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AMERICAN VALLEY <br /> -;�' <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 /> BILL TO! JOB SITE! { <br /> v- <br /> Invoice Date: <br /> � <br /> 'M JIL <br /> :too Aman w Valley <br /> � <br /> Phone -v9--x-34-900I jU 7siomeEPA#r P.O. Terms A L'j(Y'OVe43 7-5 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST AMIfY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> .............. <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Drained Used Oil Filters <br /> -1n-vcwmovw-- log taction-fE-FTM-1; 30 Days are subject to a I 50o service charge Customer agrees to pay all a'fees if court a L <br /> becomes necessary to collect this invoice ri <br /> BY SK nwv I hWt)y Gantry that I have not rob(W WY of the waste Uescnoeo above with arry 0010,r-Srd-a waste,the Wtsd halide cof,10ot is LESS than 1.000 ppm.ivid the <br /> waste ottlat not wnta-i any PCBs.:have cal000 Wnh the requoerrterrts of the appkable CeINOrria used ON managerrWA roguifMn to determine this is'"1 a"to <br /> scicalij the additiora mwQes for the disposal of the waste If the infornatM I have Provided about this waste a Incorrect. <br /> Gene,atoll's catt4ficat,ort By sq-kV I certify that it I am a large quarttily,generator.I carlity,that I have a program in piece to reduce the volume and toxicity of wow general- <br /> ad to the degree I haw dettlimrined to be sconornicalty afliwdabiie SM that I have selected the practicable rnothod of trostirifint,Storage.or disposm currently avallable to me <br /> which rnintmitzes the present and future threat to human Its and the arrnronmant:Of it I an a when quantity generator I have made a Good faith~to"lawnUES 1Y Waste <br /> generation arid select the waste manaQwrient method thei a available to"that I can afford.. <br /> American Valley Wallis 04 rldlfllby adveaft the above Generator that generators shipment Of used 04 may be transported 10 a f"cittlY that is hazNdOm reQuesd to comply With laid" <br /> reguliltions applicable to management of lased oil W that is not required to comply with the more sstringentw0wrisintill 8PPhcgbiO to Watts manage"hant fecal <br /> caivtorrua faceities that handle or proce"used ON am required to naziMosemore svvqom re"wrient-and some Out-0-811,11111,facilities dud P=M used 09 s1w MOM <br /> ,*a- Send tow 04 uillb" <br /> 'how reouirwrients eriffneetruv certifications o(tw*~ty,and financial assurances W COW"and 1100kifirriAll rGiss"s tt is fawltv to to out Of state f <br /> ,nat cor-oy ony wn.rec"ised vi management:standards and not these more stringent reqUirlOrnflints <br /> This rot6cation i-Aty ofa maton purposes only. <br /> at American Valley West*On will subrnit confirmation for(certain waste strearns)to me generator that their <br /> By tic th parties sw�%this invoice 1-41 wane=an agreement <br /> waste nas been transported to a licensed treatment a transfer fa-ty <br /> GENE <br /> IZE <br /> DRIVEDRIVER ATE IE� <br /> yP RE <br /> QaALJ-a TY <br /> R <br /> ASBURY ENVIRONMENTAL 0 RIVERBANK OIL TRANSFER Q CFR (Z)GLOBAL MATERIAL MGMT <br /> 7300 CHEVRON AY 1920 MORGAN RD. 5300 CLAUS RD. 2035 E.15TH ST 1640 N.BROADWAY <br /> DIXON,CA 95620 CERES.CA 95358 RIVERBANK, CA 95367 LA,CA 90021 STOCKTON,CA 95205 <br /> 7C7-693-6008 209-541-1825 209-863-8181 213-746-0237 818-770-2577 <br /> EPA#CAT080012602 EPA*CALOOG393W EPA*CAL000190816 EPA!CALOW270577 EPA*CAL000417316 <br /> OAPC,7 20181 <br />