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AMERICAN VALLEY 151544 <br /> WASTE OIL, INC. Invoice Number: <br /> 1 P,O.Box 340•Delhi,CA 95315 <br /> PH.1-800-732A645 m FAX 20M68-3880 <br /> EPA#CAI.0D0416714 <br /> N&STRACTOR N&STRACTOR <br /> $JLL TO: P.0 BOX 910 JOS SITE: 1340W.CHARTER WAY In(oice Date, <br /> MERCED.CA 95341 STOCKTON,CA 952DS <br /> IM OIL <br /> Sales Rep <br /> Phon JOHN Customer P.O, TOMI*30Days EPA�Aj---- <br /> 1 000255-405 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST PRICE AMOUNT <br /> CODE <br /> NON•RCRA Waste Liquid Used Oil/Mtxed Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 233 <br /> Drained Used Oil Filters <br /> �Yl,►�1 ,C� <br /> Sales T <br /> TEFIbecomes <br /> 5:Ineoe s ever SO Oays a!@ Suhjet!In a 1.590 SOr*A charge, Cuslomar agrees to pay 89lag5l lags ii CUurt action TOTAL <br /> bBCames necessary to mBect Uds 1Plwioo. <br /> Oy a'9vv 1 herby certifylhel I rave rhal mixed"of Ow waste dBw tbal abrnw with arty other razmmkm awnale,oro told Mjdo WnteM Is LMS than 1.000 ppm.and" <br /> waste doge not c Ivirh any PCea I Iwo aanhplled wltl the req WtrrlsnSS of 11hs applresblw Cafifprrhia ll6ad 00"UrNoNrheat mgjWfdn to tlute nrhs tNa is trd I agree to <br /> BMW Nm addrtia+at chargee for tw dmpnd 01 M wW*i!tfhs iVdrrra}bn I heva provklad Oban tli4 Wssto Is kv;0rrecL <br /> Genwotor'a Certl9catiu4 sy 1dgnj'g I"Mry that t 1 am a tarps puaetty garwator.I cwlry NOS I hmre a propram In phos to mdum the udurrm ow mxlcliy or waste ganwat- <br /> sd 10 the degree I havo delern*md to be wonomlCepy ato(dable and Shat I have eak clad the prsotcabh nwthod of lranlrrhmL arp w.or 640s l IXmrerttty evaUa 4 to me <br /> wfhkh ndrwnixea the p a$ m And fuv"Mrnaf to raatw,ifs and the ats irarlrTwkt•O,It I em A SMWI quarhtiry ganorator,l have merle a(food faith e1[ar1 to minhn xe my wash <br /> 9Bneratlon and select ttw waste mwmgement me9hed that Is avallmNe to me Mat t can afford. <br /> A- a Ican Vasey W91to W hereby wdHsm she above tlarhwatw that parte mm aNpr a of used os may ba kw aponed 108 raWhy dhnt is Rx"red to dumpy wah federal <br /> regulatfona apprremble to mange arht of wwd oir,but Not is not regldred to campy wilt the more ow rQwt reghrlranhenta appspble to ta}agiouf vrmste mnrhegerrgrA facrF <br /> tie0.CallforeNa facrslles that nardra IX process thsed of are regskdd to meet those rtlora arinpent requkerrhan},and sante ow-cvt4mte lactitea Mat pnxesa used oil oleo meet <br /> Mm reghserrrents,a'Igkl9a W tmrtifmcAbona of tank irhtegrlty.and rlrw=W mwm Oran to eleeure+mid acddwtat rooawe.It is lawful to aerhd used o 1p out o1 atate tecr mat <br /> nus canpy o*wth W-4 used dN management aisrdards end not these more str'shpent raqukemenrs. <br /> lft <br /> This rw tloatlon Is fm nrwntatkw purposes 0*.. <br /> By both paraas sovrlp ttas irtudce d wot w"ae an wgrnnrnoM that American%FaW toasts oil w4 au6ntt conrrrnvborh ror{certain V. atm )to Ne or trial emir <br /> wwte ham been trwtsWad to a aoerlsW trentrtgnt or benskw foaSSy. . <br /> DRIVER441� / GENAUTHORIZED <br /> ORIZED <br /> S1G11ATLfR ? DATE:! // / S �� <br /> DATE:I//I7 <br /> Q DK-DIXON ASBURY ENVIFPNMENTAE Q RIVERBANK OIL TRANSFER Q CFR 0 GLOBAL MATERIAL MGMT <br /> 7300 CHEVRON WAY 1820 MORGAN RD. 5300 CLAUS RD. 2035 E.15TH ST. 1840 N.BROADWAY <br /> DIXON.CA 95620 CERES.CA 95358 RIVERBANK.CA 95387 LA,CA 90021 STOCKTON,CA 95205 <br /> 707.891W08 707.693-M 209,663.8181 213.746-DY37 818.770.2577 <br /> EPA#CAT080012602 EPA9 CALOOD39 M FPA#CALoo0190816 EPA►CALOD0270.W EPA!CALOOD417316 <br /> Mpc 17rio 16) <br />