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AMERICAN VALLEY <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 /> ASSOCiATEDs TRAGFOR <br /> '132301. CHARTER VVY A,0S0CJA1-E-C3 71RAC'fj�ljr­� <br /> BELL TO: ISTOCVTON,CA' JOB SITE: Vv C'.11AFZTEF,WA%.- Invoice Date: <br /> 'Sakes Rep Arriencarl\Yaliey <br /> Phone,C,@ Customer P.O. Term�',,t,,. <br /> 03RCf--;KY EPA36D933606930 <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 223 <br /> Drained Used Oil Filters <br /> DRUMS F(:)R METAL FIL-TERU, <br /> 5CAL UNPPOL FOR IOETAL.SHAVINGS <br /> Sa Y <br /> TERMS: Invoices over 30 Days are subject to a 1,5%service charge. Customer agrees to pay all lega�fees if court-action <br /> becomes necessary to collect th is.invoice. TOTAL <br /> Ry 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 ppm,and the <br /> waste does not contain any PCBs.I have complied with the requirements of the applicable California used oil management regulation to determine this is true.I agree to <br /> accept the additiona}charges for the disposal Of this waste if the informatlor i have provided about this waste is incorrect. <br /> Generator's Certification:By signing I certify that it I am a large quantity generator,I certify that I have a program in place to reduce the volume and toxicity of waste generat- <br /> ed to the degree I 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 life 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 cif may be transported to a facility that is required to comply with federal <br /> regulations 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 there more stringent requirements. <br /> This notification is for information purposes only. <br /> Fly 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 <br /> SiGNATURE: DATE: AUTHORIZED <br /> SIGNATURE, DATE: <br /> DISPOSAL / RECYCLING FACILITY <br /> 0 DK-DIXON Q 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 95358 RIVERBANK, CA95367 LA, CA 90021 STOCKTON,CA 95205 <br /> 707-693-6008 209-541.1825 209-863-8181 213-746-0237 818-770-2577 <br /> EPA#CAT080012602 EPA#CAL000393680 EPA#CALOOO 190816 EPA#CAL000270577 EPA#CAL000417316 <br />