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AMERICAN VALLEY 167624 <br /> WASTE OIL, INC. Invoice Number: <br /> P.O. Box 340• Delhi,CA 95315 <br /> PH. 1-800-732-4645•FAX 209-668-3880 <br /> EPA#CARD00272302 <br /> AQUILES AUTO BODY&REPAIR OB SITE: AQUILESAUTO BODY&R oice Date: <br /> BILL TO: 480 E.11TH ST 1 480 E.11TH ST <br /> CALL AHEAD CALL AHEAD <br /> TRACY,,CA 95304 TRACY,CA 95304 <br /> �k EPA# <br /> Phone 209-831-9603 sUZA mstomer P.O. CALL AHEAD Terms C.O.D. CALOOD386491 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 13 X 4• 35 ' <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Drained Used Oil Filters <br /> TERMS: Invoices over 30 Days are subject to a 1,5%service charge. Customer agrees to pay all legal tees it court action TOTAL <br /> becomes necessary to collect this invoice. <br /> By signing I herby certify that I have not mixed any of the waste described above with any other hazardaus waste,the total halide content is LESS than 1,000 ppm,and the <br /> waste does not contain any PCBs.I have complied with the requirements of the applicable California used oil management regulation to determine this is true.I agree to <br /> accept the additional charges for the disposal of this waste It the information 1 have provided about this waste is incorrect. <br /> Generator's Certhrcation:By signing I certify that if I am a large quantity generator,I certify that I have a program in place to reduce the volume and toxicity of waste generat- <br /> ed to the degree I have determined to be economically affordable and that I have selected the practicadle method of treatment,storage,or disposal currently available to me <br /> which minimizes the present and future threat to human life and the environment:Or,if I am a small quantity generator.I have made a Good faith effort to minimize my waste <br /> generation and select the waste management method that is available to me that I can afford. <br /> American Valley Waste oil hereby advises the above Generator that generators shipment of used oil may be transported to a facility that <br /> is requiredoued to comply management withd fral <br /> regulations applicable to management of used oil,but that is not required to comply with the more stringent requirements applicable <br /> ties.California facilities That handle or process used ail are required to meet those more stringent requirement,and some out-of-sfate facilities that process used oil also meat <br /> those requirements,engineering.certifications of tank Integrity,and financial assurances for closure and accidental releases.It is lawful to send used oil to out of state facilhies <br /> that comply only with federal used all management standards and not these more stringent requirements <br /> Thisnotification is for information purposes only. <br /> By both parties signing this invoice it will serve as an agreemen American Valley Waste Oil will submit confimlai' for waste streams)to the generator that their <br /> waste has been transported to a licensed treatment or t facility. <br /> GENFRAT0R1 <br /> DRIVERAUTHORIZED DATE. <br /> SIGNATURE Y- SIGNATURE', <br /> DISPOSAL 1 RE LING FACILITY <br /> O DK-DIXON ASBURY ENVIRONMENTAL O RIVERBANK OIL TRANSFER O CFR O GLOBAL MATERIAL MGMT <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 530D CLAUS RD. 2035 E.15TH ST. 1640 N.BROADWAY <br /> DIXON,CA 95620 CERES,CA 95358 RIVERBANK, CA95367 213 74&0237 0021 818-770-2577 <br /> ON,CA 95205 <br /> 707-693-6008 209-641-1825 209-883-8181 <br /> EPA*CAT080012602 EPA#CAL000393680 EPA#CALOD0190816 EPA#CAL000270577 EPA#CAL000417316 <br /> MPC{71291 6) <br />