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AMERICAN VALLEY 181541 WASTE 01L, INC. Invoice Number: P.O. Box 340 • Melhi, CA 95315 PH. 1-800-732-4645 • FAX 209-668-3880 EPA# CAR 00272302 I BILL TO: GEAR ErffERPRISE,e JOB SITE: Invoice Date: 2660 N.TEEi�FE lam. SEAR EN1-ERPF,►.,E ST�NSTc�tJ.CA "x r, ,, r,. ::5a N.TEEPEE L�f'�. 2,TOCKTON,CA M-0: >417-ROK EE Phone Customer P.O. Terms EPA# ^+J4 X18.0997 DAA/E. PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT CODE NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 • S NON-RCRA Waste Liquid Used Antifreeze 133 NON-RCRA Waste Liquid Used Oily Water 223 Compliant Drained Used Metal Oil Filters TERMS: Invoices over 30 Days are subject to a 1,5%service charge. Customer grees to pay all legal fees if court action TOTAL- becomes necessary to collect this invoice. By signing I herby certify that I have not mixed any of the waste described above with an other hazardous waste,the total halide content is LESS than 1,000 ppm,and the waste does not contain any PCBs.I have complied with the requirements of the applicabi 9 California used oil management regulation to determine this is true.I 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 signing I certify that if 1 am a large quantity generator,I certif 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 selectec the practicable method of treatment,storage,or disposal currently available to me which minimizes the present and future threat to human life and the environment:Or,if I a n 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 a rd. American Valley Waste Oil hereby advises the above Generator that generators shipment f 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 he more stringent requirements applicable to hazardous waste management facili- ties.California facilities that handle or process used oil are required to meet those more si ringent requirement,and some out-of-state facilities that process used oil also meet those requirements,engineering certifications of tank integrity,and financial assurances f r 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 stringei it requirements. This notification is for information purposes only. By both parties signing this invoice it will serve as an agreement that American Valley Was e Oil will submit confirmation for(certain waste streams)to the generator that their waste has been transported to a licensed treatment or transfer facility. G NERATOR/ DRIVER A THORIZED I SIGNATURE: DATE: IGNATURE: DATE: DISPOSAL/ RECYCLING FACILITY O DK-DIXON O ASBURY ENVIRONMENTAL O RIVERBANK O LTRANSFER O YUMA YES LLC O AMERICAN VALLEY WASTE OIL,INC 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS R D. 6500 US HWY 95 521 INDUSTRIAL DR STEM DIXON,CA 95620 CERES,CA 95358 RIVERBANK, TA95367 YUMA,AZ 85365 LIVINGSTON,CA 95334 707-693-6008 209-541-1825 209-863-8181 928-344-9828 209-667-8857 EPA#CAT080012602 EPA#CAL000393680 EPA#CAL0001 30816 EPA#AZR000521146 EPA#CAL000443004 MPC(7/2016)