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t(',Ctu _ M __ - <br /> TrcKsc 11 AMERICAN VALLEY 200760 <br /> hi�St�l " <br /> 2_0 t)'C)(j—119 U0 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 �7 <br /> BILL TO: Gill TEVELDE ORCHARDS Gill TEVELDE ORCHARDS �` <br /> 27818 ON.CA 96DSRD JOB SITE: 21760 RfVER RD invoiceDate: <br /> ESCALON,Gq 9532D ESCALON,CA 95320 <br /> PhoneSW°'Rep: <br /> 209-7655865 GEORG Customer P.O. Terms EPA# <br /> C.O.D. CAL000427127 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST 4UANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oiis 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Compliant Drained Used Metal Oil Filters <br /> YUMA DRUM FOR OILY Sol <br /> DELIVERY FEE <br /> SALES TW(- <br /> TERMS' Invoices over 30 Days are subject to a 1.5%service charge. Customer agrees to pay all legal fees if court action <br /> becomes necessary to Dolled this Invoice. TOTAL <br /> By signing I herby certify that I have not mixed any of the waste descrlbed above with any other hazardous waste,the total halide content is LESS than 1,000 Pont,,and the <br /> waste does not contain any PCBs.1 have complied with the requirements of the applicable California used oil managemern regulation to determine this is true.I agreed <br /> to <br /> accept the atltlitional charges for the disposal of this waste if the information I have provided about this waste is incorrect. <br /> Generator's Cerutioaaon:By signing I certify that if I am a large quantity generator,I certify that I have a program in place to reduce the volume and toxicity of waste generat- <br /> ed to the degree I have determined to be economically affordable incl that I have selecled the practicable method of treatment,storage,or disposal currently available to me <br /> which"n"mites the present and future threat 10 human lila and the environment:Cr,if I am a small quantity generator,I have made a Good faith effort to minimize my waste <br /> generation and salect 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 wfth lodi <br /> regulations applicable to management of used oil,but that is not required to comply with the more stringent requirements applicable to hazardous waste mars <br /> ties.California taciiiaes that handle or process used oll are requited to meet those more stringent requirement.and some outol-stale facilities that process used all also meet <br /> those requirements,engineering Certifications of tank integrity,and financial assurances for closure and acddenla!releases.It is lawful to said used oil to out of state facilities <br /> that comply only with federal used oil management standards and not these more string <br /> This noti loatlon is for Information purposes Only, er!requirements. <br /> By both parties 'nl this Invoice if will sell se an agreement <br /> waste has led to a li treatment or to that American Valley Waste OII will submit conhrmatlen for(certaiq wast streams}to the generator that their <br /> ,r star facility, fr <br /> DRIVER ATOR <br /> NER ! <br /> SIGNATURFrI ! GENE <br /> ATOO r DAT <br /> DI <br /> �SIGNANRE: <br /> DI P 1 RE Y I G FACT ITy1 <br /> O DK-DIXON Q ASBURY ENVIRONMENTAL Q RIVERBANK OIL TRANSFER J <br /> 7300 CHEVRON WAY 1920 MORGAN RD. O YUMA YES LLC Q AMERICAN VALLEY <br /> DIXON,CA 95620 CERES,CA 95356 5300 CLAUS RD. 6500 Us HWY 95 <br /> 70209-541-1825 <br /> 7-693-6008 RIVERBANK, CA 95367 YUMA AZ 86965 WASTE OIL,INC. <br /> EPAp CAT080012802 209-883-8181 9767 4TH 57#B <br /> EPAp CAL000393680 EPA#CALU0p190Bi6 926-344-9826 DELHI,CA 959'5 <br /> EPAMAZR006521146 209-667-8857 <br /> EPA#CAL000489438 <br />