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AMERICAN VALLEY 173654 <br /> WASTE OIL, INC. <br /> Invoice Number: <br /> P.O. Box 340•Delhi, CA 95315 <br /> PH. 1-800-732-4645•FAX 209-668-3880 <br /> EPA#CAR000272302 <br /> AGUILLES AUTO BODY&REPAIR AGUILLES AUTO BODY&REPAIR <br /> BILL TO: 480E 11TH ST JOB SITE: 4S0 E 11TH 3T Invoice Date: <br /> CALLAHEAD GALLAHEAD <br /> TRACY,CA 95304 TRACY,CA 95304 <br /> Sales <br /> Phone 209-831-96033UZ jNstomt UAHEAD Terms EPA# <br /> C.O.D. CAL000385491 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 Cain qSDO <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Compliant Drained Used Metal Oil Filters <br /> SALES TAX- <br /> TERMS: invoices over 3o Days are subject to a 1.51/6 service charge. Customer agrees to pay all legal fees if court action TOTAL (� �-- <br /> becomes necessary to collect this invoice. I <br /> By signing I herby certify that I have not mixed any of the waste described above with any other hazardous waste,the total halide content is LESS than 1,aoo ppm,and the <br /> waste does not contain any PCBs,i have compiled with the requirements of the applicable California used oi€management regulation to determine this is true.I agree to <br /> accept the additional charges for the disposal of this waste if the information i have provided about this waste is incorrect. <br /> Generator's Certification: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 practicable method of treatmem.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 he transported to a facility,that is required to comply with federal <br /> regulations applicable to management of used oil,but that is not required to comply with the mora stringent requirements applicable to hazardous wasta management facul- <br /> ties.California facilities that handle or process used oil are required to meet those more stringent requirement,and some cut-of-state facilities that process used oil also meet <br /> those requirements,engineering certitications of tank integrity,and financial assurances for closure and accidental releases.It Is lawful to sand used ail to out of state facilities <br /> that comply only with federal used oil management standards and not these more stringent requirements. <br /> This notification is for information purposes only. <br /> By both parties signing this invoice it will serve as an agreement that American Valley Waste Oil will subm8 confirmation for(certain waste streams)to the generator that their <br /> waste has been transported to a licensed treatment or transfer facility. <br /> GENERATORI <br /> DRIVEROTHOR Iz�o <br /> SIGNATURE: iii _�— DATE: . , IGNATURE: (j DATE <br /> DISPOSAL/RECYCLING FACILITY <br /> O DK-DIXON O ASSURY ENVIRONMENTAL O RIVERBANK OIL TRANSFER O YUMA YES LLC O AMERICAN VALLEY WASTE OIL.MR <br /> 7300 CHEVRON WAY 1920 MORGAN RD, 5300 CLAUS RD. 6500 US HWY 95 521 INDUSTRIAL DR STEM <br /> DIXON,CA 95620 CERES,CA 95358 RIVERBANK, CA95367 YUMA,AZ 85365 LIVINGSTON,CA 95334 <br /> 707-693-6008 209-541-1825 209-863-8161 928-344-9828 209-667-8657 <br /> EPA#CAT080012602 EPA#CAL000393680 EPA#CAL000190816 EPA#AZR000621146 EPA#CALOOD443004 <br /> MPG(71201 el <br />