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3847 Duck Creek Drive PR0537759 <br /> September 12, 2019 Program: HW <br /> PHOTO 3: Consolidated manifest with an incorrect ID number. <br /> Arvw RICAN VALLEY <br /> WASTE OIL, INC. <br /> FRO.Box 340•Delhi.CA 95315 I°`'"i.r Numhrr <br /> PH. 1-800'73:?-4645•FAX 209-668-3860 <br /> EPA#CARD00272302 <br /> LL <br /> TOB SITE: <br /> Ineoi:r h,,tc: <br /> me-` <br /> 4J6 --- <br /> stomer R0, <br /> Cus — --- <br /> _ ,q ) <br /> Terms E k <br /> )DUCT SHIPPING DESCRIPTION <br /> WASTE MANIFEST QUANT PRICE AMOU <br /> — - ------ CODE <br /> -RCRA Waste Liquid Used Oil/Mixed Oils - <br /> 221 - <br /> RCRA Waste Liquid Used Antifreeze 133 — <br /> 4CRA Waste Liquid Used Oily Water --'----- - -- _ <br /> 223 --- <br /> d Used Oil Filters -- -----------___ ___._ <br /> ices over 30 Days are subject to a 1.5%service charge. Customer agrees to ay pall legal teas if court actial TOTAL <br /> essary to collect this invoice. <br /> erby certify that 1 have Trot mixed any of the waste described above with any other hazardous waste,the total halide contt h LESS than 1,000 ppm,ea o the <br /> )t contain any PCBs.I have complied with the requirements of the applicable California used oil management regulation t determine this Is true.I agree to <br /> ditional charges for the disposal of this waste if the information I have provided about tills waste Is Incorrect. <br /> wfification:By signing I certify that if I and n large quantitygenerator,aerator,I certify that I have a Program In place to redUCe the lathe and toxicity of waste genera <br /> )a I have determined to be economically affordable and that I have selected the practicable method of treatment.sterane r disposal currently available to ma <br /> a <br /> is the present and future threat to human life and the environment:Or,If I am a small quantity generator.I have made a G d faith effort to I1linnnize my waste <br /> select the waster management method that is available to me that I can afford, - <br /> r Waste Oil hereby advises the above Generator that generators shipment of used oil may be transported to a facility tiler s required to comply with tederel <br /> Iicable to management of used oil,but that is not required to comply with the more stringent requirements applicable to azardous waste management facill- <br /> 3cilities that handle or process used oil are required to meet those more stringent requirement.and some out-of-state to Titles that process used oil also meet <br /> nts,engineering certifications of tank Integrity,and financial assurances for closure and accidental relesses.It IS lawful I send used ell to out of state facilities <br /> with federal used oil management standards and not these more stringent requirements. <br /> is for information purposes only, <br /> Igning this Invoice it will serve as an agreement that American valley Waste 011 will submit confirmation for(certain was streams)to the generator that their <br /> ransported to a licenseo treatment or transfer facility. <br /> f GENERATORr <br /> 1 &THORIZED <br /> DATE SIGNATURE:-.r, �,l„ GATE; <br /> LRE:C YC,UN CiFIWI LITY <br /> O ASBURY ENVIRONMEiNTAL O RIVERBANK OIL TRANSFER O CFR O GLOBAL MATERIAL MG MT <br /> IN WAY 1920 MORGAN RD. 5300 CLAUS RD, 2035 E.15TH ST. 1540 N.BROADWAY <br /> acn nFRFR r1A QaSR RIVERBANK, CA 95367 LA,CA 90021 STOCKTON,CA 95205 <br /> Lydia Baker, REHS Page 3 of 4 <br />