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Phone Customer P.O. (Terms I EPA; <br /> N -:4- <br /> f 'LL <br /> !PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST IQUANIT[TY I PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils I 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 -j-j A-1 <br /> NON-RCRA Waste Liquid Used Oily Water 223 j <br /> Compliant Drained Used Metal Oil Filters <br /> TER MIS Invoices over 30 Days are subject to a 1-5 1.service charge. Customer agrees to pay all legal fees if 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 hazardous waste,the total halice content is LESS than 1.000 ppm,And the <br /> vje!;te noes rrvt coni any PCBs.I have complied with the rimulrameifts o!tte aWl,cabla,California used oil management regulation to determine this is true.I agree to <br /> .t - <br /> aide',the add*oml rl%aoes rc.!P�--disc�0'.iz1 of this wag-r-1 he infWmulicvi I have provider?abbut?his wa--to is incorrect. <br /> 0"3ri-tulor's By sigfilti-,I CENIII'l that If 12191 2 10�12!Janh:Y gerMerxor,1 caftutv that P iiiaivr a program in pi:&c6fu induce trie vvi-.rrpuad rtwicltv of.4wt& <br /> ob'to�Iftiier degrgo I h-we'a CIA fwmined to t�--c-nor.nrn icolly affondriblo wincl tnal I nave;5-electod the gmi--icabile,method 4�rf ft%t T,71 r ti�4� <br /> mgn , dmcge.of�d4pq$.�Q_ = <br /> *Ich'mln�-fixes the'�mso rltsM tilu ri�threat to tylinki in FrIle:and tlw"r''ronrr-gym on If 1 an a iur.aii 4:,t-4an.tity I Have'ni3de.3 C�c�od fott--vil-fne.tz mir-int"rriy waste N. <br /> un'pm'a!�n an J t1w wan'l L,im.a^Qgrrteiti rmrthcd ft-Tt is avwlabae:a me that I car aftr& <br /> A�n, 0 Genq!lir compty'WAhledeTal <br /> 4�c,en vEllroy.vvt5 tQ Gil rior��if>��,civisv:s i tie ab. 6 e <br /> n3gu=appgc-abit�to rnana,�nmi of used oil,iau i mai is not rmji�fea to comply with the more sWr4LLnj requirements nppl�la to hazardous waste managemeM I acM- <br /> lies. niz 146jitle,,that handlo or process used oil are required to meet those more stringent reqUirerner)L,and sunie out-oi-,tale 4ablitips that ,)0 <br /> 'hose fequiremEor,-,%engineering certifications of tank integrity,and financial assurances for closure and arcidenk3l releases It is lawful to send jsad o,l in out c9 stele Sau'it:as <br /> that comply only With federal used oil management standards and riot these more stringent requiremems, <br /> This notification is for information purposes only. <br /> By I both parties signing this invoice it will serve as an agreement that American ValleyWasta 011 Will Submit corfir-nation for(certain v,,astc streams)tc gne:acr <br /> waste has been transported to a licensed treatment or transfer facility- <br /> GENERATORi <br /> DRIVER 0-. 2� MAJTHORIZED <br /> SIGNATUAAlDATE: SIGNATURE: <br /> t, <br /> T E N <br /> ,DISPOSAL I RECYCLING FACILITY <br /> 0 DK-DiXCN 0 ASBURY ENVIRONMENTAL (D'RIVERBANK Olt-TRANSFER 0 YUMA YES LLC C) <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RID 6500 US HWY 95 521 INDUS.—R]Ai DR STE M <br /> DIXON.CA 95620 CERES, CA 95358 RIVERBANK, CA95367 YUMA,AZ 85365 UVINGSTON,CA95334 <br /> 707-693-6008 209-541-1825 209-863-8181 928-344-98210 209-667-K45-7 <br /> EPA#CAT080012602 EPA#CAL000393680 EPA#CAL000190816 EPA.9 AZR000521146 EPA."CAL,304�300-' <br />