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06 / 11 / 2021 1 : 42 PM FAX 2099488625 AMCE SAW 0003 / 0003 AMERICAN VALLEY 17 9 8 5 9 WASTE OIL, INC . Invoice Number : R0 ,1 Box 340 • Delhi , CA 95315 PH . 1 -8M7324645 * FAX 209-668 880 EPA# CAR000272302 r , 11i ACME= SAW ACME SAW r � BILL TOO 1204 E* MAIN JOB SITE: 1204 E . MAIN V Ynvoice Date: STOC:KTON , CA 95206 X; AIRPORT STOOKTON , CA $ 5205 Phone 209- 351- 19 '17 JOHN Customer P. O . Terms EPA# 140 S0 Doy � t ,AL.Ot U17.�s43�3 PRODUCT SHIPPING, DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT CODE N0NmRCRA Waste Liquid Used Oil/Mix,ed Oils 221 NON- RCRA Waste Liquid Used Antifreaze i 33 NON - RCRA Wastes Liquid Used !Oily Water 223 Compliant Drained Used Metal Oil Filters �� FiJ� '3s1A0 } E Cif t;:)� l4M- f�l�° UI* f9 �i 11 r9i; it CJI L. riZVI • r • . TERMS: Invoices over 30 Days are subject to a 1 ,5°/D service charge. Customer agrees to pay all legal fees if court action TQTAL becomes necessary to collect this invoice, tom" 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 1.659 than 11044 ppm, and the Waste dohs not contain any PCBs4 l have Complied with the requirements of the applicable California used oil management regulation 10 determine this Is true. I agree to accept the additional charges for the dls 9sai 01 this waste if the information I have provided about this waste is incorrect. Generator's Certification: By signing I certify that if I am a large quantity generator, I certify that I have a program in place to reduce the volume and toxlolty of waste generat- adto the degree i have' deter'mined to be economically affordable and that I have selected the practicable method of treatment, storage, or•disposal currently available to me which minimizes the present and future threat 10 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 t0 management of used oil, but that is not required to comply with the more stringent requirements applicable to hazardous waste management fecili= ties, California facilities that handle or process used oil are required to meet those more stringent requirement, and some out-of^state atilities that process used oil also meet 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 oll management standards and not those more stringent requirements. , This notification is for information purposes only. By both parties signing this Invoice It will serve as an agreement that American Valley Wastc Oil will submit irmation for (certain waste streams) to the generator that their, waste has been transported to a licensed treatment or transfer facility. 11 �--� GENERATOR/ A . .. bfllVEllx�� -� . UT IJRIZ6D f SIGNATURE �DATp�/ r 'DATE. ' r rx'"y 35P -SAL 1 RECYCLING FACILITY Q DK•DIXON Q ASBURYENVIPoNMENTAL Q RIVERBANKOILTRANSFER 7 YUMAYE8LLC ''AMERICAN VALLEY WASTE Olt , INC ''.� 73t7b CHEVRON WAY 1Q2R MC�RCaAN RD. 530E CLAUS RD, 650E US NWY 95 1 INDUSTRIAL QR 87E M DIXON4 0A 95620 CERES, CA 9$358 RIVERBANK, CA 95367 " -Y.UMA, AZ 85365 LIVINGSTON, CA 95334 707 -893.6008 209-541 .1825 208 863-8181 928.244-8828 209 667-8957 I=PA# OAT080012602 EPA# CALOD0893680 EPA# CAL000190816 EPA AZfi000521146 EFA# CALDOD443004 MFC (7/2016) I i [i