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AMERICAN VALLEY 177662 WASTE OIL , INC . Invoice Number: P, O . Box 340 • Delhi , CA 95315 PH . 1 -800-7324645 • FAX 209-668-3880 EPA# CAR000272302 6A60 bAY rc,;Hto BILI. TO: 4701 OAKPQRT ST JOB SITE: EAST t3A`r• CLAPKLI( f if OAKLAND, CA 911014906 1$ 1 ` MOFFAT BLVD Invoice Date: MANTECA, CA 95336 Phone -v Customer P. O . _._ Terms 7F5A# - - C.O . D. trAL000394327 PRODUCT SHIPPING DESCRIPTION""' MANIFEST ',QUANTITY! PRICE _ AMOUNT WASTE CODE NOWHICRA Waste Liquid Used 011tMixed Oils 221 � . NON-RCRA Waste Liquid Used Antifreeze 133 NON-RCRA Waste Liquid Used Oily Water 223 Compliant Drained Used Metal Oil Fitters j SIL i_ G i DO i I CTi f t € v I TERMS: invoices over 30 Days are subject to a 1 5 .4 service charge. Customer agrees to pay all legal fees if court action TOTAL becomes necessary to collect this invoice. 7 r Y signing I herby certify that I have net mixed any of the waste tlescribed above with any other hazardous waste, the total halide content Is LESS than 1 ,000 ppm, and the waste does not contain any PCBs. I have compiled with the requirements of the applicable calBarAla used oil managemem 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. Ge'o at is certification: By signing I certify that if I am a Una quantity generator, I cedtty that I have a program in place to reduce the volume and toxloity of waste general- ` degree I have determined to be economically affordable and that 1 have selected the practicable method of treatment, storage, or disposal currently avalleble to me i which minimizes the present and future threat to human life and the environment: Or, if I am a smell quantity generator, I have cede 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 Wasta of hereby advises the above Generator that generators shipment of used oil may be transported to a facility that is required to comply with federal 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- "as. CaMomia facilities that handle or process used all are required to meet those more stringent roquiremeni, and some out-of-state facilities that process used all also meet those requirements, engineering certifications of tank integrity; and financial assurances for closure and accidental releases, it is lawful to send used all to out of state facilitias that comply only with federal used oil management standards and not these more stringent requirements. This notification is for Information purposes only. By both partles signing this invoice it wIl 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. DRIVER GENERATOR/ AUTHORIZED SIGNATU SIGNATURE: DATES / /� �•A Fy f ^ DATE - _ _ - f P / Y A , O OK-DIXON ASBURY ENVIRONMENTAL RIVERBANK OIL TRANSFER Q YUMA YES LLC O AMERICAN VALLEY WASTE pIL, INC 7300 CHEVRON WAY 1920 MORGAN RD, 5300 CLAUS RD, 6500 US HWY 95 521 INDUSTRIAL DR STE M : DIXON, CA 95620 CERES, CA 95358 RIVERBANK, CA95367 YUMA, AZ 85365 LIVINGSTON, CA 95334 707.693.6008 209.541 .1825 209.863.8181 928344.9828 209.667-6857 EPA# CAT080012602 EPA# CALOOD393680 EPA# CAL000190816 EPA4AZR000521146 EPA# CAL000443004 MPC (M2016)