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AMERICAN VALLEY 176257 WASTE OIL, INC. Invoice Number: P.O. Box 340 • Delhi, CA 95315 PH. 1-800-732-4645 + FAX 209-668-3880 EPA# CAR000272302 BILL TO: 5;i'A I'JLF-Y F-LEC,TRI C M V i�'.R C.0 JOB SITE: -STA NLE( >ELEC ERIC MOTOR;invoice Date: 1620E MINER AVE 1520 E.MINER AVE Si CC 'it✓h!, CA 95206 STOCK70N,CA 95205 Phone TCu—sto—merP.O. Terms EPA 4a514ap ,yf*Mc*fr V0 NlrE I S r,%v t PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT CODE NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 NON-RCRA Waste Liquid Used Antifreeze 133 NON-RCRA Waste Liquid Used Oily Water 223 Compliant Drained Used Metal Oil Filters . dt),- Lz LJ. �FJ :i1)(.iAL POLY (-V TOP TERMS: Invoices over 30 Days are subject Ica 1.5%service charge. Customer becomes necessary to collect this Invoice. agtQpa:,fo pay all legal fees if courtcitrin TOTAL By signing I herby certify that 1 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 waste does not contain any PC Bs,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 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 I am a large quantity generator,I 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 currently available to me which minimlzes 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 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 requiremonts applicable to hazardous waste management facfll- ties.Californla facilities that handle or process used oft are required to meet those more stringent requirement,and some out-of-state facilities that process used oft also meet those requirements,engineering certi'licatlons 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 sere as an agreement that American Valley Waste oil will submit confirmation fair(certain waste strearns)to the generator that their waste has been trenis to a licensed treatment or transfer facility. GENERATORI DRJVEC--�-- AUTHORIZED SIGNATURE- URE: DATE DISPOSAL /-RECYCLING FACILITY O DK-DIXON ---' O ASBURY ENWRONMENTAL 0 RIVERBANK Oil-TRANSFER O YUMA YES LLC O AMERICAN VALLEY WASTE OIL INC 7300 CHEVRON WAY 1920 MORGAN R❑• 5300 CLAUS RD. 6500.US HWY 95 521 INDUSTRIAL DR STEM DIXON, CA 95620 CERES,CA 95358 RIVERBANK, CA 95367 YUMA,AZ 85365 LIVINGSTON,CA 95334 707-693-6008 209-541-1825 249-863-8181 926-344-9828 209-667-8857 EPA#CAT08COI2602 EPA#CAL00D393680 EPA#CAL000190816 EPA#AZR000521146 FPA#CAL000443004 MPC(7!2016)