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1400 E. Victor Rd, Lodi, CA 95240 PR0513816 10/14/2021 Program: HW PHOTO 2: The 05/14/2019 consolidated manifest is incomplete, missing disposal/recycling facility information. t fi�i AMERICAN VALLEY 17 4074 ls��ice u WASTE OIL, INC. Invoice Number: `gPw S P.O.Box 340•Delhi,CA 95315 CES d1S02� PH.1-800-732-4645•FAX 209-668-3880 Fees pa /]ART CONTAINER EPA#CAR000272302 ,//Y/y pC'�•' BILL TO: 140ovlc7oRRo DwareoNraNER �Cce l LODI,CA 85210 JOB SITE: 1401.CA 95 RD Invoice Date: R M1 LODI,CA 85246 i SIO—oZ131� OPe�V\o�'�'o srr ftp: Phone Customer P.O. Terms EPA# CAD951964489 Manxf�� OR GLORIA C O.D.. /- PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANT fTY PRICE AMOUNT CODE • ��yy�� NON-RCRA Waste Liquid Used Oil/Mixed Oils .,221_ �,�7YC C S I Y�n q5•W Qa NON-RCRA Waste Liquid Used Antifreeze 133 NON-RCRA Waste Liquid Used Oily Water 223 Compliant Drained Used Metal Oil Filters i ! ' SALES TAX- 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 TOTAL becomes necessary to collect this invoice. i Sy 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 then 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 true.l agree to accept the additional charges for the disposal of this waste if the Information I have provided about this waste is incorrect. Generator's Certification:By slgning I certify that If I am a large quantity generator,I certify that I have a program In place to reduce the volume and toxicity of waste generat- ed to the degree I have determined to be economically affordable and that I rave selected the practicable method of treatment,storage,or disposal currently available to me -any 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. 'r / American Valley Waste 011 hereby advises the above Generator that generators shipment of used oil may be transported to a facility that Is required to comply with federal .� regulatlbna applicable to management of used oil,but that Is not required to comply with the more stringent requirements applicable to hazardous waste management faclll- uired to meet ties those equlrementsalifornia ftles that eng nearing certifie or cations of tank integritrocess used of]are y,and financial assurances nc s fomom rr closure and ecpidentel releases.ent requirement,and some It Is lawful tolities sendthat usedrocess oil to out of state eall also cllitles that comply only with federal used oil management standards and not these more stringent requirements. This notification Is for Inlonnatlon purposes only. P By both parties signing this Invoice It will serve as an agreement that American Valley Waste Oil will submit confirmation for(certain waste streams)to the generator thattheir waste has been transported to a licensed treatment or transfer facility. DRIVER / GENERATOR/ 1 SIGNATURE: / DATES�� UTHORIZED ONATURE; ATE. '. �f DISPOSAL/RECYCLING FACII ITv ev. O DK-DIXON 0 ASBURY ENVIRONMENTAL 0 RIVERBANK OIL TRANSFER Q YUMA YES LLC Q AMERICAN VALLEY WA97E OIL,INC 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD. 6500 US HWY 95 521 INDUSTRIAL DR STEM DIXON,CA 95620 CERES,CA 95358 RIVERBANK, CA 95367 YUMA,AZ 85365 LIVINGSTON,CA95334 707-693-6008 209.541-1825 209.863.8181 928.344.9828 2OM67-8857 EPA#CAT080012602 EPA#CAL000393680 EPA#CAL000190816 EPA#AZR000521146 EPA#CAL000443004 VICKY VANG-LEE, EHS Page 2 of 8