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AMERICAN VALLEY 162847 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: FLEENOR PAPER CO JOB SITE: JFLEENOR PAPER GO 4201 E,i�-REMONTST Invoice Date: STOCKTON, CA 95215 4201 E FREE.MONT8T STOCKFON,CA R5215 Phone jQSUCustomer P.O. Terms EPA C.0.0 CAL 00031f3085 PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QU A N I I—1Y PRICE AMOUNT CODE NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 NON-RCRA Waste Liquid Used Antifreeze 133 NON-RC RA Waste Liquid Used Oily Water 223 Drained Used Oil Filters OIL COLLEECTION FEE TERMS: Invoices over 30 Days subject to a 1.5%service charge- Customer agrees to pay all legal fees if court adon TOTAL becomes necessary to co is involve. Ry signing I herby certify that f have not mixed any of The waste desrrlbod above with any Other hazardous waste,trigtolal halide content Is LESS than 1 OOD plum,and the waste complied not contain any PcBi.I have comp� with the requirements of theaFmiicabia California Used 011 WaAg()aFnent regulation to determine ttils is true.I agree to accept the additional charges for the disposal of this waste if IN Informaticyn f have provided about this wants is incorrect. cenwaior's Certification:13y sighing i cortify that if I am a latgo quantity generator.I certify that I have a program in plata to reduce tile volume and toxicity of waste qiarmrat- ed to ilia clogme I have determined to be economically fiffordribta and that I have selected the practicable mathad of TrenTment,storage,ardIsposill currently an[[ablo to ma wi)10 MinliniMs the preaerit and futufo threat to human life and the enkilropmoni:Or,if I am a small quantity unnerator,I have trade a Good faith effairt to minimize my waste gapefallnn and select flit waste management meihfid that is avaiiahkt to mo that I can afford- American Valley Male Oil helreby.16viaes the above.Getittrator that generators shipment of used oil may be transported to a faeuy Shat is reclutred to comply with federal regulations applIcaU6 to mariagerneilt of used oil,but that Is not required to comply with the more DirIngent fecitilremems applicabto to hazardous waste management facili- ties.Cal Ile r rila facilities ilial h Dn die or PVOC8s used 0114 are r9qul red til meet lbo-ne more stringent requi remon t.and soma out-o I-at ale facilities That procags used.oil also meet those requirements,engineering cstifficationu of tankInlogrity.and flnanclAl assvmrivss for closure and accidental releases.It is lawful to send used oil to out of state facilities that Comply only with federal U 0 ad oil management standards and not these mcre!i I rin ent requirements. This notification is for information purposes only. By both panle5 signing this invoice it vdif setvn 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 laoillty, GENERATOR/ DRIVER AUTHORIZED SIG DAT : NATURE: E '7> ,-�,,,kJ-PNATURE: DATE- DISPOSAL/ RECYCLN-0C�F LU TY 0 DK-DIXON 0-%S--BLJRY 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, CA 95367 LA.CA 90021 STOCKTON,CA 95205 707-693-6008 209-541-1825 209-863-8181 213-746-0237 818-770-2577 IEPA#CAT080012602 EPA#CAL000393680 EPA#CAL0001 90816 EPA#CAL000270577 EPA#CAL000417316 MPC(7/2016)