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06 /11 / 2021 1 . 52 Phi FAX 2094488625 ALICE. SAW 1 0001 / 0003 4 I In It � �. ICAN VALLEY 17 418 r wWASTE OIL, - INC . Invoice Nui7tber . P 0. • Box 340 • Delhi , CA 95315 T • PH . 1 - 00- 732-4645 # FAX 209-663-3880 EPA # CAR000272302to ACME SAW + BILL TOO 1204 E . MAIN 9 O4 M�MSN ST STOCkTC7N, CA 85206 JOB SITE** x: AIRPORT Invoice- I7ates, . STOCKTON, CA 95206 Saps tip :• . Albeit Kpeltido Phone - ' ' Customer Rol41 1 Terms Net30 [lays EPA# CAILPM ? 178438 , �• {' PRODUCT SHIPPING DESCRIPTION I WANE MANIFEST QUANTITY Pf� IG ' ' ;I1VIC3UNT { . . . . . .,, , CODE It _ . . . . . 1. Is NON- RCRA Waste Liquid Used Oii/Mixed Oils 22 .1 ` NON-BORA Waste Liquid Used Antifreeze 133 NONmRCRA Waste Liquid Used Oily Water 223Id Compliant Drained Used Metal ail Filters { If Ipl I. dood l -TI I I 1 1 4do do)I add I torsion do so I i SALES TAX TERMS: Invoices Over 30 Days are subject to a 1 .5%o service charge. Customer agrees t0 pay all legal fees if court actlon 'fit jqL : becomes necessary to collect this invoice, By signing I herby carti'fy that I have not mixed any of the waste described above with any other hazardous waste, the total halide content is-LE$S thin 9 ;000 porn;96d •the ' waste does not Contain any PCBs. I have complied with the requirements of the applicable Callforrlia used oil management regulation to deterrnln6 this is'true. I agree'lo • . accept the additional charges forthe disposal of this waste if the information I Have provided about this waste Ig Incorrect Generator's Certirication: Byd aigning I Certify that it I am a Iat'ga quantity generator, I certify that I have a program in place to reduce the volume and toxicity of waste geneirat= ) ed to the degree I have determined to be economically affordable and that I have selected the praCticabla method of treatment, storage, or :disposai• Citirontly available to ma which minimizes the present and future threat to human life mind the environment. Or, i€ t am a small quantity generator, i have made a C,obd •faith effoi# t0 minirhize my vista generation and select the waste management method that is available to me that I Can afford. American Valley Waste Oil hereby advises the at)ove Generator that generators shipment of used all may be transported to 1 facility that •ig required to dornpiy With federal' j regulations applicable to management of used oil, but that is not required to comply with the more stringent requirements applicable to hazardous waste : manegement facili- t ties. California facilities that handle or process Used oil are required to most those more stringent requirement, and some out of-state facil!des that process` nag 0(I 'alsd meat ' 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 that comply only with federal used oil management standards and not these morn stringent requirements. 4 1 1 This notification is for information purposes only. By both parties signing this Invoice it wll.serve as an agreement that American Valley Waste Oil will submi onfirmatipn d Certain waste streams) to the generator that their waste has been transported to a licensed treatment ortrarnsfar facility. GENERATORI l DRIVER j AUTHORIZED t l SIGNATURE: DATE: r . ( w S1�NATURE; BATE. � j. 1 dod POSAL IRECYCLfNG FACILITY I Ip It DK•DIXONASBURY ENVIRONMENTAL 0 RIVERBANK OIL TRANSFER 0 YUMA YES LLC Q , AM6RIGAN VALLEY WASTE OIL, INC ' 7300 CHEVRON WAY 1920 MORGAN Ftp, 5300 CLAUS RD, 6500 US HWY 95 521 INDUSTRIAL. DN STEM DIXON , CA 95620 CERES , CA • 95358 RIVERBANK, CA 05367 YUMA, AZ 95365 LIVINGSTON, CA 95534 707.693-6008 209 541 1825 209-863.818Y 92$-344 9628 209 667 8657 i EPA# CATOOGO12602 EPA# CAL000393680 EPA# CALOOO190816 EPA# AZR000521146 • EPA# CAL000443004 4 dot MPC (7/£016)