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AMERICAN VALLEY 213784 <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: <br /> JOB SITE: Invoice Date; <br /> RI t-LA FARMS INC. J RI ELLA FARMS INC. <br /> FRENCH AMP,CA 96231 �1 1 v J FRENCH CAMP CA 95231 <br /> Phone Customer P.O. l Terms EPA# <br /> 2fl9-4711►f35 HIAI�iQ i . <br /> PRODU T S I'M MCRIPTION MANIFEST QUANTITY PRICE AMOUNT <br /> WASTE <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 /> COIL COLLECTION FEE <br /> TERMS: Invoices over 30 Days are subject to a 1.5%service charge. Customer agrees to pay all legal fees it court action TOTAL <br /> becomes necessary to collect this invoice. <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 li and the r <br /> waste does not contain any PCBs.i have eomplied 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 rortity that I have a program in place to reduce the volume and toxicity of waste genes <br /> ed to the degree T 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 Ilia 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 10 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 facili- <br /> ties.California facilities that handle or process used all are required to meet those more stringent requirement,and some out-of-state facilities that process used oP also meet <br /> those requirements,engineering certifications of lank 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 Wasta Of 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!HORIZED <br /> SIGNATURE DATE::.�� AUT <br /> ,) IGNATURE: <br /> Dl PO AL I RECYCLING FACILITY <br /> Q DK-DIXON 46 ASRURY ENVIRONMENTAL O RIVERBANK OIL TRANSFER Q YUMA YES LLC Q 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,AZ85365 97674TH ST.#B <br /> 707-693.6008 209-541-1825 209-863-8181 928-344-9828 DELHI,CA 95315 <br /> EPA#CAT080012602 EPA#CAL000393680 EPA#CAL0001908163 EPA#AZR000521146 209-667-8857 <br /> EPA#CAL000469436 <br />