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AMERICAN I LEY <br /> WASTE OIL, INC, Imaice hal beT: <br /> P.O.Bax 340•De ft,CA 95315 <br /> PH- 1-800-732-4645-FAX 209-668-3880 <br /> EPA#CAR000272302 <br /> TLLTO- ,2I',�',TAU?,'.-; JOB SITE. Invoice Date: <br /> 'S�rt;;"? <br /> •,�",.5; .1. I`a,, •.M J2'.e: M I-Ni.CIA ."..-. <br /> ! <br /> Phone Customer P.O. !T,-rms EPA <br /> PRODUCT SHIPPING DESCPIPTi0N MANIFEST lQUl PRICE AMOUNT <br /> WASTE <br /> CODE '.. <br /> NON-RCRA Waste Liquid Used OillMixed Oils 221 =I P <br /> NON-MCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> GorriDliant Drained Used metal Oil Filters i. <br /> CIL €EOTICRE is <br /> 1 <br /> TE.RNtSI InV0iC0S 0Ver 30 Day%are subject-ta a 1.5%service Charge. Customer agreas 20 PayEll]lega!tees if Cour action TDTRL _mm_--- <br /> becomes necessary to collect this irrv0lce. 2: ... ° <br /> Sy'sfgnlhg.€herby.cer!3fy that I have not nixed any Of the West-descn7ed above With any other YraLardous:r'asfs-the tOW i'ta!ide c00141t ie S-Man 1,000 PPrr,art_^thm <br /> nastg does not contain any PCBS-I have at%rnplied with the requlrementsvf the applicable G ildomia-used oll managemnt legulwicn to determinetnls is true.I agree to <br /> accept thsaddaioral ch@rbcs t"u the disposal afthm waste iftha nftrmstion I nave prOYldati ataau't Ura 4vaste:s;nco+rs - <br /> Gererater's Certlticat€on:BY signing Icarbfyythat 1f I am alargs quantity genwatcr,I certify it i nave program to piece:o reduce the volume and tbxcitf a;waste 9'-nwrt- - <br /> ad to the degree I have detemt ted to be arnnnmfcslly avardable and that?have 806c1ed the pm--3_able method c!lm fitment,storage:or disposal currently available to me i <br /> %vhloh rrinlmiZ&the present and'uture thmat.to nUmn Ve and the ehvironmern:Ox,ll Jam a smell qugnti.f gear=tor.I have made a G000 tar.*eftoHlo lnlnirniza my+�asto r <br /> gahereJort and c"-Il the Wast management mettwd that Is avaliableto methal I car,afford. <br /> American Valley Waste el hereby Sdvfsesthe above Generator that generetors sfripmerifef uaaei oil"y ba traneppyt¢y4=a facility that is,ra0uired to Corhgiy oath federal <br /> mpu!at!ons app€icable tc rrratvzgtnncmt gt tvsod aa.but that is not rsgwred to c•..irnphi with the nmra sTingert raquireme;'lis sp.PltG3d!?to hax3rdcais•raaste managemer.iegin• <br /> ties.Caiifomia faoltities that hnnd7e a+ptoeeas used 6;are moll to tri^et:1Tm�.t_•more�.stringenttagfirt:ment and same.oue ct-state laCAities that prates-used oil also 1n86t <br /> Mose fpguiferl'lQrtLS,ettginoering C@rCfications of tang iM-qgr{y,and financial assuranCGS for rosure.and a=ldentel ffitBaSa$-It is:l to send used oil to out of State iacil <br /> Ina-,Corhply only 91Kh Federal used ail marregernent standards.and not these mote stringent rscnim.-M. <br /> This notification.is for irr!onatior,purposes on[}, <br /> 6y both parties signing fhL invoice it w1i serve as an agreementthat Amefcan Filey iNa5te 01b'Vllf Tvbrr'k confit,nation trx leeltk'l wasts sireamsl to fife ganw or that-herr <br /> rvacte has been transported to a?lased treat"rti 6d 01 transfer%C10y, -j <br /> E <br /> GEN03ATOR; <br /> ' oR3VEA AUTHOR17ED r <br /> SIGNATURE:� �- oAr�f� SIGNATURE ��u 1 �y ❑A� (qz -' if <br /> Di P SAL iD YLING FACILi�' <br /> DIC-DIXON BLBURYENVIRONMENTAL 0 RIVEAEANKOILTRANSFER C YUMAYES LLC 0 AMiRiCANV;�LLEywesrrprLlNc <br /> 7300 CHEVRON WAY 1520 MORGAN FID. 5304 CLAUS RD. 6500 FIsWY 96 521 INDUSTRIAL OR STE M <br /> DIXON,CA 95620 CERES,CA 95359 RIVERBANK, CAS5367 YUMA,AZ85365 i-VINGSTON-CA 95334 <br /> 767-653-5008 209-541,7825 208.963-810'3 -928-344-9828 209-G67-$357 <br /> .EPA#CAT080012602 EPA.yt CAL000393680 EPA#CALOW190SI6 EPA#AZR0005211 a& EPACAL090443004 <br /> aar-0;z2cle; <br />