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AMERICA I 4 VALLEY J1, e00 3h 7 8 WASTE OIL , INC . Invoice Number: P. O . Box 340 ^ Delhi , CA 95315 PH . 1 -800-732-4645 , FAX 20M6&3880 EPA# CAR000272302 7J , 6 ' 0 BILLT04 GGN-FABCALIFORNIA, LLC JOBSITE: GOIV-FAE?GALIFCNNIRIA ,LLG Invoice Date: 1010 LA T IrvOP PD 1010 LATHROP RD, LATHROP, CA 95390 LATHROP , CA 95380 A AIRPORT Phone09 2:18 d71t7 RI®O Customer RO. Terms EPA# Afii l4tan t7iiilTusy Not 34I".1&ys GAt.000162295 PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY Y PRICE AMOUNT CODE I NO RCRN A Waste Liquid Used Oil/Mixed Oils 221 G (OL s i NON -RCRA Waste Liquid Used Antifreeze 133 1 L NON -RCRA Waste Liquid Used Oily Water 223 Compliant Drained Used Metal Oil Filters OIL COLLECTION! FEE TERMS : invoices over 30 Days are subject to a 1 .5% service charge. Customer agrees to pay all legal fees if court action TOTAL ec'')7 becomes necessary to collect this invoice. CJt�/ 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 two. I agree to accept the additional charges for the disposal of this waste If the information 1 have provided about this waste is InconecL Generator's Certification: By signing I certify that if I am a large quantity generator, I certify that I hava a program in place to reduce the volume and toxicity of waste generat- ed to the degree I have detomrined to be economically affordable and that I have selected the practicable method of treatment, storage, or disposal cunenUy available to me 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 generation and select the waste management method that is available to me that I can afford. 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 federal regulations applicable to management of used oil, but that Is not required to comply with the mora stringent requirements applicable to hazardous wasto management facilf- Ves. California facilities that handle or process used ell are required to meet those more stringent requirement, and some out-of-stato facilities that process used oil also meet those requirements, engineering certifications of tank integrity, and financial assurances forclosure and accidental releases. It Is lawful 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 notficatlon 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 (cedain v ste reams) to the generator that their waste has been transported to a licensed treatment or transfer facility. GENERATOR/ DRIVER \ AUTHORIZED SIGNATOR ��' �-- DATE.�j ` SIGNATURE: �� _- DATE ' DISPOSAL / RECYCLING FACILITY 0 DK-DIXON SBURY ENVIRONMENTAL 0 RIVERBANK OIL TRANSFER 0 YUMA YES LLC 0 AMERICAN VALLEY WASTE OIL WC 7300 CHEVRON WAY 1920 MORGAN RD, 5300 CLAUS RD. 6500 US HWY 95 521 INDUSTRIAL DR STEM DIXON, CA 95620 CERES, CA 95356 RIVERBANK, CA95367 YUMA, AZ 85365 LIVINGSTON, CA 95334 707-693-6008 ' 209-541 -1825 209-863-8181 928-344-9828 209-667-.8857 EPA# CAT060012602 EPA# CAL000393680 EPA# CAL000190816 EPA# AZR000521146 EPA# CAL000443004 MPC ( )2016)