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AMERICAN VALLEY 17687� <br /> WASTE OIL, INC. Invoice Numb <br /> P.O. Box 340 - Delhi, CA 95315 <br /> PH. 1-800-732-4645 - FAX 209-668-3880 <br /> EPA# CAR000272302 <br /> BILL TO: JOB SITE: F1 F'Fl R PAF R 1."I"J <br /> T Invoice Date: <br /> I -Oi L,.' FRET,,,K)HT'S <br /> _Phone Customer P.O. Terms EPA# <br /> t'I bD061�i ��A L.U1JV.3 iiW 6 <br /> PRODUCT SHIPPING DESCRIPTION MANIFEST QUANTI PRICE AMOUN <br /> WASTE <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> c J:+- <br /> Compliant Drained Used Metal Oil Filters <br /> N <br /> OOA <br /> _j <br /> Z <br /> u) <br /> m <br /> w <br /> 0 <br /> uj <br /> w <br /> co <br /> TERMS: Invoices over 30 Days are subject to a 1.5%service charge. Customer agrees to.pay all legal fees if court action TOTAL <br /> becomes necessary to collect this invoice. P"_) Y <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 1,000 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 Qerlifii-.alion:By sioning I(.ertify that ifl arp 2 IPF90 qUariLity.goneKator,I cvNify that I havq-a program in place-to reduce the volume and toxicity of waste generat- <br /> ed to the d8orne I have dr--ter mined to be econDrlliCally affordable and that I i,,ave,elected the prarlicablEm method of treatment,storage,or disposal currently available to ME <br /> whIcri lotufa Tl7rkW to human Iffy and the QnvirQnmant: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 be lram5pcitted to a faclUty that is required to comply with federal <br /> regulations applicable to management of used oil,but that is not required to complymith the more stringent r6c0snients-applicable to hazardous wast management facili- <br /> ties.California facilities that handle or process used oil are required to meet those more stringent requirement,and some out-of-state facilities that process ocess used oil also me( <br /> those 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 faciliti( <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 submit confirmation for(certain waste streams)to the generator that theil <br /> waste has been transported to a licensed treatment or transfer facility. <br /> GENERATOR/ <br /> DRIVERAUTHORIZED! <br /> —SIGNATURE:.'Il DATE: SIGNATURE: DATE/- <br /> DISPOSAL / RECYCLING FACILITY <br /> 0 DK-DIXON 0 ASBURY ENVIRONMENTAL Q/R"IVERSANK OIL TRANSFER 0 YUMA YES LLC 0 AMERICAN VAUEY 4VASTE 01 <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 5200 CLAUS RD. 6500 US HWY 95 521 INDUSTRIAL 17R S1 <br /> DIXON,CA 95620 CERES, CA 95358 RIVERBANK, CA 95367 YUMA,AZ 85365 LIVINGSTON,CA 95334 <br /> 707-693-6008 209-541-1825 209-863-8181 928-344-9828 209-667-8857 <br /> EPA#CAT080012602 EPA#CAL000393680 EPA#CAL000190816 EPA#AZR000521146 EPA#CAL000443004 <br /> MPC(7 <br />