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AMERICAN VALLEY WASTE OIL, INC. Invoice Number: P.O. Box 340 • Delhi, CA 95315 PH. 1-800-732-4645 • FAX 209-668-3880 EPA# CAR000272302 BILL TO: T 4201FLEENOR PAPER JOB SITE: PLE:ENOR PAPER CO 111voice Date: 42U1 E. STOCKTON, CA 95216 42.01 E F-REl`hnN1 ST 97CX1'1Kl`0N.CA f�,i215 Phone Customer P.O. Terms EPA# 209-361-8698.1C�SU- .13 1 C J,U CAI_0003'0085 PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST C,iUAit1T ITY 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 223 Drained Used Oil Filters OIL, COLLECTION FEE 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. -r. By signing I herby codify that i have not mixed any of the waste described above with any other hazardoux waste,the total halide content is LESS than 1,000 ppm,and the waste does not contain any PCBs.i have compiled with file requirements of the applicable California used oil management regulation to determine this is true.I agree to acoapt the additional charges for the disposal of this waste If the Information I have pmvlded about this waste is inoerrect. Generator's Certification:13V signing 1 certify that If 1 am a large gtrantity generator,I certify Met I have s program In place to t'adure the v6lume end tnxlrily of Waste generat- ed to the degree I have determlrad to be economically affordable and that I have selected the practicable method of treatment,stornge,or disposal currently available In ria Which minlmlzoa the present and future threat to human life and the environment:Or.If I ant a small quantity generator.I have matte a Good failh effort to minimize my waste generation and solea ilia waste management method that Is avallable to me that I can afford. American Valley Waste Oil hereby adviues the above Generator that generators ahipmom of used oil may be transported to a facility that is required to comply with federal r quialiona applicable(o rnenagament of used all.but that is riot required to comply with the more stringent requrroments applicable to hazardous waste management facili- ties.GWlfornia facilities that handle or process used ell are required to meet those more stringent requirement,And anion out-of-state facilities that process used oil also meet those requirements,engirraering certifications of tank Integrity,and finant0al assurances for closure and acaidenlal releases.11 is lawful to send used all to taut of state facilities that comply only with federal used oil management slandarda and not these more stringent requirements. This notification is for information purposes only. By both parties signing this 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. GEHORIZ DRIVER AUTHORIZED N SIGNATURE: DATE.?,"fir, :",-8IQNATURE: DATE; .i DISPOSAL 1 RE .`{LING FACILEY 0 DK-DIXON 0 ASBURY ENVIRONMENTAL 0 RIVERBANK 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, CA95367 LA,CA 90021 STOCKTON,CA 95205 707-693-6008 209-541-1825 209-863-8181 213-746-0237 818-770-2577 EPA#CAT080012602 EPA#CAL000393680 EPA#CAL000190816 EPA#CAL000270577 EPA#CAL000417316 MPC(712016)