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TJ ANWWAN!VALLEY =,4ST� OIL,i= lC. . Invoice Number: J P.O. Box 3.40- Delhi, CA 95315 PH. 1-800-732-4645 FAX 209-668-3880 EPA# CAR000272302 SILL TO: ASSOCIATED TRAC-i OIR JOB SITE: A;,:SOc iHTED :-RAr Invoice Date: 1323W.CHARTER VVY 1323 W. CHARTER WAY STOCKTON, CA 96206 X:ARGONAUT&FRESNO STOCKTON, CA 96209 Phone Customer P.O. Terms EPA# 209-46Z-WW ROCKY Niet'30 Days C-AD983606930 PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT CODE 1V('I1V IRLFIAWAte ')gi[M Used¢OI0MWx0d'Oils 221 NON-RCRA Waste Liquid Used Antifreeze 133 _ �{—}..� c 1 ��t ~%�r��i' _- 1•� moi_ � �� j �� NON-RCRA Waste Liquid Used Oily Water 223 Drained Used Oil Filters Vii_ COLLECTION FEE Sale; Tax 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. By signing I herby certify that l have not mixed any of the waste described above with any other hazardous waste,the total halide content is LESS than 1,00d`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.I agree to accept,the additional.charges fRr„the dispvsalof this waste if.the information I have provided about this waste is incorrect. Generator's Cermflcatldn'.By signing I certify:that if I am a large`quantity generator`l 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 have selected the practicable method of treatment,storage,or disposal currenlly.available to me which minimizes the present and'�uture threat to human rfe 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 to management of used oil,but that is not required to comply with the more stringent requirements applicable to hazardous waste management facili- 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 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 oil management standards and not these more stringent requirements. This notification is for information purposes only. By both parties signing this invoice it will serve,ap an agreement that American Valley Waste Oil will submit confirmation for(certain waste streams)to the generator that their waste has been transported to a-licensed treafrhent or transfer facility. I GENERATOR/ DRIVER - AUTHORIZED 4✓1L-,•,�, SIGNATURE: ' ,. ,a� DATE: f %s,'"��• ��"SIGNATURE: � ' �`',' DATE: ' T DISPOSAL RECYCLING FACILITY Q DK-DIXON CF-ASBURY ENVIRONMENTAL O RIVERBANK OIL TRANSFER O CFR O GLOBAL MATERIAL MGM IT 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD. 2035 E. 15TH ST 1640 N. BROADWAY r DIXON,CA 95620 ,CERES,CA 95358 RIVERBANK, CA95367 LA,CA 90021 STOCKTON,CA 95205 707-693-6008 209-541-1825 209-863-8181 213.746-0237 818-770-2577 EPA#CAT080012602 EPA#CAL000393680 EPA#CAL000190816 EPA#CAL000270577 EPA#CAL000417316