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Y{ AMERICAN VALLEYy5 J 797 WASTE OIL, INC. Invoice Number: ,l P.O. Box 340 • Delhi, CA 95315 PH. 1-800-732-4645 • FAX 209-668-3880 EPA GA R 00 Cr2./230,2 BILL TO: I•I.EENOR PAPER C;O JOB SITE: FLEE NOR PAPER u: Invoice Date: 420 1 E FREMON l-ST 4201 E.FRICMONT aT STCCKON (':A 95215 STOCK:CUN,C.A 9-,)215 Sales Ne Phan Customer P.O. Terms EPA# •; r•• _ 1 1.:, ";� C.. �--.��. C.cl•n. C'kC.0003i80✓:3r; PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUAIV 111 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 Ile- Drained Used Oil Filters COIL COLLECTION FEE Nales I ax TERMS: Invoices over 30 Days are subject to a 1.5%service charge. Customer agrees to pay all legal fees if 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 PCBs.I have complied with the requirements of the applicable California used oil management regulation to determine this is true.I agree to accept the additional charges for the disposal of this waste if the information I have provided about this waste is incorrect. Gaenamtor's Certification-Fay signing I Crulify thal If I am n Inrge g6untily aancmtor,t cartlfy that l kava a fuogratn in nlnce to reduce Iha volume and coxfoily of wasta ganarat ed.talhe deprua I have determined to ba economically affordable and chat 1 have selected the practicob#e method of tma it mnt,storage,or disposal ourreni[ynvaNabYm to me -whlcl)minirf im the prowl.anG futvm Threat to human ilia and the environmenl:.Or,if I am a small quantity generale r,I have mmda a Good faith effort to minlmlxe my waste generation and select the waste management method that is avallable to me that I can afford, American Valley Waste Oil hereby advises the above Generator that generators shipment of used oil 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- ties.California facilities that handle or process used oil are required to meet those more stringent requirement,and some out-of-state facilities that process used All 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 is for information purposes only. By both parllas signing thla invoice it will serve as an agreement that American Valley Waste Oil will submit confirmation for(certain waste streams)to the generator that their waste has been transported to a licensed treatment or transfer facility. DRIVER AUTHORVED (� SIGNATURE: _ DATE: % /` ? ` -ySIGNATURE: DATE: +` / DAS-PQSAL 1 RECYCLING. FACILITY O DK-DIXON O ASBURY ENVIRONMENTAL C r_ff VERBANK OIL TRANSFER Q CFR O 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)