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Jesse's Automotive Service; 1830 E. Cherokee Road <br />DILL TO: <br />PhonifUsI4b <br />PRODUCTS. <br />1 <br />NON-RCRA Waste Liquid Used Oil/Mixed Oils <br />NON-RCRA Waste Liquid Used Antifreeze <br />NON-RCRA Waste Liquid Used Oily Water <br />Drained Used Oil Filters <br />64 <br />AMERICAN VALLEY 13a,u b -f <br />WASTE OIL, INC. 16ppjpe <br />P. O. Box 340 • Dolht, CA 95315 <br />PR. 7.600.7324645 • FAX 209-666-3660 <br />EPAN CAL000627870 - <br />JE3aE6 AUTO REPAIR <br />1a3o Ge*77UKEERO JOB SFTF: IL i!ill OOKE Pt R �CrV OICC Data• <br />3TOCKTON CA 952W ,IIX; KION <br />Sabi Rep MIKE MU 6ER <br />1.4O610 CuslomerPO. Torms „I� EPAM ..,,nxT52A <br />PRICES WE FIN yE PEEN FilRCEG TO <br />CHANGE PRICING FOR WAST E UIL AND <br />WASTE _ _ . err i i I I ---I <br />CODE'" <br />221 ! <br />133 "t, <br />223 _ <br />I� <br />-; JON-RCRA <br />TERMS: InvorCos ever 30 Days are sub eCt to a 1 5°o service char e. Customer agrees to pay all lagat fees d court action TOTAL <br />k..� j SON-RCRA V becomes ,ecessary ro c.)I-[ Biis invuii e. g <br />BY vgmng 1 herby Cernty that r have not mixed any of the waste described above with any other hacartlous wase, the rotal halide content a LESS than 1.000 ppm <br />VON-RCRA 1 and the waste does <br />,f <br />not conrain any PCBs. I have complied with the requirements of the applicable California used cid management regulation to determine this Is <br />true I agree tb <br />accept the adddional charges for the disposal -(In" wall, if the information i have <br />Drained Use< provided about this waste �s mcprrect. <br />L <br />_ Generator's Certihcauun By signing 1 cendy that if I am a large Qua, lily One, atot, I Certify Ihal I have a program m place Io reduce the Volume and toxicity of waste <br />generated to the degree I have determined lobe <br />�+ <br />economically affordable and that I have saiected the prachwblp method of treatment, storage, o: disposal currently <br />aw�iable ro me whiU minimize, <br />I <br />_ tnp present and future threat to human ;d� „nd the anvironmpm. Gr, d I am a small quantity generator. 1 have made a good faith <br />effort to minimize my waste <br />generation and select the waste management mp[noo that rs availably. to me that I can afford. <br />_f Br both oames sigmng Nis invo4e d wdl serve as an a that American valley vias[, Oil vrdl;ubmrt conlirrnauon for (certain waste screams( to the generator <br />GH%J greeent <br />trot thNrwaSle hasbeen <br />`vq 1 <br />FI,1y transported to a licensed treatment or IranSfer IJCIht7 <br />o <br />l V I` 1I J <br />(r <br />L <br />'—` DRIVER GENERATOR, <br />/- - AUTHORIZED <br />1 <br />__ DATE SIGtJAT'JRE DATE. 4 <br />__—_--- - — <br />— -- <br />L / RECYCLING FACILITY <br />��� W <br />q+r, O CFR <br />L -N 1 <br />VRON WAY 2035 E 15TH 7UNITEC <br />LF,I't{IE,E ; CtJrIP 5 <br />CA iL'r VALLE r y <br />08 1 CA 51357 <br />-On7 <br />213.7x5-pz37 b15Jti7.2G4980012802 <br />(l90021 <br />EPA# CAL000270577 I -PAN CAL00037WS9 <br />_. j <br />Consolidated receipt that facility owner stated was for drained used oil filters <br />Page 7 of 8 Photo taken on July 16, 2015 <br />