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Nov t4 17, 03:31p p.8 <br /> AMERICAN VALLEY <br /> WASTE OIL, INC. Invoice Number: <br /> P.O. Box 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645• FAX 209-568-3880 <br /> EPA#CAL000416714 /49/0,6 9i,6 <br /> BILL TO: DOMENICSAUTO JOB SITE: DOMENICSAUTO RvOlce Date: <br /> 935 N.HARRISON ST. 435 N. HARRISON ST <br /> STOCKTON.CA 95203 STOCKTON,CA 95203 <br /> X FREMONT <br /> Phone Customer P.O. Terms EPA <br /> 209-943.1040 ROBERT C.O.D. <br /> PRODUCTSHIPPING DESCRIPTION WASTE MANIFEST OUANTrfYI PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used OiVMixed Oils 221 <br /> I _ i <br /> NON-RCRA Waste Liquid Used Antifreeze 133 ,��/>��/-��,` ' <br /> NON-RCRA Waste Liquid Used Oily Water 233 �aJLLT / V <br /> i 1 <br /> Drained Used 01 Finers <br /> I <br /> � OIL CrkLFC-TION FFFr" <br /> b ZoW <br /> EIMROwENTAL HEALTH I <br /> PERMIT/ r RVIrF <br /> I I <br /> Safes Tax <br /> 1 7ERMS: Imoices over 30 Days we subject to a 1.545 servi" charge. Customer agress to pay all legal fess if court acton TOTAL <br /> I becomes necessary to collet[this invo$ca. A150 <br /> I 87 signing neroy certify that I have not mixed any of the waste dess nbec above wilh any other hazardous waste.the rool halideconlent Is LESS than 1.470 ppm,and the <br /> iWaite does not comain ary PCBs.I have con'.pled with the requirements of the applicable California used al menogament regulation to catem,lne,this a Irue.I agree M <br /> accept the addilonal charges for the disposal of$his waste it the information I have provided about this Waste is incorrect. <br /> i Generator's Certif cation:By sig ring I cat fy that if I am a Large quamity generator,1 011 that i have a program m place In reduce me volume and toxicity of wasto gansh t- <br /> od to the degree I have determined to be economically affordable and that I have selected the orecgcable method o4 treatment,storage,or disposal curenW available M me <br /> W icn minimiles the present antl future threat to human Its and the envecnment Or.It 1 am a sinal I qusmlty,generator,I have made a Good laid-effort to mmimize my waste <br /> I generation and select the Ovate management method that is available to me that I can afford. <br /> Amencen Vaney Waste DA hereby arises the above Generator that generators shipment of used oil may be traiuported to a famlity that is required to wmply With federal <br /> regulations applicebe to manage menl of used oil,but lar isnot required W Comply with the more stringent requlremente applipble to hW8rdou3 waste management Iace- <br /> bias.Caaomie facAnl es that hand'e or process used oil we regrArW to meet those more stringent:requirement.and some out-air-state facilities that process used oil also meet <br /> those requirements,engineering wralications of tank Intagdy.and financial assunnoes for closureand eecidenal releases.It s Lawful to send used oil to out of sten facilities <br /> that campy only wilt federal used oil management standards and not these mem stringent requirements. <br /> TL•is rwahgatnn 4 for mtatmasor.purposes obly. <br /> 8;both parties signing tis Invoice it INl1 serve"an agreement that Amencan Valley Waste OR will submit ecre'amatnn forfcertain waste stmmn. Ito the generator that their I <br /> waste has bxn transported to a licensed treatment <br /> I^ /Lor transfer facility/. GRorJ�SIGNAUflATEN SIGNATURE: <br /> DA <br /> I& / <br /> / <br /> DISPOSAL/ RECXCLING FACILITY <br /> C DK•OIXON 0 ASBURY ENVIRONMENTAL OF IVERBANK OIL TRANSFER C CFR O GLOBAL MATERIAL MGMTI <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD. 2035 E.15TH ST. 1640 N.BROADWAY <br /> DiXON,CA 95620 CERES,CA 95358 RIVERBANK, CA 95357 LA,CA 90021 STOCKTON,CA 95205 <br /> 707-693.6008 707-693-6008 209.863-8181 213-746-0237 818-770.2577 <br /> EPA#CATOBD012602 EPA#CAL00039MBO EPA#CALD00190816 EPA#CALOOD270577 EPA#CALOOD417316 <br /> rmq Olebq <br />