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AMERICAN VALLEY <br /> WASTE OIL, INC. Invoice Number: <br /> P.0. Box 340 • Del h i, CA 95 315 <br /> PH- 1-500-732-4645 ■ FAX 209-658-3880 <br /> EPA# CAR000272302 <br /> BILE.TO: JOB SITE: Invoice Bate: <br /> Phone Customer P_O, Terms EP4# <br /> PRODUCT SHIPPING ❑E CR[PTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste liquid Used Qil?Mixed Oils 221 <br /> NON-RC RA Waste Liquid Used Antifreeze 133 <br /> Off-HGRA Waste Liquid Used Oily Water- 223 <br /> Compliant brained Used Mehl Oil Filters <br /> TERMS: Invoices over 30 Qays are Subject to a 1_61�&Service cKarge. Cwlomler agrees t4 pay all ftel lees 11 court adinn 'DOTAL <br /> bacarnos naGassary to coiled Ihfs Invoice. <br /> By oomri9 I hwbl'offft Ural l harts notmlxadtr W of lhawas4a desenibW abm with arty other Ihazardoua waste,the tc'►ted tuakde cantenl la t-E*SS Ihprr 1,000 pW,a W lire <br /> waste boos riol tolnraln any#Cgs.I h we complCeE!-14SFh the mgt4rgrnenI5 of the applicable California usod oil martiagiomerht ragolalion to determine thl7 ly true.I agree to <br /> actapt rha addilional chargiea for the disposal of lyde waste It the Wamtatlan I hm provxlod abbul this wimm is irlcori-eu- <br /> GeneraEole Certifor aupn; 9lgntnq 14artify Mal 11 1 urn is Ibd$6 quantity generator,l catlN Thal I ham a progmm In lj a4 10 reduce Iha vc4ume and toadclly al wcMa general- <br /> ed 1!01he ddegreo i have Murrilmd Io to eaartomiocaliy arroMnule am that I have selected the praettpeble method pt Iretmern,storage,of dw4mtal aurwtry avaRehle to me <br /> which mintmlzes llle preaanl and iLrlgre threat to human I,rp;Lnd ltie envijurmmnl:Dr,If I am a emaN quantity generator.I npUe made a Good f mirk aiTorl to m:nlrrlaa my waste <br /> generalinn and wwct the wale rrsanager wit riiel dd LI1al Lg ayblabla t0 me Mat I tan allDril. <br /> At+iencan Valley V+ta WO Oil 419reby advis65 lfre ab Dve Gene€nmr that 9m1eralom bh wwl a Loots oll may be 1raftsoo 4ed to a facility That is required Lo comply wish Jeoeral <br /> reputatlans appL mWe to rrwnagorrient d used mi,bu'that is nol required to ggrnply vrrth I"troth 5thrtgtnt mQuieeMeMS DWIcable to hazardous waste management fAC11- <br /> lie5.i~,Elliiprrtie f$piajpM that hMICilgpr pro--am wisW oil pre required iri nwet those mare stringHnt requirement,and worse(iLrt-Q1-,ctWte IFIC11,1ies that, a a6 oil also moat <br /> those requeerrmnts,engineanng rgWlllr arms cil trynk iriliopty,and lirlancial a36urancts lox clostzm and accidental n)6pgs25.It LS Lmvtut Ig Sem user!o41 IO 4W OT lBlate 4willies <br /> Ihat owkW onry wM federal used Cd rnannemoill SLand3rda and not lhase more stringent nKplreirnenM <br /> T11M tiobflimlm rs rot Mformalion purposes onry, <br /> By both Piwtias SJVIinp thM Invoit411 will soryo as an agreemrnt that Airrterican Vwley WEwle 041 w11t oubmd ggnTornglron 1pr ilcedUir,wmte lbldmdr to the generator that their <br /> Wa ie tree Uee-n traMP011ed t0 A 1.09nnOd ire@trntant or lronsier Tec111ly_ <br /> GEf+IERATOW <br /> DRIVER AUTHORtZEE7 <br /> SIGNATURE, DATE SIGNATURE: DATE: <br /> LITY <br /> 0 DK-DIXON 0 ASBURY E W1110NME NTAL RIVERBANK OIL TRANSFER 0 YUMAYE5LLc 0 AM E RICAN VALLEY <br /> 7300 CHI=VRON WAY 1920 MORGAN RD. 5300 CLAUS RD- 6500 Us HWY 95 VVA$TE OIL, INC_ <br /> DIXON,CA 95620 OERF-S.CA 96358 1111VERBAhNIS, CA 95367 YUMA,A2 65365 9767 4TH ST. iVB <br /> 707-693-6008 205,S41.1825 209-W3-8191 920-344-9aW DELHI.CA 95315 <br /> EPA#CAT080012W2 EPA4 OAL000393680 EPA+ CALWO190815 EPA&A2R0Q'Z521146 209-667-8857 <br /> EPAjy CAL0004-69438 <br />