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l AMERICAN VALLEY 153742 <br /> WASTE OIL, INC. Invoice Number: <br /> P.O. Bax 340•Delhi,CA 95315 <br /> PH. 1-800-732-4645•FAX 209-6&-3880 <br /> EPA#CAL000416714q 4 COQ �-Z b <br /> AGUILL ES AUTO BODY R�AIR <br /> AGUILLES AUTO BODY REPAIR 480 E.11TH ST S— <br /> BILL TO: 480E 11TH ST JOB SITE: Y,CA 95304 Invoice Date: <br /> TRACY,CA 95304 <br /> Sales Rep: <br /> Phone 209-831-9603 Customer P.O. TO EPA#CAL000385491 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NCAI-RCRA Waste Liquid Used OillMixed Oils 221l <br /> 1 1 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 233 <br /> Drained Used Oil Filters <br /> OIL COLLECTION FEE /i <br /> Sales la- <br /> TERMS: Invoices over 30 Days are subject to a 1.5%service charge. Customer agrees to pay ail legal fees if court action TOTAL e <br /> becomes necessary10 collect this invoice. <br /> By signing I herby certify that I have not mined any of the waste described above with any other hazardous waste,the total halide content is L£ss than t,000 ppm,and the <br /> waste does not contain any PCBs.I have complied with the requirements of the appiicable 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 I have provided about this waste is incorrect. <br /> Generator's Certification:By signing I certify that if I am a targe 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 seiected 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 he 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 handie or process used oil are required to meet those more stringent requirement,and some out-of-siate 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 transported to a licensed treatment or transfer faci ft <br /> GENERATOR! <br /> DRIVER AUTHORIZED <br /> SIGNATURE: DATE: SIGNATURE: �p Y ' DATE: .r— <br /> DISPOSAL 1 RECYCLING FACILITY <br /> O DK-DIXON 0 ASBURYENVIRONMENTAL O RiVERBANK OIL TRANSFER O CFR O GLOBAL MATERIAL MG MT <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, CA95367 !-A,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 /> MPC(7/2016) <br />