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Jun . 7 . 2019 3 : 48PM FERGUSON FARMS No . 8007 P . 4
<br /> AMERICAN_VALLEY 166075
<br /> WASTE OIL , INCm Invoice Number:
<br /> Cd),tl
<br /> "" P.,O . Box 340 • Delhi , CA 95315
<br /> ' ' PH . 1 =800=*32.4645 FAX 209-6663880 .
<br /> EPA# CAL0004167141 owl
<br /> XXXXXXXKXXXXXX CAR000272302
<br /> FERGUSON FAf�t�;3I ,
<br /> • °BILLL 'I O: Y JOB SITE. FOROusaN FARMS Z Ice Date;
<br /> 111 .h • 743do
<br /> 6• EArDGiW A .
<br /> oldt%T`O&Kt'ON,ld
<br /> CA 55207 14333 W. CLIFTON COUNT RD
<br /> .. Xv TRACY BLVD
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<br /> STOCKTON, OA 955207
<br /> • Safes Re Felix
<br /> Phone • Ccistorner P.O . •Terms . EPA#
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<br /> °2.00-481=546,10'0B, stat 3'0 [days CAL00Q404807
<br /> PROL' UCTSHI tPING ; DESO`RIP"I'd MANIFEST QUANTITY PRICE AMOUNT
<br /> • WASTE
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<br /> it 14 CODE
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<br /> ;NON R�ORA. Waste Li uid Used Oii/MlxeddOils 221
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<br /> NQN =RCRAsW6ste Liquid 'UN 6d Antifreeze 133 ' oldavid O 2 0, 19
<br /> NON-RCf3A:Wa1st6mLigUld, Used Oily Water . 233 ;" E • RQNME TAL : do'
<br /> Drained Used ;Oif FltOrs � •
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<br /> 5 GAL, tSROP. U.N QE 'PRT .STEEL FOR PAPER . FILTER 85T to IP
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<br /> 05 Gk 01T SIN CERT1STrzEI;' �E POR. METAL ILTEA WET R � r • � •�` ' � �t �»�
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<br /> %FtMg lmoloi�s`.' uer 30, D6y6 ard 'subjedt td a '1 :5b/o Servide t;hne; . Customer agr eS to pay all legal tees if court aaiion 'TOTAL
<br /> bed' 'es ,n6a s3ary A col(ect this invol6s:' 'Food ¢ t
<br /> 3y signing I ,herby certify th§tt.hav6 not mlx6d 'snyof the waste desorlbed above With any"other•hazardaus waste, the .total halide content Is LESS than 1 , 000 ppm, and the
<br /> Waste 41005 hot cbrltaln any P.OB$. 1 have complied with the requirements of the applicable California used oil management regulat1Pr•,to detsrmina this Is true. I agree to
<br /> accept the additlo .tial oh6rgss for the disposal of this waste if the Information I have proyided about this waste Is Incorrect.
<br /> i Gelierat6eg Oprti M9t(bfr: By signing I certify that If I ama large quantity generator, I Certify that I have a program in place, to reduce the volume and toxIolty of waste•benafat-
<br /> j • • ad t4 the degree I have determ7nert ,to be. economioally eNbrdable and that I 'have selected the praoftable method of treatment, storage, or disposal currently available to
<br /> which minlazes the oiesenv and future threat to human life and. thta environmint: 04 it t am a small quantity generator, I have made a Good faith effort to minimize my waste
<br /> geo6r9tion and select the waste management method that Is available to me that I can afford, .
<br /> I' : M01cahV4lfay •Waste 011 'hereby •idvises the above Ggrierator that generators shipment of usedoll may be tranaponed to a facilitylhat is required to comply withifederal
<br /> do 0 regulations eppllgsbte;to ' inanagemant of Used oil, but that fs not required to comply With the more stringent' requirements applicable to hazardou8'wastomanagement fapilk
<br /> tlas: Callfomla facllilles that handle or probass used oil are required t0 meet those more stringent requirement, and some out-of-state facilitles that process used oil also meet
<br /> those requirements, engineering•certitieations•of tank Integrity, and financial assurances for closure and accidental releases. It Is lawful to send used oil to out of state (soilities
<br /> that comply only with faders) used oil management standards end not these more stringent requirements. 1111
<br /> .5
<br /> Tt)ls:notitleatlon.is for Information purpgsga only:
<br /> sy beth peittea algning this lnvoice•It"WIII serve as at1• agr6smantthat Amadoan valley Waste Oil will submit coniir Io .f r (certain waste streams) to the generator that their
<br /> waste haa'been irensported to a Iloen ;trQatment ar trans' r faeiflty,
<br /> GENERATO
<br /> DRivgpi FAUTHORIZE d� r
<br /> SIGNATURE,. . bAfE: SIG�IATUFiE , DATE! ^
<br /> 41
<br /> it 11
<br /> DISE MALLRECYCLINC FACILI
<br /> 006ki , N% Q ASDURY'ENVIRONMENTAL Q RIVERBANK OIL TRANSFER U CFR 0 OL613AL MATERIAL MGMT
<br /> 7300 0-VRON-WAY 1920• MORGAN: RDd, 5300., CLAUS HD, of 2035 E. 1STH ST. 1640 N. BROADWAY
<br /> PlXO, , CA , 95620 CERES, GA 96,358 RIVERBANK, OK05367 LA, CA 90021 STOCKTON, CA 95205
<br /> 7G7,6934w60D8707-693.6008, 209.868-8181 213.748x0237 818-770-2577
<br /> EPA# •CAT08t7U12602 ' EP0•0AL• 000393680. EPA# CALOOD190816 EPA# CALOOD270577 EPA# CALOOD417316
<br /> MPC (712016}
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