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AMERICAN VALLEY 178606 <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 /> /O�10179 <br /> BILL T0: - JOB SITE: - Invoice Date: <br /> �- -" <br /> Customer P.O. Terms EPA#-, - -, <br /> PRODUCT SHIPPING DESCRIPTION MANIFEST QUANTfTY PRICE AMOUNT <br /> WASTE <br /> CODE <br /> ENON-RCRA Waste Liquid Used OiltMixed Oils 221 C /9, r�� 3 •1 S '� <br /> �NON-FCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 233 <br /> Ci oant Drained Used Metal Oil Filters <br /> I <br /> -- �-� <br /> cc <br /> l ----� <br /> TERMS Invoices over 30 Days are subject to a t 5%se vice charge. Customer agrees to pay all legal fees rf court action TOTAL necessary to tx>il jct this invo ce. i <br /> t I tsar CtXti that I have not mixed any of the waste descrtbad above wrh any otter'hazardous waste.the total t»tide corttem q LESS than I trU ppm.and the <br /> By apl Mpg b1' f1' applicable California used Oil mertegament reguWtiw to datermrrhe flus a true.i agree to <br /> waste dols not contain anY PCBs.I have compiled with the requvements d the <br /> accep,.the additional charges for the disposal of th,s waste t the,nfonnat l I neve provided about this waste IS mplaect <br /> Gww,"W a CatutfcNion:By&Wwlg I ceruty that if I am a targe quantity generator,I cartity that 1 have a program to place to reduce the vdurhe and t curve of waste lento mos <br /> ed to iM degree I have determined to ba ecaxun<Auy affordable and".hat I nave selected the Practicable method of t set! storage.or faith eff rt to try available to me <br /> which minimizes the Present and d to eco o human life and the envuonn+®nt:Or,if I am a small QAWjlty generator.I have made a Good ahem effort[O mirtinvze my waste 4 <br /> generation and select the waste management method that is available to me that I can afford. to a facility that le requaed to comply with fed" 1 <br /> Amerw:an Valley Wears Oil hereby a*—the above Gene"tor that generators aMpment Of used W'niaY lb transporteds a "ble,to hazardous waste management f*C*- t <br /> mast <br /> regulations applicable to management of used oil.but that,a not required to comply w1h the amore strugent tand e0urt uwarnent. some <br /> out-of-state <br /> - that Process i <br /> has Caitorua facifries that handle or Process used oal are requ„ed to meet Lose more frtarwtga x e ”Jaw1efui tousend used o l in—tat state�fac <br /> those requirements.engineering cMNicat-ora of tank wtegntY.and Yxhahc+al aasurancen t requirements. <br /> J that rxnPlY omN wrh federal used o,.managdnsnt suit and rot these" a atrirtgert roW+ <br /> This rotificatan Is for rformatwn purposes onty <br /> ,both f atgm"rt4 this ewruee r ve wis seras an agreement that American Valley Waste 0,1w,li submut oonftrmatro for(cert""waste streams)to the generator <br /> Ihat then . <br /> waste has been tranported to a I,oa sed treatment or transfer taC:4ty <br /> GENERATOR) ` p <br /> AUTHORIZE <br /> 0 <br /> DRIVER DATE101Id SIGN URE: <br /> SIGNATURE <br /> DISPncef y BECYQI ING FA ILITY <br /> AfrEA1CAN VALLEY WASTE Oil,aiG <br /> Q DK-DIXON O ASBURY ENVIRONMENTAL O RIVERBANK OIL TRANSFER O YUMA YES LLC O 521 INDUSTRIAL DR STE Mi <br /> 65W US HWY 95 <br /> 7';00 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD. LIVINGSTON,CA 95334 <br /> DIXON,CA 95620 CERES,CA 95358 RIVERBANK, CA 95387 YUMA, 85365 <br /> 928-34 -9 209-667-8857 <br /> 209.541.1825 209-863-8181 EPA#CAL000443004 <br /> EPA#PA# 3-8008 CAT080012802 EPAaE CAL000393680 �EPA#CAL0190816 EPA#AZR00ROO 0521148 <br /> ! <br />