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AMERICAN VALLE <br /> WASTE OIL, INC, Y <br /> 71 r- <br /> 5 ' , <br /> PH• BOX 340 - Delhi CA 95315 invoice Number: <br /> FA' <br /> - <br /> BILL TEfi3A#O: RANL)y-8 ON 1,HE AR000 FAXCA <br /> 668-3880 <br /> 272302 <br /> 710 E y SPOI <br /> 0SEMI'li-E AVE V i C, JOB SITE: <br /> MAN TEC CA <br /> RANDY8 ON J <br /> "HE-:S"OT <br /> "")'y0-9EMITEA%eE ALJ <br /> Phone rr 10ANTE—A,,CA q, <br /> 6 custorrier P.O. <br /> U to <br /> T Terms <br /> Ee <br /> PRODUCT SHIPPINGr�'s EP, <br /> DESCRIPTIO Sales'-Zer, <br /> QUANTITY <br /> WASTE MANIFE T' " <br /> CODE. PRICE- <br /> Alv�o'UNT <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils <br /> 221 <br /> NON-RCRA Waste Liquid Used Antifreeze? <br /> ------ 133 <br /> NON-RCRA Waste Liquid Used Oily Water <br /> ------— 223 <br /> Drained Used Oil Filters <br /> --------—-------- <br /> TRIVIS. Invoices over 30 Days are subject to a 1.5%service charge. Customer agrees to pay all legal fees if court action <br /> ecomes necessary to collect this invoice. <br /> TOTAL <br /> By signing I herby certify that I have not mixed any of the waste described above with any other hazardous waste,the total halidecontentis 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 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 /> ad to the degree,I have determined to be economically affordable and that I have selected the practicable method of treatment,storage,or disposal currently available to me <br /> ovhich 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 rnywaste <br /> leneration 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 is required to comply with federal <br />-gulations applicable to management of used oil,but that is not required to comply with the more stringent requirements applicable to hazardous waste managementfacili- <br /> es. California facilities that handle or process used oil are required to meet those more stringent requirement,and some out-of-state facilities that process used oil also meet <br /> iose 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 facilities <br /> at comply only with federal used oil management standards and not these more stringent requirements. <br /> its notification is for information purposes only. <br /> both parties signing this invoice it will'serve as an agreement that American Valley Waste Oil will submit confirmation for(certain waste streams)to the generator that their <br /> iste has been transported to a licensed treatment or transfer facility. <br /> GENERATOR/ <br /> VER AUTHORIZED <br />\IATURE: DATE: SIGNATURE: DATE:' <br />'POSAL RECYCLING FACILITY <br />�K-DIXON 0 ASBURY ENVIRONMENTAL 0 RIVERBANK OIL TRANSFER 0 CFR 0 GLOBAL MATERIAL MGMT <br /> 300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD. 2035 E. 15TH ST. 1640 N.BROADWAY <br /> IXON, CA 95620 CERES, CA 95358 RIVERBANK, CA 95367 LA,CA 90021 STOCKTON,CA 95205 <br /> 209-863-8181 213-746-0237 818-770-2577 <br />)7-693-6008 209-541-1825 EpA#CAL000270577 EPA#CAL000417316 <br />:'A#CAT080012602 EPA#CAL000393680 EPA#CAL0001 90816 1 <br /> MPC(V20-1-6) <br /> ----------- <br />