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i <br /> AME1 I AN VALLEY 2 2 % <br /> WASTE TE OIL, INC. Invoice Dumber: <br /> P.O. Box 340 • Delhi, CA 95315 <br /> PH. 1-800-73 -4645 - FAX 209-668-3880 <br /> EPA# CAR000272302 <br /> BILL TO: JOBSITE: 111voice Date; <br /> Phone cuslorner P-0, Terms ' EPA# <br /> J_ <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> COT <br /> NON-RC RA waste Liquid Used 0111 Mixed OIIs 221 � 1 <br /> NON-HCRA Waste Liquid Used Antifreeze 133 <br /> NON-RORA Waste Liquid Used Oily Water 223 <br /> Compliant Drained Used Metal Oil Filters <br /> TERMS= rrwoim over 30 Days are subject t[r a 1,5%Setvioe charge. customer agrees to pay all legal fees it court aclion TOTAL ,s <br /> becomes necessary to aallect this invoice. ' <br /> By signing I herby❑arlify that I heave not mixed ary+of the waste destrzed above with any other hazardous waste,tha total halite oenteni is LESS than 1.000 ppm.and the <br /> vrasie does not cartlairt wiry PG9s.I Nava cam with the w the regwrem�nta pl the applicaWa Calitgrn.a weed oil managsment fequLalipn to detefm.ne Ih*Is true,I apron tb <br /> acoW lho aockrionfil ctuirgas Ict li7e G:{io:Lnl of Iwr,%?.i;to if ttre information I have proWded aaoul INN waste _-incorracL <br /> GM9ratort CarliFiC0Ii0n-By signing I certify ihet it I am a large quantity gm eratur,I certify Thal I haN a program in place iv reduao the voiums aM Coxirhy of wasta gsnerat- <br /> ad to the diagrao k have dotarmined to be economically affordable and that I have i4ected the prarUvak)le method of vestment,914R7ga_of Aispmftl CurteMtly aMllahle to me <br /> willch rnir11rrm?E%the prestnt and f ulutt5 Nveat la human He and the anuironmeni=Qr,If I am a small qusmity generator.I have made a C'pod faith elfari 10 MIrli<+ibe my waste <br /> gtklsraiiCn and rolv-1 the waste management method that is eweitetsis tp me That I Gan iflord. <br /> Arnencan valrey Waste Orl herMy a(Mses ihe above Generalw Thal gt+nerators sNpmem of used oil may bo transparted to a laciliry Mal is required la❑orrrply velh federsv <br /> requlairprrs,0ppliC.tim to rfluagement oil us9d od,but that is not reltImed to cornpty with the nova stnngeril requirements app&-able to hazardpt,s waste marurgemarit ficill- <br /> ties-Califon a utilities that handle or process used oil ara required to meet thoq*n 9CR+ige 4 regUDwrria L @ind Some out-of-Stal*facilities tmt oiocoss used all alee meet <br /> thoso mgwnrmerein,angineanng certifications of lank iniegnty,end fiiiangial aeeuranaes Iqr closure and pCcoarilaJ alea9ey-11 is iawiul to serW1 treed p.l 1.0 out ul 6tnto re tra cIr,rl <br /> thal comply only with ft:deml tined ail managernEm srandards arrd not these more stringeot fequiremar%%. <br /> 7rns eialdaCatlan Is for Inlfem mllon purposes Drily. <br /> By both parties mpmng 1h1#iriyoice it oU sarwi as an clgnar nwl that American Valley Waste Oil wAl submit carifirmatian for(sarlain waste slreams�to the generator lhet their <br /> waste has been transported tp g 11�enW twalment or 1rnn41er fW1111y, <br /> GENEFIATOFPf <br /> 13RIVER AVT7IOra1ZEp <br /> SIGNATURE DATE- SIGNATUFIE: OATS- <br /> QI$P_.QL5AL/_F U N Q FACILITY <br /> DK-MON ASBURY ENVIRONMENTAL 0 RIVERBANK OIL 11­9f4NSFER 0 YUMA YES LLC 0 AMERtOAN VALLEY <br /> 7300 CHEVRON WAY 1920 MORGAN At). 5300 CLAUS Rd. 6500 US HWY 95 WASTE OIL,INC. <br /> DIXON,CA 95620 CERES.CA 95358 RIVERBANK, CA96367 Yl,MA,A2 85385 9767 4TI-i ST. #R <br /> 707-693-6MS 209-541-1825 209.8h3-19181 92a-344-9828 DELH1.CA95315 <br /> EPA#CAT080012E02 ERA#CAL000393680 EPA#CALOb8190816 EPA#AZR{00521146 209-667-6857 <br /> EPA#CAL000469438 <br />