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J <br /> AMERICAN VALLEY 1705-ILO <br /> WASTE OIL, INC. Invoice Number: <br /> P.O. Box 340•Delhi, CA 95315 <br /> PH. 1-800-732-4645•FAX 209-668-3880 <br /> EPA#CAR000272302 <br /> MANTECA TIRE MANTECATIRE <br /> BILL TO: 201 W.EDISON AVE JOS SITE: 201 W.EDISON AVE Invoice Date: <br /> MANTECA,CA 95336 MANTECA,CA 95336 <br /> 4WKOIL <br /> es Rep, <br /> Phone 2D9-2343558 GREG Customer P.O. Terms EPA# <br /> Net 30Days C.�y,L00(3rJ1D248 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 6-4 61 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Drained Used Oil Filters <br /> SAJ FS TAX- <br /> TERMS: Invoices over 30 Days are subject to a 1.5%service charge. Customer agrees to pay all legal fees it court action TOTAL �- <br /> becomes necessary to collect this invoice. <br /> By signing I herby cerlity 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 <br /> 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.I agree to <br /> accept the additional charges for the disposal of this waste if the information I have provided about this waste is incorrect. <br /> 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 toxicity of waste generat- <br /> ed to the degree I have determined to be economically affordable and that I have selected the practicable method of treatment,storage,or disposal currently available to me <br /> 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 <br /> generation and select the waste management method that is available to me that I can afford. <br /> 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 <br /> regulations applicable to management of used oil,but that is not required to comply with the more stnrgent requirements applicable to hazardous waste management facili- <br /> ties.California facilities that handle or process used oil are required to meet those more stringent requirement,and some out-of-state facilities that process used oil also meet <br /> those requirements,engineering csdlfications of tank integrity,and tlrancial assurances for closure and accidental releases.It is lawful to send used oil to out of state facilities <br /> that comply only with federal used oil management standards and not these more stringent requirements. <br /> This notification Is for information purposes only. <br /> By both parties signing this invoice it will serve as an agreement that American Valley Waste 011 will submit confirmation for be in waste streams)to the generator that their <br /> waste has been transported to a licensed treatment or transfer facility. <br /> GENERATOR! <br /> DRIVER AUTHORIZED <br /> SIGNATURE: DATE: s �, SIGNATURE: DATE: <br /> DISPOSAL/RECYCLING_FACILITY <br /> 0 DK-OIXON SBURY ENVIRONMENTAL 0 RIVERBANK OIL TRANSFER 0 CF 0 GLOBAL MATERIAL MGMT <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD. 2035 E.15TH ST. 1640 N.BROADWAY <br /> DIXON,CA 95620 CERES,CA 95358 RIVERBANK, CA 95367 LA,CA 90021 STOCKTON,CA 95205 <br /> 707-693-6008 209541-1825 209-863-8181 213-746-0237 818-770-2577 <br /> EPA#CAT080012602 EPA#CAL000393680 EPA#CAL000190816 EPA#CAL000270577 EPA#CAL000417316 <br /> MPC 0120161 <br /> I <br />