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A.�MEIRICAN VA LEA Y 167829 <br /> IdNASTE )IL , INC . Invoice Number : <br /> P. O. Box 340 > Delhi , CA 95315 <br /> PH . 1 -800-7324645 < FAX 209-668-3880 <br /> EPA# CAR000272302 <br /> � t <br /> BIL L TO : CON-FAB CALIFORNIA, LLC OB SITE: CON-FAB CALIFONRIA ,LL <br /> 1910 LATHROP RD j 1910 LATHROP RD. Invoice Date: <br /> LATHROP , CA 95330 LATHROP, CA 95330 <br /> X: Al RPORT <br /> _ ACT <br /> Phone 209..85 &2521 MAR d lqustomer P-O . Terms EPA# <br /> Ne001)ays I CAL000162295 <br /> PRODUCT SHIPPING DESCRIPTION WASTEMANIFEST QuANTITYJ PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 am t <br /> NON-RCRA Waste Liquid Used Antifreeze 133 - <br /> I <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Drained Used Oil Filters <br /> I <br /> I <br /> TERMS: Invoices over 30 Days are subject to a 1 .5% service charge. Customer agrees to pay all legal tees if court action TOTAL <br /> becomes necessary to collect this invoice. <br /> 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 <br /> waste does not contain any PCBs. 1 have complied with the requirements of the applicable California used oil management regulation to determine this is We. 1 agree to <br /> agcept the additional charges for the disposal of this waste if the Information I have pmvlded about this waste is Incorrect. <br /> Generator's Certification: By signing I certify that if I am a large quantity generator, 1 certify that I have a program in place to reduce the volume and toxicity of waste generat- <br /> ed to the degree I have deteonined to be economically affordable and that I have selected 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 all may be 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 regWrements applicable to hazardous waste management facili- <br /> ties. California facilities that handle or process used oil are required to meet those more stringent requirement, and some out-of-state 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 oll management standards and not these more stringent requirements. <br /> This notification is for information purposes only. <br /> By both parties signing this Invoice it villi serve as an agreement that American Valley Waste Oil villi submit confirmation for (certain waste streams) to the generator that their <br /> waste has been transported to a licensed treatment or transfer facility. ff r <br /> DRIVER t �J��,(��—�`� AUTHORIZOE� Jn ( t � <br /> SIGNATUR (A - Cc DATE� t� SIGNATURE: �ta I /l u DATE. <br /> DISPOSAL / RECYCLING FACILITY <br /> O DK-DIXON CVA BURY ENVIRONMENTAL O RIVERBANK OIL TRANSFER O CFR Q GLOBAL MATERIALMGMT <br /> 7300 CHEVRON WAY 1920 MORGAN RD, 5,900 CLAUS RD. 2035 E. 15TH ST 1640 N. BROADWAY <br /> DIXON, CA 95620 CERES, CA 95358 RIVERBANK, CA95367 IA, CA 90021 STOCKTON, CA 95205 <br /> 707-693-6008 209-541 -1825 209-863-8181 213-746.0237 818-770.2577 <br /> EPA# CAT080012602 EPA# CAL000393680 EPA# CAL000190816 EPA# CAL000270577 EPAlf CAL000417316 <br /> MPC (712016) <br />