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GOOD GUYS AUTO REPAIR 12093335278 p . 2 AMERICAN VALLEY 17980 Q WASTE OIL , INC . Invoice Number : P. O . Box 340 • Delhi , CA 95315 PH . 1 -800- 732-4645 • FAX 209-668 -3880 EPA# CAR000272302 BILL TO: � + i7EKr xt i' ;';;; Ia :;ACna JOB SITE : [ ..c,F?I . .ra , ._.,:1r: ail .s�T . Invoice Date.:: f LiDDi , Or2:l 3 E . . , �: Ca .. ' ; +, A At Phone �� Customer P, O. Team , EPA# PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT CODE NOWRCRA Waste Liquid Used Oil /Mixed Oils 221 i NON - RCRA Waste Liquid Used Antifreeze 1 �3 NON- RCRA Waste Liquid Used Oily Water 223 Compliant Drained Used Metal Oil Filters _ OIL COLLEC I I ON FEE TERMS: Invoices over 30 Days are subject to a 1 .5% service charge, Customer agrees to pay all legal fees if court action TOTAL ` ' becomes necessary to collect this invoice , 11 . 1 et By signing I herby certify that I have not mixed any of the waste described above with any other hazardous waste, the total hailde content is LESS than 1 ,000 ppm, and the waste does rot contair any PCBs, 1 have complied with the requirements of the applicable California used oil management regulation to datermine this Is true. I agree to accept -the additional charges for .he disposal of this waste If the information I have provided about this waste Is incorrect. Generators Certification; 6y signing I cWIINj that if I am a large quantity generator, I certify that I have a program in place 10 reduce the volume and toxicity of waste generat ,, ed to the degree I have determined to be econornically affordable and that I have selected the practicable method of treatment, storage, or disposal currently available to me 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 generation and select the waste management method that is available to me that I can afford. American Valley Waste oil hereby advises the above Generator that generators shipment of used oil may be transported to afacility that is required to comply with federal regulations applicable to management of used oil, bu`, that is not required to comply with the more stringent requirements applicable to hazardous waste management facili- ties. California facilities that handle or process used oil are required to meet those more stringent requirement, and some out-of-stale facilities that process used oil also meet those requirements, engineering certifications of tank htegrity, and financial assurances for closure and accidental releases, it Is lawful to send used all to out of state facilities that comply only with federal used oil management standards and not these more stringent requirements. ItII his notification Is for Information purposes only. By both parties signing this invoice R villi serve as an agreement that American Valley Waste Oil will submit confirmation for (certain waste streams) to the generator that their waste has been transported to a licensed treatment or transfer facility. GENERATOR/ DRIVER • r -. AUT,H, ORIZED• If SIGNATURE: r DATE: . . > r. .� i . � - DATE: If r If I DISPOSAL / RE6 LING FACILITY i O DK-DIXON 0 ASBURY ENVIRONMENTAL O RIVERBANK CIL TRANSFER Q YUMAYES LLCAMERICAN VALLEY WASTE OIL, ING 7300 CHEVRON WAY 1920 MORGAN RD , 5300 CLAUS RD, 6500 U.5 HW Y 9b "" 521 INDUSTRIAL DR STEM DIXON, CA 95620 CERES , CA 95358 RIVERBANK, CA 95357 YUMA, AZ 85365 LIVINGSTON, CA95W4 707.693-6008 209-541 -1825 209 - B63-8181 928-344-9828 209.667.8857 EPA# CAT080012602 EPA# CAL000393680 EPA# CAL000190816 EPA# AZR000521146 EPA# CALOOD443004 MPC t7l2bifi)