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Jun , 7 . 2010 3 ; 40PM FERGUSON FARMS No . 8007 P . 5 AMERICAN VALLEY 1 Z) b c WASTE OIL, INC . Invoice Number : RON Bax 340 • Delhi , CA 95315 PH , 1 -800-732 4645 • FAX 209-668-3880 EPA# CARD00272W2 FERGUSON FARMS ' BILL TOP: 436 KADQW AVE FERGU N FARMS $TQCKTON , (;A 95207 JOB SIT$: 14333W, CLIFTON COUNT RD nvo ce bate : X, TRACY BIND STOM0140 CA 95207 :% its Rep FOx Phones- 189-,5481 B013 Customer I?O. Terms Not 30 Das EPA# Y c:AL000404807 � PRODUCT• SHIPPiNG 17ESCRiPTION WASTE MANIFEST QUANTITY PRICE AMOUNT CODEAECE N06(- RGRA Waste Liquid Used Oil/Mixed Oils 221 ,NOWRCRA Waste Liquid Used Antifreeze 133 NON%; RCRA Waste Liquid Used Oily Water 223HEALTH, CFS RTMPNT Drained Used Oil Filters • �'�• _ `` .� ':! s' • ) . ..ate:; RAZ V A46TE PICK UPVmPAPER >~II.'r �tas In- IV 550ALOfTOP U .N CERT STEEL ISE POR PAPER REPLACEME411 i Iwl OR AL h9E 'F �,Z! �. nNISIMM Ian TERMS: InVoices over 30 Days are subject t4 91 .5% service charge, Customer agrees to pay all legal fees if court acilbn TOTAL becomes necessary to collect this Invoice 6y signing I herby eariffy that I have not mixed any of the waste described above with any other hazardous waste, the total halide content Is LESS than i ,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 I certify that If I am a large quantity generator, I certify that I have a program in place to reduce the voiumo and toxicity of waste generat• ed tb the degree I have determined to be economically affordable and that I have selected the practicable method of treatment, storage; or disposal currently avaliable to me Mich minimizes the present and future threat to human life and the environment or, if I em a small 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 afford, j' American Valley Waste Oil hereby advises the above Generator that generators shipment of used oil may be transported to a facility that Is required to comply with Worst regulations applicable to management of used oil, but that is not required to comply with the more stringent requirements applicable to hazardous waste mahagement facilk ties. California facilitiea that handle or process used oil are required to meet ihose more silingent requirement, and some outnaf-atate facilities that prcoess used. oil also meet those requlremente, engineering certifications of tank Integrity, and fihattcial assurances for closure and accidental releases. It Is lawful to send used oil to out of &tete faciiiiies that comply only with federal used oil management standards and net these more stringent requirements. This notification Is for information purposes only, ` By both parties signing this invoice it wIl 38Ne as an agreement that American Valley Waste Oil will submit confirmation for (certain waste streams) to the generator that their waste has been trensporteflp a licep56cilittatment or transfer facility. , r� .!! 09NERATOPJ ti1GNAT REt / AUTHORIZEp DATE ✓rDATEi " r� : ; , ..) SIGNATURE: . ` r - . " J r Q1SPQSALjj3EQYDj,.iNG FAC �� ITY 0 DK-DIXON O ASBURY ENVIRONMENTAL 0 RIVERBANK OiLTRANSPER CE C QLOBAL MATERIAL MGMT 7300 CHEVRON WAY 1920 MORGAN RD, 5300 CLAUS RD. 20 5 E. 15TH S7, 1540 N. BROADWAY iDIXON, �CA'• 95620 CERE..S, CA 95388 RIVERBANK, CA 95367 LA, CA 80021 STOGfiTON, CA 95205 707.69"008 209.841 -1825 209863-8181 210-746-0237 81 $-770,2577 EPA# CAT080012602 EPA# CAL000393680 EPA# CALOOD190816 EPA# CAL000270677 EPA# CAL000417316 MPC Cl120te)