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06 / 11 / 2021f1 : 54 PM FAX 2099488925 AMCE SAtf Ja 0002 / 000 .3 <br /> AwRic N VALLEY 173 68 9 <br /> it — �-' WASTE OIL , INC . InvoieeNumber : <br /> ' P. O . Bax 340 Is Delhi , CA 95315 <br /> i PH , 1 -800-732-4645 4 FAX ' 205�66$�3880 <br /> Adid A : EPA## CAR000272302 <br /> ACIIAI= SAW ACME SAW �'' YG' ,. ' eve <br /> do SILL TO : 1204 E . MAIN JOB SITS; 1244 E , MAIN ST �n ie� Date : ' <br /> STOCKTON, CA 962011 X: AiRPORT <br /> do STOCK.TON, CA 95205 <br /> Stales Rep : AilS6ft' Kelp <br /> Phone 2035f�rt917 ,lpHN Customer Fri . Terms Ne# 30 Days EPA# CAL000178438d, <br /> 14 , <br /> PRODUCT SHIPPING DESCRIPTION MANIFEST QUANTiTY PRICE AMOUNT , <br /> WASTE <br /> CODE <br /> _ 10.14added , . <br /> NON- RCRA Waste Liquid Used Oil/Mixed Mils 221 ` <br /> NON, = RCRA Waste Liquid Used Antifreeze 133 � <br /> NON , RCRA Waste Liquid Used Oily Water 223 <br /> led I • i <br /> Compliant Drained Used Metal Oil Filters <br /> I <br /> HAZ WASTE PICK UP -GASIOIL <br /> rep <br /> Z / <br /> 55 GAL 0fr0P1UIN tr= RT STEEL RE • / <br /> - -- <br /> It <br /> � •Ip <br /> doe p <br /> — I <br /> SALES TAX - ,. . ; . • . <br /> TERMS ; invoices over 3o Days are subject to a 1 .5% service charge, Customer ager s to pay all legal fees if court aetiQrt ` :� ;; : 4' , r' , , <br /> becomes necessary to 001100t this invoice. Q'1`A 41" 4714 4 <br /> VIeCod <br /> v'• <br /> By signing I herby certify that I have not mixed any of the waste described above with any other hazardous waste, the total halide content is LESS than l lj' nd hied .• <br /> waste does not contain any PCBs, i have compiled will) the requirements of the applicable California used oil management regulation to determine this is true:• 1 agree to; 1 11 I ' <br /> accept the additional charges for the disposal of this waste if the information I have provided about this waste is incorrect : : • . I <br /> Generator's Certification: By sigrilncp I Certify that if I am a largo quantity generator, I certify that I have a program in place to reduce the volume and toxicitygf Waste-:ge'nerat-s. F I <br /> ed to the degree I have determined to be economically affordable andlethat 1 have seittcted the practicable method .o$ireatmenQ, stord or disposal currently.'availatSlato me:'' >;1 ' . <br /> 1 Ode <br /> which minimizes the present and'future tht60 t8 'hirman life•60eid the •anvironment: Or, if I am a small quaritity generator, I have made a Good faith effort to minimize t31y'yvaate':::,'•::;•;: <br /> generation and select the waste management method that is available to me that I ean 'afford. <br /> American Valley Waste Oil hereby advises the above Generator that generators shipment of used oil nlay be transported 1041 facility that is required to comply wlfh,fedeyaF.;; 1 . ,; r1 ': : • <br /> regulations applicable to management of used Oil, but that is not required to comply with the more stringent requirements applicable to hazardous waste fnartegenii<Iif4aci)iy; : .; I ; <br /> ties, California facilities that handle or process used oil are requlred to meet those more stringent requirement, and some out-of-state facilities that pided used oil .also rth3�f:; t <br /> those requirements, engineering certifications of tank integrity, and financial assurances for closure and accidental releases.;lt le lawful to:send sed oil to'out of. state '.faoltitles,;. ; : . . •' . I `; <br /> that Comply only with federal UEtd oil management standards and not these Moro stringent requirements, h I t <br /> " • ' <br /> This notification is for information purposes only. , _ } I , <br /> By both parties signing this invoice it will serve as an agreement that American Valley Waste Oil will submit confit talion for`{ce>�afn wast to the yerierirtc7r that their: ( i <br /> waste has been trai� Zoged"icansed treatment or transfer facility, t t I ii <br /> GENERATOR/ + I <br /> DI <br /> IIV _ NORIZED ~ <br /> SIS ATUR :%� NATURE: l DAZE;::,,:'deep . <br /> �POSALPRECYCLING FACILITY' <br /> deep bK [AXdN <br /> 0 ASBURY ENVIRONMENTAL 10 RIVERBANK OIL TRANSFOR 0 YUMAYES 4 C 0 AMERICAN VALLEYwA�'rEda6; INo . <br /> 7300 CHEVRON WAS! , 1920 MORGAN RD, $300 CLAUS Ppb. 6500 US HWY 05 621 INDUSTRIAL DR, STE''M <br /> DIXON, CA 95620 ;, CERES , CA 9535B RIVERBANK, CA 95367 YUMA, AZ 85365 1LIV],NGSTON, CA•95334 - <br /> 707-693-6008 ' 209-541 . 1825 209-863.8181 921#344-9828 209:687-88,57 ' '.: Ile <br /> EPA# 0AT080015^B02 EPA# CAL000983680 I=PA# CALbOp790816 EPA# AZA000521146 EPA# 0AL0004g3004 ` <br /> . <br /> I <br /> i <br />