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AMERICAN VALLEY 163666 WASTE OIL , INC . Invoice Number: RO , Box 340 Is Delhi, CA 95315 PH . 1 -800-732-4645 • FAX 209-668-3880 EPA# CAR000272302 AMERICAN. RECYCUNG AMERICAN RECYCUNG BILI. TO: P C r 8E?X, ffi# JOB SITE: 520 ZEP14YR ST In ice Date. C FRES, CA 9W STOCKII CA 95206 Sties ftp : Phone 5104624= 3 ustomer RIO. Terms Net30 Days EPA# CALOO 195 . OHMS: PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT CODE NON-RCRA Waste Liquid Used Oil/Mixed ails 22 IIL=4 Z:\ 00 NON- RCRA Waste Liquid Used Antifreeze 133 NO*RCRA Waste Liquid Used Oily Water 223 Drained Used Off Fitters HA2 V ASTE PICK t1P - ARSORBEW, 01401E , MTIFR 00 5fed q) SA-LES TAX - - TERMS= Invoices over 30 aays are suNect to a 1 ;5% service charge. Customer agrees to pay all legal fees it court acti 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 Pny PC85. 1 have complied with the requirements of the applkable California used oil management regulation to determine this is true. I agree to accept the additional charges forther disposai of this waste if the information i have provided about this waste is incorrect C lenerator's Ger6goation: By Signing I dem that if I r:m a turgs quantity gener;rtor, I certify that 'I h ve a program in place to r_duc�e the volume 9mi toxicityof waste generat- ed to the degree I have determined to be economicvily .affordable and that I have selected the practicable method of treatment, storage, or disposal currently available to me which minimizes the presentand future threat toHuman life and the environment: Or, if I am a.smali quantity generator, I have made a Good faith effort-to minimize my waste generation and, select tha waste rasnagemenf method thatls available 3o me that l can afford. Amertoan Valley Waste Oil hereby'advI tate above Generator that generators shipment of.used oil maybe transported to a facility that is required to comply with federal regulations applicable to rnanagemant of used oil, but that Is not required to comply with the more stringent requirements applicable to hazardous waste management facili- Nos.. California facfUties that dandle or process used bit are required to meet those more stringent requirement, and some out-of-state facilities that process used o0 also meet those requit8ments, engineering certifications of lank integrity, and financial assurances for closure and accidental releases. It Is lawful to send use¢ oii to out of state facilities that comply only with federal used oil management standards and not these more stringent requirements. This notification Is'for iinformatibmpurposes only. By both parties sigining this invoice it will serve as an 7DAT that American Valley Waste ON will submit confirmation for (certain waste streams) to the generator that their waste has been tied to s . atnnent oaality. GENERATQR! / DRIVER �t� At1TNORIZED ! G , SIQNATURE; Er « SIGNATUR , DATE: Dt9POSAL. I BECYLUING FACILITY U D*0IXQN 0 ASBURY ENVIRONMENTAL Q' RIVERBANK OIL TRANSFER Q CFR Q GLOBAL MATERIAL MGMT 7300 CREVRQN WAY 1920`MORGAN RD. 5300 CLAUS RD, 2035 E. 15TH ST. 1640 N . BROADWAY DIXON, CA 95820 CER{rS4 QA 85358. RIVERBANK, CA 95367 LA, CA 90021 STOCKTON , OA 95205 707-853-8008 209-fl41-1826 209-863-8181 213.-746-0237 818-770-2577 EPA# GATQ0W12QQ2 EPA GALOQM3680 EPA# GAL000190816 EPA# CAL000270577 EPA# CAL000417316 MPC (7/2016)