOTAL <br /> becomes necessary tc co€lest this invoice. <br /> By signing I nerby 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 PCBa.i have complied with the requirements of he 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 ist 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 economically affordable and that I have sefected 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: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 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-of-state facilities that process used oil also meet <br /> those requirements,engineering certifications of tank integrity,and financial assurances for closure and accidental releases.It is lawful 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 serve as an agreement that American Valley Waste Oil will submit confirmation for{certain waste streams}to the generator that their <br /> waste has bAtto411carsemat or trap er facility.DRIVER GENERATORItPORIZ -IV <br /> SIGNATURE: ATURE: Lam` l�f/DATE: NATURE: DATE: <br /> Di PO AL 1 REQCILITY <br /> O DK-DIXON O ASBURY ENVIRONMENTAL O RIVERBANK OIL TRANSFER O YUMAYFSLLC O/MERICANVALLEY <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 5800 CLAUS RD. 6500 US HWY 95 ASTE OIL,INC. <br /> DIXON,CA 95620 CERII CA 95358 RIVERBANK, CA 95367 YUMA,AZ 85365 9767 4TH ST,#B 707-693-6008 209-541-1825 - 209-863-8181 92B-344-9828 DELHI,CA 95315 <br /> EPA#CAT080012602 EPA#CALOG0393680 EPA#CAL000190816 EPA#AZR000521f46 209-667-8857 <br /> EPA#CAL000469438 <br />