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AMERICAN VALLEY 148516 <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#CAL000416714 17 <br /> BILL TO: FLEENOR PAPER u0 ]OB SITE: 1--Lr:ENOR PAPER W Invoice Date: <br /> 4201 E.FREMONT SI 4.,W1 E.F REMUN T ST <br /> STOCKTON,C;A 96216 :31 UiCX UN,CA 'd�lia <br /> _ <br /> Sales Hap <br /> Phone 1-M JU:,UL Customer P.O. Terms EPA# <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST UAiv 111 Y PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 "'5 <br /> ZU-- <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 233 �Y <br /> Drained Used Oil Filters <br /> OIL COLLECTiON FEE <br /> i <br /> Sam <br /> I <br /> TERMS: Involces over,30 Days are subject to a 1.896 service charge. Customer agrees to pay all legal fees If court action TOTAL <br /> b r:ntmes nw.asattry to collect thla Irivatce. w <br /> BY 91gNrtg I nertiv reedy rlent 1 nava not rntxad any of the wathe described above vrith any other hararaous waste,the total halda content Its LESS than 1.W0 prnn•and the <br /> waste drsatt not contsn any PCaa.I have ce mplInd with the requlmrnenla of the appRuutft fapfdmlo used oil management regtrlation to determine this Is true I agree to <br /> aaoVt the addlllorml charges for the disposal of this waste If the information I have provided about this waste Is Incorreot. <br /> Generator's Conl[iCasivn:ay steXrting i certify That If I am a large quantity psnarator.I caMly that l hn>nf a proprarn ki pWce to reclOCO the vohmrt dr d:nxlvily n1 6wom flmternt- <br /> ed to the dogma I Ilam determined to ho ercrnnmlrnlly affordable and that I lwve aaWecled the prraotkat>ta malixrrl of irf.nlmanl,fttsra{fa.a d".at CwTaidly u+aliabin to ma <br /> which minirriaas the praettem nod hiltae thnMI to human we and thm environment or,k t am a small quantity perima".I Ivey nettle a Gem]faith alfnrt Iii minimVe my wra^lp <br /> generation and select the waste management method that is available to me that I can afford. <br /> Anwrital Valley Wosto oil hweby advipna the nbQve iaeoerntm that gaaurators shipment-of used elf may he tranepol"A to n faerltry tteat 6 ree101 rl In r:sxerply Will fatlarai <br /> regUallona apillcnhid to innnug moth nr uewl ol1•but Stott la not ruquired to comply wish the fnam stringent require menta appkabla to hd4srdotts waste nuinayument fA&I- <br /> µ�,California rac-1:11 1 ttmi nanrile Of prooess uraci all are required to nwet thoan moxa atringam faquirtmnnt.nix!some out-of-slate faolf✓t m Chat Voce"u:uid nil vino meat <br /> these regrlrerro tn,aiyinnering cewimcavons of Innh inieprity.and rrreincial r�urancea for alosum ern(I ncc, td metal refeaRen-It is lawful 10 gond used oll to not of Stata far Bilins <br /> Ihnt comply only with fedora}used oR menngeinmet slandnnJs and not Slue MOM snlngr�nI Midremartbt. <br /> This notillcatkm is for information purposes only. <br /> By both partiessigning this Involoo itwlll serve as an agrwsmenl blue mrican Valley Waste ON will submit confirmation for(certain waste streams)to the generator that their <br /> waste has bow on <br /> d to a 11 Irrienl or tmnsfar I <br /> DRIVER .- 11THpRIZfD <br /> B(t3NAT DATE: / 91CtNATVRE. - DATE <br /> I <br /> DK-DIXON Q ASBURY ENVIRONMENTAL O RIVERBANK OIL TRANSFER Q CFR O GLOBALMATERIALMGMT <br /> 7300 CHEVRON VUAY 1920 MORGAN RD. 53DO CLAUS RD. 2035 E.15TH ST. 1640 N.BROADWAY <br /> DIXON,CA 98620 CERES.CA 95358 RIVERBANK, CA95367 LA,CA 90021 STOCKTON,CA 95205 <br /> 707.693-6008 707-693-6008 20"63-8161 213-746-0237 818-770.2577 <br /> EPA#CAT080012602 EPA#CALOOD393680 EPA#CAL000190816 EPA#CAL000270577 EPA#CAL000417316 <br /> - n+Pc 1�,7oe ei <br />