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AMERICAN VALLEY <br /> 'WASTE OIL,OIL, INC. Invoice Number: <br /> {jam P.O. Box 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA# CAR000272302 <br /> BILL TO: FLEENOR PAPER Co JOB SITE: FLEENOR PAPER CO Invoice Date: <br /> 4201 E.FREMONT ST 4201 E.FREMONT ST <br /> STOCKTON, CA 95215 STOCKTON,CA 95215 <br /> Phone Customer P.O. Terms EPA# <br /> 209-361-8698 JOSUE C O.D. CAL000318085 <br /> PRODUCT SHIPPING-DESCRIPTION _ MANIFEST QUANTV PRICE AMOUNT <br /> WASTE <br /> CODE <br /> NON-RCRkWaste 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 <br /> OIL COLLECTION FEE <br /> Sellas Tax <br /> TERMS: Invoices over 30 la&y6 are sv%ct to a 1,5%service charge. Customer agrees to pay all legal fees if court action TOTAL <br /> becomes necessary to eoilaot this fnvolC0. r <br /> By signing I herby certify that I have not mixed any of the waste descrlbad above with any other hazardous wast a.the IoW halide content Is LESS than 1,6(1[1 ppm,and the <br /> waste does not contain any PCBs.I have compiled wlth Iha racial rem ants of 1ho applicable cawarnia used nil management regulai[on to determine this le(rue-I agree 10 <br /> accept the additlonal charges far the disposal of 1111r,Waste It the Informallon I have provided about this waste is Incorrect. <br /> Ga temlor's Qartlfoalion:Sy nrgnlnq t certify Rini it I am a large quantity gencratar.i cetllfy thAl I have s program In place to reduce ilio volume and toxicity of waste genarat. <br /> 4d to the degree I have delonnitled to ba ecwrromioally affordable and that I have selacted the praoticable method of trealmenl,stinrags,or disposal currently ovaliAble to me <br /> which minirrilms the present and tulure threat to human die and the onvironmenh or,it I am a small quantity gRnerator,l have made a 0004 foiih effort la rninlmlza my waale <br /> fgeneratkm and select the waste menngemew method liiat Is available to me that I can riffotd. <br /> American Valley Waste Oil hereby acSAes the ahova Gane rater that genamtors shEpmertt of used all may be itemporiect to n facll[ty that Is rnqulmd in Cofupiy with federal <br /> repalfationa applicable to mal-l"ement of lined all,Itui Mal Is not req&W to comply with the mnro stringent requirement$applicable to hazardous wasla management faclli- <br /> tlas.Ca lactIf]las That Bandl$or procoss used all am requirrxl to meat those Mrrr stdngnnt mqulromant,and same out-of•sta(a facilities inat process used oil atso meet <br /> rhos$requlmrapir ts,engineering cart ricntians of lank intnoty,ami finarwwl assurances for clnstire and accidental reieasas.It Is lawful to send used oil to out of slate facilities <br /> that comply only Will)federal unad oil rnanagamenl alsndnrds And not flies-0 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 wglvsireanta)to the generator that their <br /> waste has been transported to a licensed treatment or transfer facility. <br /> DRIVER <br /> GENERATOR/ <br /> SIGNATURE: AUTHORIZED <br /> DATE:J SiG�fATUAE <br /> DATE: / <br /> MEQSAL ECYCLIN - f <br /> ! I✓3 <br /> 0 DK-DIXON 0 ASBURY ENVIRONMENTAL RIVERBANK OIL TRANSFER 0 CFR 0 GLOBAL MATERIAL MGMT <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD. 2035 E.15TH ST, 1640 N.BROADWAY <br /> DIXON,CA 95620 CERES,CA 95358 RIVERBANK, CA 95367 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#CAL000417316 <br /> ,MPC(7/2016) <br /> - I <br />