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720 South Stockton Avenue PR0528543 <br /> March 7, 2019 <br /> PHOTO 5: Consolidated manifest without the destination facilit checked off. <br /> u <br /> �RIWAS ` N V <br /> P.O. of <br /> Box 3�F,�t�+ANp'EV <br /> PI-1.1-B00-732-46gg,FAI,al.pq <br /> EPA#CAR00 2723p meq 1+, <br /> )o�srre•.I <br /> Customer P.D' Notzpoa�- <br /> PMne g(, <br /> ' <br /> ,9.2"-2-27 CAR MANIFEST <br /> r,4ODUCTSHIPPING DESCRIPTION WASTE <br /> CODE 1 <br /> t R1Cf +I <br /> _. --- —�__ 1 1 AMbUN1 <br /> N01\1-RORA Waste Liquid Used oil/Mixed Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Drained Used Oil Filters 1 _ <br /> I <br /> TERMS:Invoices over 30 Days are sublect to a 1.5%service charge.Customer agrees <br /> ES TAX- <br /> beesme5 necessary to collect this invoice. gree to pay all legal fees if court action TOTAL n <br /> ey signing 1 herby ol%that 1 have not Mixetl any of the waste Oescribetl above with any other hazardous waste,the total halide content is LESS Than 1,Og0 ppm,are me <br /> wasefe does not contain any PCBs. have cInu I'tl with the requirements of the applicable California usatl oil management regulation to determine tM1is Is Irv..agree Is <br /> act pt the additional charges for the tlisposal of[III waste if the information I have provided about this waste is Interact. <br /> eIt m the de Certification:By signing I certity that it 1 am a large quantity generator. certify that have a program in place ip reduce the volume and Ipxicily of waste general <br /> It to the degree I have determined to be economically affordable antl that I have selected the practicable method of treatment,storage,or d"aul l currently evallable to me <br /> which minimizes the present and future threat ro human life antl the environment:Or,it aIn a smell quantity generator,I have made a Good lalth sfiod to rtfy is my weele <br /> generation and select the waste management method that is available to me that I can attortl. <br /> Aag merican.neValley Waste Oil hereby advises the above.Generate that generators shipment of usatl oil maybe transported to a facility that is requiretl to comply with laderal <br /> f California a rukI.fi�esithat handle ora,agemet of used oil,but that is nor requiretl to comply witty the more eningent requirements applicable to hazartlous waste management Iaslli- <br /> those requirements,en Process used ail are required to meet those more stringent requirement,antl soma out <br /> faci6lies(hat pmcese used oil slap meet <br /> engineering u q certifications of tank integrity,and financial assurances for closure and accidental release..It Is lawful I.send ueed.11 re out of slate fapllitiee <br /> that comply only with federal used oil management standards and not these more stringent requirements, <br /> This notification is for information purposes only. <br /> By both Parties signing this invoice it will serve as an agreement that American Valley Waste Oil will submit confirmation for(certain waste stream,)to the genereser that Nak <br /> waste has been transported to a licensed treatment or transfer facility. <br /> GENERATORI <br /> DRIVER ALfr IZ <br /> SIGNATURE: 1 N SIGNATU - _ OATE'. <br /> DISPOSAL/RECYCLING FACILITY <br /> DK-DIXON O ASBURY ENVIRONMENTAL O RIVERBANK OIL TRANSFER O CFR O GLOBAL MATERIAL MIS <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD. 203'E,15TH ST. 1640 N.BROADWAY I <br /> DIXON,CA 95620 CERES,CA 95358 RIVERBANK,CA95367 LA,CA 90021 STOCKTON,CA 95205 <br /> 707-693-6008 209-541-1825 209-863-8181 213-746-0237 818,770.2577 <br /> EPA#CAT080012602 EPA#CAL000393680 EPA#CAL000190816 EPA#CAL000270577 EPA#CAI-0004173A6 <br /> mvc unme+ <br /> Lydia Baker, REHS Page 5 of 5 <br />