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AMERICAN VALLEY = 4 <br /> WASTE OIL, INC. Invoice lumber: <br /> P.O. Box 340 o Delhi, CA 95315 <br /> PH- 1 -800-7324645 • FAX 209-668-3880 <br /> EPA# CAR000272302 <br /> BFb,L TO: dl .;Kr1(i JOBSITE — Pdn Invoice Date: <br /> 13-c4 r.,'F.,.. CA :zaX <br /> Phone Customer P.D. ', Terms EPA <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST }QUANITITt' PRICE AMOUNT <br /> CODE <br /> --__. <br /> NON-RCRA Waste Llquid Used Oil/Mmed Ods 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Comofiant Drained Used Metal Oil FiltersI. <br /> OIL COLLECTION FEE I _�..... <br /> I <br /> ' TERMS! Invoices over 30 Days are sUbjectto a 1 .5% service .charge Customer agrees to pay all hi fees 'fca ur, - <br /> ion TOTAL <br /> becomes necessary to collect this involve. act <br /> Bysigning lherby.costly Nat l have not mixed any of the vraste unintended above with one other hem'tlptxs waste. She total halide contents i-E93 rivir ,gn0 open. arcane <br /> wader den notcontain any PCBs- I havecompliedwlth MergRulremena of the applicable Cadom3easetl oil managemrnttagulatim to detentir dtls is rises a9rea to <br /> accept the addNonal c:trniesd the disposal of thiswsener dthe. wthrrnation I nave pravlded abodnflt;s eras:a is -ortm [. <br /> Gerearwrs emitanclon: By signing Icehfrythat U l an a Gate rHanl1Fl9enerator: I cerely the. I have program to place b redume to volume and toilcity d waa[egenera:- <br /> M to the course I have determined 10 de,.economically cremationsand that I have arradend the Overloads <br /> 9 mood of p scc y me <br /> vhoh mnlmzes the prey and tumid throat To se fe and the eirvmnmrrt: Or, 't l am ty generator l ht^ <br /> avemaae a Good fa . ryffmd trinmzem, essis <br /> gehemson and select the waste management method that is avagi ie me that l car, afford. <br /> Amemi Valley Waste 011 hereby sell vi on above General Me ganeretors shipment of used oil may betransport¢d to a faclnty that is reauired is comply vnth federal <br /> eigulotlens applicable to marmgmnottt of used Mt. but that a not isprtiredto mamphi with me mare stringent rmufremerM1S appl:pabk to hazardcrrs wasYemana9ememt¢Gn- <br /> 2s. Calitomia faJlities ihzt hnndia w procevsusad oil are regtnretl io meetltwve more s:nngeMrequiromelrt and soma out-et-state iacill:ies hat p+a<e�used oil also meet <br /> those requirements, engineehng certlHcatlons of ernie: Integrity,and fie ncal essurancesfor closure and accidental releases. It is IawFul Yosentl used oi( to out of slate fecllled <br /> fis <br /> .comply only with federal used oil management stanCerz3s and nut Nese mote stringent requirements. <br /> ThlanoGilc¢tbnlsfor ln?pnnalon parposed anh. <br /> By both paths skinirro 'His invoices it till cerve Moen regiment that Amaranth vlsy yeaarm Oltyensubmit confirmation for fmcain. vvazie streams a ha geni that'her <br /> waste has been Cansported to a !Icensetl heat'nenl or Yansler faNlity. <br /> GENERATOR' <br /> DRIVER AUTHORIZED { .% 1 <br /> SIGNATORE: DATE�6�t�/4 SIGNATURE )2riG-1 t' `tJ� DATE�Q /3J 'p <br /> DII SPOSAL / RECYCLINGFACIL= <br /> O DK-DIXON 60 SURY ENVIRONMENTAL C RIVERBANK OILTRANSFER Q YUMAYES LC O Ai*reo w vralcr wnsre orL !N: <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD. 6500 US HWY 95 521 INDUSTRIAL OR STEM <br /> DIXON, CA 95820 CERES, CA 95358 RIVERBANK CA 95367 YUMA, AZ 85365 LIVINGSTON- CA 95334 <br /> 707-6936008 209-541-1825 209.863-8181 928-344-9828 209-667-8857 <br /> EPA# CATOSOM2602 EPA# CALOOM93680 EPA# CALOGG190BI 6 EPA# AZR000521146 EPA# CAL000443004 <br />