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�. AMERICAN VALLEY � ' <br /> ASTM OIL, INC, Invoice Nuranber: <br /> P.O.Bax 340-Delhi,CA 95315 <br /> PH. 1-500-732-4645-FAX 209-588-3883 <br /> EPA#CAR000272302 <br /> BILLTO: JOB SIVE: .��..-.— <br /> A 1 r� i'1 _ Igvoice Date: <br /> -a(C'i,..`ETc.s'3 r'Ay'-Si."`n'-'t 1 <br /> .:k`€ES:F i t...+ <br /> TIC �C. <br /> (Phone Customer P-0, i EPA# <br /> PRODUCT SHIPPING DESCRIPTION VtfAST= MANIFEST � t�UAt�fl"rrY PRICE AMOUNT <br /> COBE <br /> NON-RCRA Waste Liquid Used 011/taxed Cils 227 <br /> NON-RCRA Taste Liquid Used Antifreeze 133 <br /> l <br /> NON-RCRA Waste Liquid Used Oily Water 223 � I <br /> Compliant Drained Used Metal al Filters _- ....._ ...... , <br /> OIL COLLEC111OldFEE, <br /> ! � 5 .0 C'_ <br /> ....................... <br /> `TERMS: Invoices over 30 Days are subject to a 1.5%service charge. Customer agrses to pay all€egai fess if-rdilri acuorl ;', F0TAL <br /> beccmes necessary to collect this-Invoice-. <br /> By.signing I ha�✓vcmtify thst I havenot mixedanyofthe waste tleacfbed abovewirth,any other hayarrious waste.we Ental hailGecont�nt is LESS then l,fSU[i.ppm.artd the <br /> mixate Boas.rotcontain any PCBs.I leave compiled with the requirements of theappllceble Califamle used all management rc:gu allGn to determine this is truc-,1 agree to <br /> accept fire addr ire?chargem for the clisbosal of this waste it the ittformatlen I have proofded about this,Nraste Is frcorreCt. <br /> Generaters Ceniticatlon:By signing!cerrifytl;at If I am a large quantity generator,I certify that I have a program in plaeo.to.reduar the voiuma and toxicity of este genera- <br /> , ad.to thecregreel havedetermii7®d to be economically eordablaand that I have.selacted the,practt=le(nettlpd of treytmertt.sturape or dfsposal cu r:aptly avaliable2a rri <br /> vrhloh inlltimlaea Ina PM5ent and futum threat to human Rfe and theOr,if I ama sma!I quarrtLty gener5tne i have matle a Gccd iih e17014 to m �m;ze my,us�Tq. <br /> gerreratlor and aelect the waste management method that is aveltab€e'm me that l can afford. <br /> American Valley Waite oll itersbyadvlaesthe above Generate(that generators shipment of(used cIi may be trenspored to a facility that fs requiYad to comely wrti+`rtlerat- <br /> reguiatirns applicawle,to management of used oil,but that Is not requIred to Cori with the mcresttineant requiramants! iicalsfe to hassrcleuti waste manageme7;'hn.i- �- <br /> ties,Californlafacilities�thai handle-or Prccmaused oft wary required to meet those mem s"eni.Tesuiremant,:and ser T i oti-of-,tette fact€hies that process i�ssd n'all e15a meet <br /> those requirements.an9lrr09rin9 CertiflcatlonS of lanli inlegrhy,and financial assurancgS.n clo-.,ure and acrie ental r feaxes-4 is law"al to send used ell aut M's9a%£a6iftles <br /> hat <br /> tcomply only whh federal used all marts0omentstantlards0-nd no'Ehastt n7ni6 Stringent reauttements. - - <br /> Thianotifica1iop is.for Information purposes only, <br /> By both partes all 7n1ng:his irwolca it will serve as an agreameftt that American Valley Waste Olt will sub.•nitconfnnetion for tcertEin was48streams7 to tete,geners orihal t^.eir <br /> waste has been transported to a liceitsed traWment ortransferfacilfty, <br /> DRIVPr .� GENERATORi <br /> .. AUTHORIZED <br /> !ff:��SIGkRTU�Tpp t nM� "", nf�ry[t mDAt'fV e,,11-A ' S]CwNATUR <br /> 0 OK-DIXON O ASBURY ENVIRONMENTAL Q RIVERBANK OIL.TRANSFER Q YUMA YES LLC Q AMERICAN VAfirYv4asteori-IriG <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RO. 6500 Us HvVY 95 521 INDUSTRIAL DA STEM <br /> DIXON,CA 956213 CERES,CA 95358 RIVERBANK, CA 95367 'PUMA,AZ 85355 LIVINGSTON.CA95384 <br /> 7137-693.6008 209-541.1825- 209-863-8181 928-314-9828 208-667-6.857 <br /> EFA#CAT0800:126G2 FPA CAL000343680 EPA#CAL000190316 EPA#AZR000521145 EPA"CAL0004d-n04 <br /> �r�r�r2Uls) <br />