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AmER,ICAN VALLEY <br /> ASE ' 1L,'W. invoice Number: <br /> P.Or fox 340' Delhi,:-CA 95315; <br /> PH. '1--800-732-4645•'Ff�C <br /> EPA#CARQ00272302 <br /> Jl'z TFtU0IqW . XC TRUCKi <br /> BILA:TO- 3 6'NEWTON Ra : , ;OB SIM. (Y N T0N Rra: . Invoice Bate:. <br /> sTE'3CKTON,CA 95205 $TOCKT'Ohl,CA 952D5 <br /> Phone 7 Ctisttxner P'0- Terms N030 Dem EPA# CAL400406279 <br /> ----------------------- <br /> PRO©UCT 9H1I'PING DESCRIPTION MANIFEST IQUAf�lTiTYI PRICE AMOUNT" <br /> WASTE <br /> CODE' <br /> NON-R.0 RA Waste Ugiid Used Oiumixed Oils 221 t <br /> NOWSCRAWt!ste LiquidUsed Antifreeze 133 <br /> NOWRCRA waste Liquid Used'Or1y Water 223 <br /> 1 Drairsati Used Oil Filters <br /> 1 i I <br /> =fo—rk—L -7— <br /> %,,vicech'CcRM9. lhvc E4 Ees over 30 0'ys a :.. rge. Cu90t7ter.agrcoa:to-.paY:alt Segal fres it couR.actC�?. <br /> becomes necussay 1p collect t111s in'.2e.. <br /> Byslgnii!g t herby tierL'Y tkrat!`hat e.notm odany or fho waefe Jescfl W abme'wtth 9nyattter hazardous iv2stE.:tteCx4rstai.trmikfacat?rnrrt is LESS than Lasa pom,.and the �. <br /> wtptr:e.dogs nAY COnt21p'any pCE;..-I Have enmplied tiuith'the regivrementt of the apAllcable Ca4ltwhia used-(A mormgorniml rGguYAY,on:to tleFariyyina this tate,t agree to <br /> accep.fho'additlonai chargga fortho-disposarauris waste If theinlormatlon l�have pmvlderl�abouf tlt'mimasie Is If=rmct <br /> Gsnmatot's Carilzcatim By signing I r_erufY ttwc if I am a fa*qummy yaner or l-carlfyr that'I:have a•program til place to e"duco the Yoluma and toxics of wado 49rlmt- <br /> ec€tO thedel3tiae�I hava tl�Fermined m-.5o econoralc;alN affptda54e and tha Shave eelectact iYae�pietticabie.mekltarf!er tleatmerYt:.storage,or disprssal:curr r,1'y�snilab!%o,mo <br /> j wi la`t:a inimizds he premi kind future threat to humarE life and Vie awl—mem'do wf l anaernati quantify,gensrglo )hs'ie r a le a Good t�tT etrorz to,rc l i mize my xrasia I <br /> rakion.and salertth�wasis-rramg2rm'nt mathpQthatis'ava1 abja to me that car a0brd. <br /> gone <br /> .I kmicarr JalkaA YJas1e Oilhere b!adro. ts E11nd5oYa C,-pzaratortJtafgOnP�'ataf5�ehipmaryt pf ttIIBd oiimay Aa-tranS;•r'rftad,tc a'ac11Yy Shat la rraquirc:d:tn:r mplS'uithfada-;f <br /> rajudanomapofscat�o'to ma to'comply wfin tha moib sG7ngant mauirrrmr�nt5'aAolicaWefo ha:smJous:ws^tmmonugamsntfacill- <br /> 'tiss.Cartfumiz iacilr?# :tnat iiarrCle or prpoeas used oil ate-required to mee.thrix.moWe ringent,recjutremeat,and Borne out-af-st-sts iacJniesthat process used 611 also:nee. <br /> i- "those requirements,enginasrir'g-c9;tlficatlorta of tam inta�rhy,:antl4in2r al assuranCe3lor c tlra�.arrd 9=1CIental raleasw;:it is lawtal to sendused OR to out afstste laci <br /> that oamply'asiEy with''ederai uc,To:ali man®geret?iicstaiidflrds and not these to"zringenf requirgmenis. <br /> Thl9-nohlica3on ie-lo irifwr iafion purposes-ruv- <br /> 5y,mtlt partleseigning this inudide it vol€I.scr'do as an agriram8nt-thetA1'per€canYatleywaarr Qd wlA gitCmit cora,,,ationforfcertain waste 5trmarnSj to the eratoT that'tttnir <br /> was;;:haobeanlmrsporteditaalirez edt'eattnenYortran_sferfacility <br /> GEN MATORf <br /> i AUTHORIZED <br /> 6�r 1V1„F1 l CrhTE: <br /> 51GNATUt�Ei "'l E7ATE:.' �. t�Nr1TUAtw: <br /> Q <br /> DK7D1XON, A88LlRYENSIIRONM5NTAL RIVERBANK OIL TRANSFER ©CFR Q GLOBALMATERiALMGM <br /> 7$00 C iE�RON.INAY 1920 MORGAN RD. 5300 CLAUS RD.. 2035 E.ISTH 5T: 1640 N.6SOACWAY <br /> DIXON,.CA 95620 CERES CA_135358 Flt\!ERBAt+fK,CiL95367 LA CA 94x21 STOCKTON,CR 95205 <br /> 707-693-600$ 208=541-]325 209=883 81.67 213 745 0237 .3ae-770-2577 <br /> I EFA4 CAT080012602 EPA,#CALoommea0' EPAN 040001 0316 EPA#CALM0270577 ERA9 0ALOOD4173316 <br /> T_ rAFC'7e .e. <br />