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WASTE OIL, INC . Invoice Number: P, O . Box 340 a Delhi , CA 95315 PH . 1 -800-732-4645 • FAX 209-668-3880 EPA# CAR000272302 CON-FAB CALIFORNIA, LLC CON-FAB CALIFON RiA XLC BILL TO : 1910 LATHROP RD JOB SITE. 1910 LATHROP RD, Invoice Date; LATHROP, CA 95330 IATHROP , CA 95330 X: AIRPORT Sates Rep ACT ?.- - - -- -- -- - 1 Phone209.856-2521 MARLIN � CustomerRO. Terms Net 30 Days rPASCALWO152295 -- — ' PRODUCT SHIPPING DESCRIPTIONI WASTE ( MANIFEST (QUANTITY{ PRICE i AMOUNT CODE NON •RCRA Waste Liquid Used Oil/Mixed Oils 221 :�F � � NON-RCRA Waste Liquid Used Antifreezeo 133 NON RC RA Waste Liquid Used Oily Water 223 i Drained Used Oil Filters ! OIL COLLECTION FEE I i i I - ----- - - - — - — ---' --- Sales T= --4 —� -- -- -- ---- - 1 - ---- - - --� - -' - , i TERMS: Invoices over 30 Days are subject to a 1 ,5% service charge . Customer agrees to pay all legal fees if court action - - iOTAL i becomes necessary to collect this invoice. I I I By s!gning I herby certify that I have not mixed any of the •Wwmel de=cilhed above with ony Omer hazardous waste, The total halide contura is LESS than 1 ,e00 P", and the waste does not cnnUun any PCBs. I have compiled with ma requirements of the applicable Cal formai used oil matagamenl regulation to determine this is true. I agree to i acc�apl the additional charges for the disposal of th v uagte if the information I have Prov Ned about Ibis haste Is incorrect, , G riaratcr a Certification. $By qrr ng i carlify trial it I am a largo quantity gwiltatoc I certify than have a program in place to reduce the volume and toxicity of caste oare at- ed to the cingree I havre determined to be eccnonticalPy affordable and that I have selected the practkatNa method of treatment, storage, or disposal currently available to me 4 wiryah minimlzes the prestm and future threat to Iwman life and the entlronment: Or, 0 1 am a Small quantity generator, I have made a Good faith effort to nvmmiza my haste I generation and select the vvaslo meinagemeni mrihod that Is ave"I"a to me that 1 can afiofd. i American Vatluy Waste Oil hereby ad•Asas the Phave Generator that generators shipment of used dl rmky be transported to a facility lhal to teclulred to comply With federal regulations appiictiNe to maragement of used oil, but that is not requited to comply with the more stringent requirements applicable to hazardous mete management 110i- ties. California faciriliea that handle or process used di aro required to meet arise more stengent requirement, and sorra out-of-stale facilities that procass used O a:ao meet i those requirements, engineering cetlifcaU4ns of tank integrity. and IlnancLal assurances for closure and acsTdpmal releases, it is lawful to send used oil to cut of state facir!Ies I that comply only with federal used oil management standards aril not these more stringent requireihen,s. This notification is for information purposes only. By both parlies signing this invoice it wall serve as an agreement that American Valley Wasto Oil will submit confirmation for (certain waste streams) to the generaler Ih nt Ihe✓ , erste has been transported to a licensed vestment or transfer facility. V' `- GENERATOR( DRIVER ,/ , AUTHORIZED SIGNATURE: .' j,/J ..- -a DATE: I � � �J SIGNATURE: , .`'"-'-'..-" DAiE: j---- - �rr- % __ .- ---- - -- -- --- —f_ ---- - --- -- -- ! biSPQS> L / REGYQ�LI,.�t-03iF&QILI.IY /I I O DK-DIXON ASBURY ENVIRONMENTAL O RIVERBANK OIL TRANSFER Q CFR O GLOBAL MATERIAL h4GMT 7300 CHEVRON WAY 1920 MORGAN RD, 5300 CLAUS RD. 2035 E. 15TH ST 1640 N. BROADWAY DIXON, CA 95620 CERES, CA 95358 RIVERBANK, CA 95367 LA, CA 90021 STOCKTON, CA 95205 707-693-6008 209-541 -1825 209-663-8181 213-746-0237 818.770-2577 f EPAY CAT08001 2602 EPAA CAL000393680 EPA# CAL000190816 EPA# CAL000270577 EPA# CAL000417316