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AMERICAN VALLEY 176417 WASTE OIL, INC. Invoice Number: P.O. Box 340•Delhi,CA 95315 PH. 1-800-732-4645• FAX 209-668-3880 EPA#CAR000272302 ,�f Com-�'SCOf_rr `� BILI.TO: AGUILLES AUTO 13O€7Y&REPAIR JOB SITE: AGUILLE6 AUTO BODY&REPAIR Invoice Date: 480 E.11 TH ST 480 E.11TH ST CALL AHEAD CALL AHEAD TRACY,CA 95304 TRACY,CA 65304 Phone 209-831-9603 SUZANN Customer P.O. Terms EPA# CALL AHEA101 CA,D. CAL000866191 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 OIL COLLECT!ON FEE S.oC> TERMS: Invoices over 30 Days are subject to a 1.51A service charge. Customer agrees to pay all legal fees a 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 any other hazardous waste,the total halide content Is LESS than 1,000 ppm,and the waste does not contain any PGBs.I have complied with the requirements of the applicable calearnia used oil management regulation to determine this Is true.I agree to anneal the additional charges for the disposal of this waste 0 the information I have provided about this waste is incorrect. Generator's Gertlflcatlon:By signing l certify that if I am a large quantity generator.I certify that 1 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 mlnimizes the present and future threat to human Ilfe and the environment:Or,if I am a small quantity generator,1 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 oli 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- tles.California facilities that handle or process used nil 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 its for Information purposes only. By both parties signing this invoice it will serve as an agreement that American Valley WaSta Oil will submit confirmation for(certain waste streams)to the generator that their waste has been transported to a licensed treatment or transfer facility. GENERATORI DRIVER AUTHORIZED SIGNATURE: ., DATE: SIGNATURE DAT DISPOSAL 1 RECYCLING FACILITY 0 D ASQURYENVIRONMENTAL 0RWERBANKOIL TRANSFER 0YUMAYES 1 0AMERICAN VAI.1-tvWASYEOEL,INC 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD. 6500 US HWY 95 521 IMDUSTRIAL DR STEM DIXON,CA 95620 CERES,CA 95358 RIVERBANK, CA 95367 YUMA,AZ 65365 LIVINGSTON,CA 95334 707-693-6008 209-541-1625 209-863-8181 928-344-9828 209.667-8857 EPA#CAT080012602 EPA#CAL0003931380 EPA#CAL000190816 EPA#AZR000521146 EPA#CAL000443D04 MPC W2016)