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GOOD GUYS AUTO REPAIR 12093335278 p . 1 AMERICAN VALLEY 179861 WASTE OIL , INC . Invoice Number : P. O . Box 340 • Delhi , CA 95315 PH . 1 -800-732 -4645 • FAX 2090F668-3880 EPA# CAR000272302 webBILL TO: ° r�t��t+L;+ Gra � � u.,� r ?�< < :�':.` 70B SITE: � " I F . I_ r'l"x wit �:< ,,,w CA :. j •, : iwiUTO Invoice Date: LOuI . ":d, "3 :. ?rfC1 w i 6 : i_ r�: F J�Zrew,tiV Phonew . It sw� Customer P. O . Terms EPA# - - PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTwI Y PRICE AMOUNT CODE NON - RCRA Waste Liquid Used Oil /Mixed Oils 221r c� f t NON - RCRA Waste Liquid Used Antifreeze 133 _ _ NON - RCRA Waste Liquid Used Oily Water 223 Compliant Drained Used Metal Oil Filters 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. r '< By signing I herby certify that I have not mixed any of the waste descrl oed above with any other hazardous waste, the total halide content Is LESS than 1 ,o0D ppm, and the waste does not contain any PCBs, I have complied whi the requirements of the applicable California used oil management regulation to determine this Is true, I agree to accept the additional charges for the disposal of this waste if the Information I have provided about this waste is Incorrect. Generator's Certification: By signing I certify that I I am a large quantity generator, l certify that I have a program in place to reduce the volume and toxicity of waste generat- ed to the degree I have determined to be economically affordeb'a and that I have se'ected the practicable method of treatment, storage, or disposal currently available to me which minimizes the present and fLAure threat to human life and the environment: Or, If I am a small quantity generator, 1 have made a Good faith effort to minimize my waste generation and select the vraste 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 maybe transported to a facility that Is required to comply with federal regulations applicable to management of used oil, but :hat is not required to comply with the more stringent requirements applicable to hazardous waste management faal- ties. California facilities gnat handle or process used o:l are required to meet those more stringent requirement, and some out-of-state facilities that process used oil also meet those requirements, engineering certifications of tank integrity, and financial assurances for closure and accidental releases, it is lawful :o send used oil to out of state facilities that comply only with federal used oil management standards and not these more stringent requirements This notification Is for information purposes only. By both parties signing this invoice it will eerie as an agreement that American Valley Waste C41 will subunit confirmation for (certain waste streams) to the generator that their waste has been transported to a licensed treatment or transfer facility. GENERATORf DRIVER AUTHOREED SIGNATURE: ;A' ' nATE; �f SIGNATURE: t:. '�_. �-� DATE:. DISPOSAL / RECYCLING EAQILITY O DK-DIXON Q ASBURY ENVIRONMENTAL Q RIVERBANK OIL TRANSFER O YUMA YES LLC O AMERICAN VALLEY WASTE CIL, INC 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD. 6500 US HWY 95 521 INDUSTRIAL DR STEM DIXON , CA 95620 CERES , CA 95358 RIVERBANK, CA 95367 YUMA, AZ 85365 LIVINGSTON , CA95334 707.693-6008 209.541 -1825 2D9.863-8151 928-344-9828 209-667.-8857 EPA# CA'r080012602 EPA# CAL000393680 EPA# CAL0001908t6 EPA# AZR000521146 EPA# CAL000443004 MPC (7/2016)