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AMERICAN VALLEY .L55797 WASTE OIL, INC. Invoice Number: P.O. Box 340 • Delhi, CA 95315 PH. 1-800-732-4645 • FAX 209-668-3880 EPA ,1R"*Affi,j�AA CAR000272302 BILL TO: FLEENOR PAPER CO JOB SITE: FLEENOR PAPER CO Invoice Date: 4201 E.FREMONT ST 4201 E.FREMONT ST STOCKTON. CA 95215 STOCKTON,CA 95215 Sales I{�a Customer P.O.Phone Terms EPA# } l(? [i1-8698Jt�yU CO.D CALOW318085 PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST O.tvAiv i i l Y 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 233 C-- Drained Used Oil Filters OIL COLLECTION FEE utas tax - TERMS: Invoices over 30 Days are sublect to a 1,5%service charge. Customer agrees to pay all legal fees if court action TOTAL becomes neceBsary.to collect this invoice. c; By afgnlny f herby certify that I haul not nllytid any Of the Wasto CIPACri W shove wilh any elhar hwnrdous wash,the total halide conlenl Is LESS uteri 1,603 ppm,and the waste does oral cnntnln slily Pces.I have ctm pliad with the roqufrumenlis at Ills r1wilcal-21a callfornfa%ifiN,oil lnmingnrnr?nl regulation to detarmina this latrua,l agree to accept tha additional obrri-Cus for tho diiipoanl ar tills waste if Ihn Informnlfnn I hnva prcvIdad 11Nk 0 Ihfs waste 1s i1'icurr�ol, Gonerotor'5 Certmention,By sigriing I eprlify Ihai if I am a farrga quanlfly aanrrrolor,I really lhnl 1 hnva n prapram in plae*to roduoo the volume andtnklCliy of wat;ln gorinrat- eH1.lo thr+degnlr+Ihave darnrmincri to hn o(nnnnuoaiiy affordable 1md that I hava abloGtod[no prAollcable mathod of tfvainionl.stomps,ar diannaai ourmntly avalllihla to me Which minlrrilzes Tho presont and fuium thre;xl to human life and the anvlranmont;Or,if I am a,;malt qunntlty f enaraior,I huD made a Goad fnlih effort to minilitlzo my wagtn Uiennratlon tlfid select tttn toasts manugarlimt mothod Ihnl Is avnIshin to mti that 108n afford. Arruxfcan witty Wnsio Oil hareBy advlanls Ino attove Go.nerator that gorlbtatof8 ahiixnyxll of used oil may ba Ire napoitef to a facility thal Is regt1ink]to cotnply, with fodaraI reguiRtfons wifgablo to managamont of urmd oil,but tltnt In not rrtlidrad to eompty with lila morn slringont rnqulromnnls appllcablo to 1lazardptrn waste mikirmw11nni faclii- Ifen,c0lnmin faclllllP.s that Ilnitcfln or wncoC5 uaexi oil are rmloi id fn meet Ihase rnerp nlrlrtpUMI m(luirmnent.and sgfnn 0a.ii-0f-alAle iaaillliaa that prpCwta unad olt'alsa mart those requirernatlla,engfnaanng Cortifiantions of tank Iningrity,and flnuncinl n9%lMT1ce9 for cTosuro Ind accldnntol retest sg.It[a lowful to pond usod oil to rust of ritnto fnr;I1iW-9 that comply only with fedoml used all managetnent atarldeedli e•d oat these mom stringent requirements. This notification Is for information purposes only. By both parties signing this Invoice II will sarve as an agreoment that American Valley Waste Oil will submit confirmation for(certain waste streams)to the generator that their waste has been transported to a IlcensBd treatment or tmixsfor facility. DRIVER AUTHORIZED _ SIGNATURE: DATE; 7SIGNATURE: - i DATE; ' DIPOL I RE ZYL UNQ FA Ley 0 DK-DIXON 0 ASBURY ENVIRONMENTAL OF- IVERBANK OIL TRANSFER 0 CFR 0 GLOBAL MATERIAL MGMT 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD, 2035 E. 15TH ST. 1640 N. BROADWAY DIXON,CA 95620 CERES,CA 95358 RIVERBANK, CA 95367 LA,CA 90021 STOCKTON,CA 95205 707-693-6008 707-693-6008 209-863-8181 213-746-0237 818-770-2577 EPA#CAT080012602 EPA#CAL000393680 EPA#CAL000190816 EPA#CAL000270577 EPA#CAL000417316 MPC(712016)