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O W <br /> W O <br /> WWW slguv.unji�I,k, - O 01 < C <br /> M cn o <br /> = O 03 <br /> U) Z5AMERICAN VALLEY (n � `n <br /> WASTE OIL, INC. Invoice Number: Q `< <br /> W <br /> P.O.Box 340•Delhi,CA 95315 (D <br /> ® PH.1-800-732-4645•FAX 209-668-3880 C- <br /> EPA#CAR000272302 3 <br /> BILL TO: ]OB SITE: Invoice Date: �D <br /> A D r,`: . <br /> 0 <br /> Phone Customer P.O. Terms EPAM "'-n2c <br /> (D <br /> Q <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> 1`1 NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> K NON-RCRA Waste Liquid Used Oily Water 223 <br /> Drained Used Oil Filters <br /> 1� <br /> o, <br /> z <br /> a <br /> � I <br /> TERMS: Invoices over 30 Days are subject to a 1.5%service charge. Customer agrees to pay all legal fees it court action TOTAL <br /> aste,the total halide becomes necessary to collect this invoice. <br /> wa to does note ontai any PCBs.e have complied w'Rh the eq tl emenisdofbhe applicableoCalitorniarosad <br /> it management regulation to determine this s rue ent,is LESS than i.000 p�greedhl <br /> to <br /> accept the additional charges tar the disposal of this waste if the intormafion I have provided about this waste ism incorrect <br /> in place to <br /> ava <br /> ed torthe degreelllhave d ear n ed tocbe econom tally affordable and that haverseleted the pract cable method tor.I havreduce a rage.or dsposal currently mizemy for <br /> which minimizes the present and future threat to human lite and the environment:Or,if I am a small quantity generator,I have made a Good faith effort to minimize my we <br /> generation and select the waste management method that is available n at that I can afford. <br /> clere <br /> American valley llwaste oil hereby advises the <br /> able to management of used booil,e Generator <br /> ner is o threqu'generators <br /> ed to compshipment th the mo a oil <br /> stringent requirements remens appto licable tothazardouIs required <br /> waste maused oil also, <br /> nagement tta� <br /> hat <br /> ess <br /> regulations app <br /> those relquirelmentstlengineering acerti cat ons of to oil are <br /> and financial assuranc s for cosuen re end ace dental releases.uirement.and some lts Sawlutate ho'lsendies tused oto out of state far <br /> ties.i 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 Me generator that <br /> waste has been transported to a licensed treatment or transfer facility. GENERATORi - <br /> AUTHORIZED DATE:!I <br /> DRIVER DATE'. _ SIGNATURE: <br /> SIGNATURE: — <br /> DI POSAL/RE YrLING FACILITY O GLOBAL MATERIA <br /> IVERBANK 2035 E,15TH ST. 1640 N.BROADWi <br /> O DK-DIXON O 1920 MORGAN RD.ENVIRONMENTAL 5TR300 CLAUS RD. 367 CFR LA,CA 90021 STOCKTON,CA 9 <br /> 7300 CHEVRON WAY CERES,CA 95358 RIVERBANK, CA 95367 213-746-0237 818-770-2577 <br /> DIXON,CA 95620 209-863-8181 EPA#CAL000270577 EPA#CAL000417: <br /> J 209-541-1825 EPA#CAL000190816 <br /> 707-693-6008 <br /> EPA#CAT080012602 EPA#CAL000393680 <br /> CD <br /> n <br /> O <br /> — Q <br /> cQ - <br /> CD <br /> N ZJJ <br /> O_ C3 <br /> (J1 <br /> N <br /> O-> <br />