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06 / 11 / 2021 1 : 40 PM FAX 2099488625 AHCE SAW 0006 / 0008
<br /> MAYAN
<br /> AIR AMERICAN VALLEY 7 9 8 5 9
<br /> WASTE OIL , INC . Invoice Number:
<br /> P. O . . Box 340 Delhi , CA 95315
<br /> PH . 1 -800-732-4645 FAX 208668-3880
<br /> ` BPA# CAR000272302
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<br /> ANN
<br /> .BILL TO : ,,A,CIVIE SAW OB SITIR; f�t:%t+rlE �A'►1V �i .07 `� '� �'
<br /> 12Cu E . MAIP3 J "14204 IR , MAiNS551' Xnvoice Date ,
<br /> Q�, '`. 95206 ; 4 : ,Alp priNARFi
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<br /> ' Phone . 203. 5 '1•- 1917 JOHN Customer P. O . Terms EPA#
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<br /> PRODUCTOSHIPPINQ DESCRIPTION ' WASTE MANIFEST QUANTITY PRIDE AMOUNT
<br /> CODE
<br /> NOWRCHA Waste i<,iquid , Used Oil/Mixed ails 221
<br /> •NON-RCRA Waste Liquid Used Antllreeze 133
<br /> NQN �HCRA Wash liquid Used Oily Water 223
<br /> Corriplian# Drained Used , Metal Oil ' FiltersAN
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<br /> Mg MONOMANIA
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<br /> AN TERMS,& Invoices over 30 Days are subject to a 1 .M%, service charge, Customer agrees to pay all legal fees' Ifcourt action TOTAL
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<br /> 6abomes necessary' to collect this Invoice.
<br /> By signing• I herby certify that I have not mixed any of the waste described above with any other hazardous waste, the total hetide content is LESS than 1 ,000 ppm, and�the
<br /> •'waste does not contain any PCBS. i have complied with the requirements of the appNGable Calrfamla used all, management regulation to determine this is true, 14 agree to
<br /> I ' ' accept the additional charges for the disposal df•this waste if the Informatidn I have provided about this Waste is incorrect* NO
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<br /> Generator's Cdrtifoation: By signing 1, certify that' if I am a •large quantity. generator, I certify that. ] have a,program In plain to reduce the volume and toAcity .of waste general-
<br />£ • all to the degree I have determined to be, economically affordable and that' l have selected the practioabla method of treatment, storage, or disposal.currehily available to me
<br /> which minlmtzes the•present and future.tilreat td human life and the environmeni:'.or, if t am a small quantity generator, I have made a Good faith effort to minimize my, waste
<br /> generatloh 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 sYiipmeirt of used oil may, be transported to a•faollity that is required to complywith federal
<br /> regulations applicable to management of used oil, but that Is not 'required to comply With the more stringent raqulimehis applicable to hazardous waste management facili-
<br /> ties. California facilities that handle or process used oil are required to meet4hose Moro stringent requirement, and some out�of-atate facilities that process used oil slaoNNmeet
<br /> those requirements, engineering certifications of tank integrity and finarrciEWassurances forciosure and aoddeirtal releases. it Is lawful to send used oil to qut'of state facilities
<br /> 'that complyonly with federal used oil management starWards and not these more stringent *uitements.
<br /> This notification is for information purposes only.
<br /> Sy both ,partles siM ning this invoice it will serve as an agreement that American Valley Waste Oil will submit rmation for (cartain 'waste streams) to the gener-Atorthat their
<br /> waste has been transported to a licensed treatment or transfer facility. •
<br /> GENERATOR/ 1 ' f
<br /> DRIVER AN
<br /> .� Atf1 ORIZED
<br /> r'SIGNATUA� - ANN
<br /> -' r -• -... �, DAT L:
<br /> -�' DATE:
<br /> ANNN,e�'
<br /> DISPOSALLREGY- 11 LING F IT•Y
<br /> AN DK-DIXON A 0 A$BURY ENVIiiCNMENTAL 0 RIVERBANK.OiL•TRANSPER 0 YUMA'•YES LLC �EfiiCAN VALLcvwasteoaINC,
<br /> 7800 CHEVRON WAY ' 1920 MORGAN AD,
<br /> 5340 CLAUS FIll. 6500 U5 HW1' '85 1 INDUSTRIAL DR STPM
<br /> ' DIXON , CA: 95620 , CERES, CA 65359 RIVERBANK, CA 95367 YUMA, AZ 85$e5 LIVINGSTON, CA 95834
<br /> 701-653•a008 209-551 -1825 ' 208NN863-5181 928-344.9828 209-667.8857 ,
<br /> .EPA# CAT080.Q12602 EPA# CAL000393680 . : EPA# CAL000190816 ' EPA# AZR000521146 f;W CAL00p443004
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