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;IMERIGT VALLE 1 <br /> .�C V <br /> 43 <br /> WASTE SIL, INC.. Invoice Number: <br /> P.O: Box340 -'-Delhi,I'CA'95315 OCT 2'72017. <br /> PH. 1-MO 73 6"45— FAX 209-668-3880 w <br /> EPA# CAR000272302 ENVIRONMENTAL HFA« <br /> s.�r 4PA=�tTMEN"I 0 131 <br /> 7 <br /> PORT OF STOCKTON PORT OF STOCKTON <br /> BL ,'TO :P.o 13oX toss JOB SITE: dpi W.WASHINGTON ST Invoice Date: <br /> STOCKTON,CA 95201 STOCKiON,CA`.'952a1 <br /> Sales Rep Steve <br /> Phone 209_946-02.46 RITA Customer P.O. Terms Net 30 Days EPA# <br /> CAL000041551 <br /> PRODUCT SHIPPING DESCRIPTION .MANIFEST QUANTITY PRICE AMOUNT. <br /> WASTE <br /> CODE <br /> NON EICRA Waste.Liquid Used Oil/Mixed Oils 221 p <br /> �U e -3& <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON RCRA Waste Liquid.Used Oily Water 223 _ r <br /> Drained Used Oil Filters , <br /> l�lL coLLEGTION FEE U <br /> i <br /> Sal <br /> TERMS: Invoices over 30 Days are subject to a 1.5%service charge. Customer agrees to pay all legal fees if court action TOTAL / <br /> becomes necessary to collect this invoice. C <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 1,000 ppm,and the <br /> waste does riot contain any PCBs.I have complied with the requirements of the applicable California used oil management regulation�o 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. j <br /> Generator's Certification:By signing I certify that if I am a large quantity generator,I certify that I have a program in plane to reduce the`volume and toxicity of waste gengrat- <br /> ed to the degree 1 have determined to be economically affordable and that I have selected the practicable method of tr6atment,storage,or disposal currently available to me <br /> -which minimises 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 stringent 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 certifications of tank Integrity;and financial assurances for closure and accid ntal 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 Js for information purposes only. <br /> By both parties signing this invoice it will serve as an agreement that American Valley Waste Oil will submit confirmation for(certain wast streams)to the generator that their <br /> :=parties <br /> been transported to licen reatment or transfer facility. <br /> GENERATOR/ <br /> DRIVERI AUTHORIZED ,' f <br /> SIGNATURE DATE SIGNATURE: ���///JJJ DATE: ( <br /> DISPOSAL I RELY I FACILITY <br /> O bK-DIXON ASBURY ENVIRONMENTAL O RIVERBANK OIL TRANSFER O CFR O'GLOBAL MATERIAL MGMT <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD. 2035 E.15TH ST. 1640 N.BROADWAY <br /> DIXON,CA.956 p CERES,CA 85358 RIVERBANK, CA 95367 LA,CA 90021 STOCKTON,CA 95205 <br /> 707-693-6008 209-541-1825 20.9-863-8181 213-746-0237 818-770-2577 <br /> EPA#CAT080012602 EPA#CAL000393680 EPA#CAL000190816 EPA#CAL000270577 EPA#CAL0004173i 6 <br /> - - ... MPC(7/2016) <br />