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_ I <br /> AMERICAN VALLEY 181024 <br /> WASTE OIL, INC. Invoice Number: <br /> P.O.Box 340•Delhi,CA 95315 <br /> PH.1-800-732-4645•FAX 209-668-3880 <br /> EPA#CAR000272302 <br /> .AS'on� CLAP:, EAST l3A: l':t_APiiLc <br /> BILL TO: 4701 OAi:=OPT S'I JOB SITE: ia13 vOF:;at ELV:.; Invoice Date: <br /> ' t—Phone 2CS-4654%".ENlFE.Customer P.O. erm rA# CA1000394327✓ <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST A PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> I <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Compliant Drained Used Metal Oil Filters <br /> r _ L31\ i-r!. UP Ir P:�=A,,-.. ,R Zt"t5.1.7 <br /> L7 <br /> SALTS"':t:'••- <br /> TERMS:Invoices over 30 Days are subject to a 1.5°h service charge.Customer agrees to pay an legal tees if court action TOTAL <br /> becomes necessary to collect this Invoice. <br /> By signing I berby 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 tiro <br /> waste does not contain any PCBs.I have compiled with the requirements of the applicable Calfitxnia used all management regulation to determine this Is true.I agree to <br /> accept the additional charges for the daposal of this waste ff the Information I have provided about this waste is incorrect. <br /> Generator's certification:By signing t certify that'd I am a large quantity generator,I certify that I have a program in place to reduce the volume end toxicity of waste ger at- <br /> ad to the degree I have determined to be economically affordable and that I have selected the practicable method of treatment,storage,or disposal currently avallable to me <br /> which minimizes the present and future threat to human Iva and the environment Or,if I am a small quantity generator.1 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 all may be transported to a facility that is required to comply with federal <br /> regulatias applicable to management of used oil,but that is not required to comply with the more stringent requiremems applicable to hazardous waste management facfli- <br /> ties.Caiffomia faeflhies that handle a process used oil we required to meet those more stringent requirement.and some out-of-state facilities that process used oil also meet <br /> those requirements.engineering certifications of tank integrity,and financial assurances for closure and accidental releases.It is lawful to send used off to out of state facilities <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 con innation for(certain waste streams)to the generates that their <br /> waste E�trtoatmentar transfer facility. <br /> GENE TOR! <br /> DRIVER UT [ZEDSIGNADATE:/ <br /> t DATE: <br /> DIS POSAL/R ING FACILIJ <br /> O DK-DIXON O ASBURY ENVIRONMENTAL O RIVERBANK OIL TRANSFER O YUMA YES LLC AMEl31CAN VALLEY WASTE OIL.INCL <br /> 7300 CH-' N WAY 1920 MORGAN RD. 5300 CLAUS RD. 6500 US HWY 95 1 INDUSTRIAL DR STE W <br /> DIXO , A 95620 CERES,CA 95358 RIVERBANK, CA95367 YUMA,AZ85365 LIVINGSTON,CA 95334 <br /> 75i3-6008 93-6008 209-541.1825 209-863-8181 928-344-9828 209-667.8857 <br /> EPA#CAT080012602 EPA#CAL000393680 EPA#CAL000190816 EPA#AZR000521146 EPA#CAL000443DO44 <br /> T MPc(7no16) <br />