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Dec 0219 01 : 54p R& A Miller , Inc . 209 931 -8832 p . 3 AMERICAN A LL , WASTE OIL , I c s t � ( � Invoice Number : P. O . Rax 340 A Delhi , CA 95315 PHA 1 •-800-732-4645 m FAX 209•- 6kWMN MENTAL I iA1�,H EPA# CAR000272302 ,A RTMENT BILL TOO .. Invoice Date: Phone -- Customer P. O . Terms - — EPA PRODUCT SNIPPING DESCRIPTION `WASTEMANIFEST QUANTITY PRICE AMOUNT CODE_ NON - RCRA Waste Liquid Used Oil /Mixed Oils I 221 POEM 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 =" a becomes necessary to collect this invoice. -:, { pm 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 waste does not contain any PCBs. I have complied with 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 1 certify that if I am a large quantity ,generator, I certify thaf 1 Have a program in place to reduce the volume and toxicity of waste gement- ed to the degree I have determined to be economically affordable and that 1 have selected the I5racticable 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 f am a srriaii 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 affo'r'd,-..; American Valley Waste Oil hereby advises the above Generator that generators shipmentof fised 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 facilk ties. California facilities that handle or process used oil are required to meet those more stririgonf Yequirement, and some oui-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 lavfiul to 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 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. GENERA7091 DRIVER "AUTIjOJiE.D SIGNATURE : _--- DATE,' DAT._- _ S1f, t�Ail7Fft : j :,' "`` t c . _ -- : ® isposAL REGYCt. ING FACILITY O DK-DIXON . ~ O ASBURY ENVIRONMENTAL O RIVERBANK OIL TRANSFEP O YUMA YES LLC ;; ' AMERICAN VALLEY V WASTE 011.4 irtc 7300 CHEVROfd WAY 1920 MORGAN RD , 5300 CLAUS RD, 6500 U5 HVVY 95 .. 521 INDUSTRIAL DR STE M DIXON , CA, 95620 CERES , CA 95358 RIVERBANK , ;CA 95367 YUMA. AZ 85365 LIVINGSTON , CA 95334 707-693-6008 209-541 - 1825 209-863-8181 928-344-9828 209-667-8857 EPA# CAT 080012602 — EPA# CAL000393680 — EPA;P CAL0001. 90316 EPA# AZR000521146 u EPA# CAL000443004- - MPC (7i2016)