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06 / 11 / 2021 1130 PM FAX 2099488625 AMCE SAW _ [a 0003 / 0012 <br /> Aivl RiLA �. <br /> ALL . _ <br /> =. fL , INC , <br /> P.O. BOX 3,40 • Debi CA ,95315 1r3voiee Number: <br /> PH , 1 -800� 7324646,,�. <br /> L=AX 209,668-3880 <br /> i EPA## CAR000272302 <br /> BILL TO.o <br /> f t : M�fl�l. XOI� SITE: ACME �.� <br /> it0ToCl{T ON, OA. �x8 <br /> 120:II ir , tulAlty ST In�voict< Date. <br /> K, AIRPORT <br /> STOCKT011V1, CA 9$ 206 <br /> Rhone U Able r u P. O.ustomer AlbaltKoltlma <br /> . Terms Net �3p �& r; PA <br /> AL000178438 <br /> PRODUCT SHIPPING DESCRIPTION <br /> WASTE~ MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON= RCRA•Waste Liquid Used Oil/Mixed 'Oils• I 221 . : : ,: . <br /> N.ON-RCRA Waste Liquid Used Antifreeze 13%9 '41 Palo <br /> NON=RCRA Waste Liquid Used Oily Water 233 <br /> Compliant drained Used Metal Oil Filters <br /> OIL COLLEC11ON FEE <br /> TERMS : Invoices over 30 Days are subject to a 1 ,5% service. charge; cue Omer agrees to pay all legal fees it court action <br /> becomes necessary•to collect this invoice, TOTAL. <br /> By signing i herby certify that i have not inked any of the waste described above with any other hazardous waste, the total halide Content is LES$ than i t?00 , <br /> waste does not, contain any PcBa. I have complied with the requirements of thea A g g ppr i, and the <br /> accept the•addtional charges for the dl poral 0} this waste if the inforrYlatiori i have Provided about ed olle Sanagemecorrect.t regulation to determine this is truo, i agree to <br /> Generator's certification: ey Signing I certify shat if i am a large quantity generator, t certify that I have a program in plate to reduce tho volume and toxicity of waste general- <br /> ed to the degree I have determined to be economically affordable and that 1 have selected the•prac'ticable method of treatment, storage, or disposal currently available to me <br /> which minimizes the preterit and future threat to human life and the environment: Or, if i am asmall quantity generator, I have made a Good faith effort to minimize my waste <br /> generation and setho <br /> select the waste management n1c0d 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 transported to a facility that is required 16 oamply with fetleral <br /> regulations applicable to management of used oil, but that is not required to comply with the more stringent requirements applicable to hazardous waste management facie= . <br /> tlea, California facilities that handle or process used oil are required to meet those more stringent requirement, and some out of-sfate facilities that prgCess used oil also meet <br /> those requirements, engineering certifications of•tank integrity, and financial assurancea for cloauro and accidental releases, It is lawful to 'sgnd used oil to out of state facligies <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 their <br /> waste has been tra aported to a llodnsed treatment or transfer facility. <br /> DRIVER GENERATOR/ I <br /> SIGNATUR ' �� GATE. • AUTHORIZED r' <br /> SIGNATURE' i�i'i✓ D42.,LP3 Ill <br /> b F? SA / R by G F ! iTY t1 <br /> Q DK-DIXON ASBURY ENVIRONMENTAL. Q RIVERBANK CfILTRANSF(FRI <br /> 7300 CHEVRON WAY 1920 MQRGAN RD, 5300 CLAUS RD. � 6500 us A YES LLC �95 $21 IND STRI WASTE q(t INC <br /> DIXON, AL DR <br /> CA 95620 CERES, CA 95358 RIVERBANK, CA 95367 YUMA, AZ 8 365 LIVINGSTON, ICA 95334E M <br /> 70T '6986008 j 209-541 - 1825 3 8191 928 844.9828 209 6$7-6857 <br /> 15PA# <br /> I EPA# CAT080012642 EPA# CAL000393560 SPA# CAL000190816 <br />( EPA# AZFt000521146 RRA# CAL000443004 !� <br />