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AMERICAN VALLEY <br /> WASTE <br /> �'�ASTE IL, INC. Invoice Number: <br /> P.O. Box 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA## CAL000416714 <br /> ASSOCIATED THAI,-r0rL,' <br /> BILL TO: ASSOCIATED TRAGI OR jOB SI'I�; 132aVV CHARTER WA t Invoice Date: <br /> 1:32:1 W.liER °NY X'ARGONAUT&FRESNO <br /> STOCKTON,CR 95206 STOCKTON, CA 95206 <br /> PhoneCustomer P.O. Terms EPA# <br /> £?r Ky <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <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 233 <br /> Drained Used Oil Filters <br /> 8a�S TA, <br /> TERMS: Invoices over 30 Days are subject to a 1.51/4 service charge. Customer agrees to pay all legal fees if court action TOTAL <br /> becomes necessary to collect this invoice. <br /> By signing I herby cerlify 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 PCBs.I have compiled 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 terrify that I have a program in place to reduce the volume and toxicity of waste generat- <br /> ed to the degree 1 have determined to be economically afforcl 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 fife 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 facitity that is required to comply with federal <br /> reguiations 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 been transported to a licensed treatment or transfer facility, <br /> GENERATOR/ <br /> DRIVER AUTHORIZED REC EIVED <br /> SIGNATURE: DATE, SIGNATURE: DATE: <br /> DISPOSAL / RECYCLING FACILITY <br /> 0 DK-DIXON 0 ASBURY ENVIRONMENTAL 0 RIVERBANK OIL TRANSFER 0 CFR 0 GLOBAL MATERIAL MGMT <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD. 2035 E 15TH ST. 1640 N. BROADWAY <br /> DIXON.CA 95620 CERES, CA 95356 RIVERBANK, CA95367 LA.CA 90021 STOCKTON.CA 95205 <br /> 707-693.6908 707-693-6008 209-81 213-746-0237 818-770-2577 <br /> EPA#CAT080012602 EPA#CAL000393680 EPA#CAL000190816 EPA#CAL000270577 FPA#CAL000417316 <br /> MPC(712016) <br />