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06 / 11 / 2021 1 : 39 PM FAX 2099488625 AMCE SAW 0004 / 0008
<br /> r AMERICAN TALLEY , 181506
<br /> WASTE OIL , INC . Invoice Number: ,
<br /> P. O. ' Box 340 ► DelhI , CA 96315
<br /> PH . 1 -800�7324645 • FAX 209668-3880
<br /> . EPA# CAR000272302 .
<br /> Vill IlIto Ir
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<br /> BILL TO :' A4>�r1E r;vv JOB SITE: ACME • 5Av
<br /> 1204 E. MAIN 1204 E , MAID ST Invoice Date:
<br /> G'TOC.I� i"(.�+t�i , GSA 96'e 05
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<br /> Phone . - '�036 1- 1 !91 6faNhl Customer P. O, Terms EPA " f
<br /> I'slot S0 Day CAL 000178433
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<br /> l?ROaUCT SHIPPING DESCRIPTION WASTE MANIF=EST QUAN"ll PRICE AMOUNT
<br /> CODE
<br /> NONmRCRA Waste Liquid Used oil/Mixed Oils 221
<br /> NON- RORA Waste ' Uquld , Used Antifreeze 133
<br /> NON- I,CRA Waste ' L,iquid Used Oily Water 11 223 •
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<br /> Compliant Drairied Used Metal Oil Eiltera
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<br /> TERMS : Invoices over 30 Day& are subject to a 1 . 5% service charge, Customer• a I legal fees If oourt action TOTAL '
<br /> becomes nm5sary to colioot this invoice: f
<br /> By. signing I herby certify that I have not mixed any of the waste described above with any other Iia2ardous waste; the total halide content Is LESS than It OOO, ppm, and the
<br /> waste does• ribt 'contain any PC6s, 1, have complied with the requirements of the applicable Cailfcenia used oil management regulation to determine this ie true; 1 agree to i
<br /> Accept the additional charges foi• the disposal of this waste if the information I have p%vided about this waste is incorrect,
<br /> Generator's Certification. By signing I certify that- If I ant a large quantity generator; i certify that I have a•progran in place to, reduce .the volume and toxicity of waste generated
<br /> ed fo.tha`degie* e t havo determined to be economically affordable arid •that I have selected the practicable method oftrastment, storage, or disposal currently available to me
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<br /> which minimizes the prpsentsand future threat to human Ilfe and• the environment; Or, Ill an, a small quantity 'generator, I have made a•Good faith affort to minimize my waste
<br /> generation and ,seleodt the'wasts management method that is available to me that I can afford, •
<br /> I lid American Valley Waste 0111 hereby advises the aboys Generator that generators• ahipmerl used oil may be transported to a facility that Is required to comply with federal
<br /> iegulatioh's applicable to' management of uaed oil,, butthat is not required to comply with the; more strhlgent requireidl applicable to hazardous waste management.fad111- .
<br /> C " tles,. .Dali(pIdl facilities that Iiandle' or process used oil are required to meet those more stringent requirement, and some out-ofwstate facilities that procass •used .ollialso meet•
<br /> " t(iose requirements, engineerin4 certifications, of tarik integrity, and ffnat l assurances for closure and accidents[ releases, It is lawful to send used oil to out of state facilities
<br /> ' that`comply '4nly With federal Id' 'Management standards and not these more stringent requirernentS.
<br /> c This notiflcatlon Is for information purposes only,
<br /> 6 : $y both Fertles signing this invoice It will serve as an agreement that American Valley Waite oil will submit confirmatlon.for (certain wastes reams) to the generator, that their
<br /> I ' waste hes been tragj2gIaod-to.s,(icensed tryiatment or transfer facility
<br /> '~rr GENERATQR!
<br /> DRIV,ER � y : ' " h A 7H RiZED
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<br /> SIGNATURE: C : ._ r • , r' DATE: .�' ,: r SI RE: /;L ZDAT14 &1 1Er
<br /> 41 reed
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<br /> "il:1ISPOSAL I R LANQ FACILIIY
<br /> DKDIXON ASBUFIY ENVIRONMENTAL . RIVERBANK OILTRANSFrM 0YUMAYES LLC 0AMERICAN* 'VALLEY WASTE t71L, iNG
<br /> 7305 CH2VRON WrA 1ol 920 MORIJAN RD; 5300 CLAUS RD. 6500 US• HWY 95 $21 INDUSTRIAL DR STEM
<br /> 'DIXON,, CA 95620 CERES , CA 95358 RIVERBANK, CA 95367 YUMA, AZ 85565 LIVINGSTON, CA 95334
<br /> 707-693-6008 1 209.541 -1825 209-i863-8181
<br /> 92"44119828 9828 209-667-8857
<br /> EPA#, CAT080012602 EPA# CAL000393680 • EPA# CAL000190818 EPA# AZR000521146 EPA# OAL066443004
<br /> MPC 012attii
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