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Phone I Customer P.O.,, ITerms EPA# ` <br /> 20E} 4i1.8898 f�]Si.1E .. , ; <br /> PRODUCT SHIPPING DESCRIPTIONWASTE MANIFEST f ANTiTYi PRICE i AMOUNT <br /> CODE <br /> r <br /> ly NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 - f <br /> NON-RCRA Was'Ie Li aid Used Antifreeze 133 I; ,- X7, <br /> �I NON-RCRA Waste Liquid Used Oily Water 223 <br /> � Carnpliank Drained Used Metal Oil Filters , <br /> t t _ <br /> ,_i,t•� �tib; }mss �i-� —t:"•_ - <br /> I <br /> I _ <br /> I <br /> TEnmSr (rtvoices over 3o Days are subject to a 1.51. service charge. Cust3rner agrees to pay all legal fees court actor. <br /> TOTAL <br /> bec6 rne=-rte[e5Sary to colla:[this invoice. <br /> SY a:�rSlnr I Y Cart='-r i!-ai r'raN9 r>rt[liiRC-� y 4t Vlo Kr65•.L"-!amrtCl°CS-7tcd T Nod a, GFFiv r1a tv Gc[5 vY35t8,the fOt8f handOaO> L7orrt �d>?tflarT1I1m13tY.+1fs+5 S0.Ji'.J Bgre•rte!.';e <br /> ifs dri;r cGrttrrir any'PCr? r Hn'e cr�my�i wrth the requir�steFis of:he 5[)p9 va<r b tr5sr!WI r3rt t M3+.fa <br /> aCre:f!ihb aarlltta w th lc�r ms dfn)os [of Th-s v/-=,n K itv in1cvr=rL,1 i Plmt-r avfd-j �1 tw35i2 rl-wccw..Rc7- <br /> - 8t9 COf`.i�caConl 9ya-gtlraj 1 CC.'J}Y ttw if i 0,a Gtr ctor-:ty gemf �,i codWy twk I heka a ptvg-am w+rAmo x 'ltv 1'wwr+e m74 ftwc y Pr yh�rp7rlry- +� <br /> i'nn.a dalasninod to as ecpntlrr;tcrittyaf ordabro and tl,ci r hnv,�se4r gdd#ory yrpCw-N <br /> tkdboe rd of tri "nt sibr+rt*-ordreaadwl Y a wia~'b'to mr { - <br /> -1tl:16:�h°,dE'9!Er8 rTWf�Tno:za U dll tis 4 wt'-0r..k cn^-.�rr.r HOata _ <br /> q,?fiCT't.mll7irri2l91}i3 A[osPs�L'xt ttrt:ra t3n�r':to fr_irtav,Erre anr]L''C e:»nartr[se'+ti Cr,tf 7�;s-a atP�R�''�Y 9`��i• y <br /> rr,,�• ar,d""d the wxvm rranr srr+�ril r�ethaa'ntRr iJ ayn+ tD nki ttrtrl.l L31n eflFarsi,-. <br /> - r atV rr sa trw:svartLS7 7C a S1tCyA 'y5@`-tq SE•gwse4!C C�i7.y wC,y7 t4�t3 k <br /> AffW an VW16Y w�bd tse+�adV`sa`rrw It ava:xaxrattr Imt gent r9!crs is ws7V, a is„ �^ m�tP m�nxa�[srfint+.acrK <br /> ri�jt 6a3 orss n}YalrrstSie+a rnannegt�n:ti'us4d at,txUt tt'.at m not .qufd to exrnelY wth tyle mtxe s t xtga[*t r <br /> [tC$. ilF�cirrl t{dC3GfreF*.=tt+Andts Or S,1rcCess us Z'1 oil am z qu-d to ma-a-t"=P-nvl re stringeni rectal rerrtem.anrz 5L•fna alr�^[3t-s'„W.^ +SRiDsSllat i%oCeSB used 0A a'::r Ems•'+. <br /> ffit3SY f[xfLrtrt;trl ter+'-. cWt5catrDr.&o},'—k'flt-grty,and fln;eK a!'IFWames for CWWM in`[�t!t tipS't3 rC' !:!t%tawiu:to.setr6u^.,.:"ois to out of s2::a?e':acrir;•es .I <br /> trig' m.raty W ly witt+tEdsr3 ttsed 01 rmwaq--mn,sit3ndaras d riot these mor=stringent requlrer,:enis. <br /> fThis notification is for information purposes only. <br /> By both parries signing this invoice rt will serve as an agreement that American Valley Waste Oil wil'.submit con'ration for icertam waste streams!:c the genes oto;'hat;h r_r <br /> viaste has been tram-, oned to a licensed treatment or.ranster facility <br /> GENERATOR' �,-• <br /> DRIVER �` _ - AUTHOR ZEU F i <br /> SIGNA'URE: <br /> SIGNATURE _y <br /> f <br /> D P SAL 1 RF�YCLING FACILITY <br /> _ Q DK-DIXON O AS€3URY ENVIRONMENTAL RIVERBANK 01L TRANSFER Q PUMA YES LLC 21 INDUSTRIAL TRIAL D .C M <br /> 7300 CHEVRON WAY 1920 MORGAN RD, 5300 CLAUS RD. 65C0 US HWY 95 LIVINGSTON CA 9533^ <br /> I DIXON,CA 95620 CERES,CA 95358 RIVERBANK, CA95367 YUMA, - 85305 <br /> 209-863-8181 928-344-99828 209-667-8857 <br /> 707-693-6008 209-541-1825 EPA�I`CA1,0001443G0A' <br /> EPA#CA <br /> CAT080012602 EPA#CAL000393680 EPA#CAL00019081Ei EPAx AZR00052114E <br /> =[ .zer. <br />