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6 -1 A <br /> V4ASTE OIL, IEgta.. FEB 0 6 2017 Invoice Number: <br /> P.O. Box 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-38$ <br /> EPA# Cal 00041s71.fAA NMENTAL HEALTH <br /> DEPARTMENT <br /> BILL TO: FARMINGTON FRESH JOB SITE: r <br /> P-O 3C)X 3t)6n7 FARMING'rGN r-RE83H Invoice Date: <br /> S TOCKTON, CA 95213 7735 FRONTAGE 99 RD WE:3 r <br /> STOCK"[ON.CA 95215 <br /> X'.ARCH <br /> -A k);;, FRe <br /> Phone Customer P.O. Terms EPA# <br /> 2r)D_I733 7t U JIM C"Q.D. CAL0062139S, i <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 233 <br /> Drained-Used-Oil-Fikers--- — - -- -- - —- ---- <br /> OIL. Collrcli'oo <br /> Sales Tax <br /> TERMS: Invoices over 30 Days are subject to a 1.59/6 service charge. Customer agrees to pay all legal fees if court action TOTAL <br /> becomes 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 halide content Is LESS than 1,000 ppm,and the <br /> waste does not contain any PCBs.1 have complied with the requirements of the applicable California used oil management regulation to determine this Is true.I agree to <br /> accept the additional charges for the disposal of this waste if the information have provided about this waste is Incorrect. <br /> Generator's Certffication: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 and that I have selected the practicable method of treatment,storage,or disposal currently available to me <br /> which minimizes the present and future threat to human life and the environment:Or,if I am a small quantity generator,I 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 oil may be transported to a facility that is required to comply with federal <br /> regulations applicable to management of used oil,but that is not required to comply with the more stringent requirements applicable to hazardous waste management facili- <br /> ties.California facilities that handle or process used oil are required to meet those more stringent requirement,and some out-cf-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 oil 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 confirmation for(certain waste streams)to the generator that their <br /> waste has been man ported to a licensed treatment or transfer facility. r <br /> / GENERATOW'-'\ <br /> DRIVER �'; "'^ y, AUTHORIZEDI <br /> SIGNATURE; DATE: �( lr, [i, SIGNATURE 11;,.- .�?� DATE /j <br /> DISPOSAL/ RECYCLING EA ILITY <br /> O DK•DIXON ASBURY ENVIRONMENTAL O RIVERBANK OIL TRANSFER 0 CFR 0 GLOBAL MATERIAL MGMT <br /> 7300 CHEVRON WAY 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 /> 707-693-6008 707-693.6008 209-863-8181 213-746-0237 818-770-2577 <br /> EPA#CAT080012602 EPA#CAL000393680 EPA#CAL000190816 EPA#CAL000270577 EPA#CAL000417316 <br />