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AMERICAN VALLEY 1 6 2 8 4 <br /> WASTE OIL, INC. Invoice Number: <br /> { 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 CC) <br /> 4201 E F REMONT ST JOB SITE: F-I.1`,CNOR tAPE 00 Invoice Date: <br /> STOCKTON, CA 95215 4201 F. F RFhRONT ST <br /> STOCKJON, CA %215 <br /> Phone Cuslgm �CJ17 � y Terms EPA# <br /> -�1-� JCaSIJ " � � CAi.000318035 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST GtUAI,T I l Y PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste 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 COLL. CTION FEE <br /> TERMS Invoices over 30 Days are subject to a 1.5%service charge. Customer agrees to pay all legal fees if court action TOTAL <br /> becomes necessary to collect this invoice. <br /> By signing I herby certify that I have not mixed any or the waste described above with any other hazardous waste,the total halide content Is LESS than 1,000 ppm,and the <br /> waste does nut contain any PCBs.I hav0 compiled with the requirements of the applicable California used oil management regulation to determine this Is true.I agree to <br /> accepl the addltlonal charges for the disposal of this waste if the information I have provided about this waste Is Incorrect, <br /> Ganarator's Certification:By signing I certify that if I am a large quantity generator,I certify that I hnvp as program in Placa to reduce the volume and toxicity of waste generat- <br /> ed to rhe degree I have determined to he econr;mlcaIEy affordable and Ihat I have satected the pra(:iicablra method of treatment,storage,or disposal currently avallab!e to me <br /> which minimizas the prosentano future threat tc human fire and the anv!ronrnent:Or,Ili nm a small quantity generator,I have made a Good faith effort to minimize my waste <br /> generation and select the waste mtrnagement method the Is avallallo:to rtto that.I can afford. <br /> American Valley Waste 011 hereby advises the above Generator that generators shipment or used oil may be tran:,porled to a facility Ihat I required to comply with fed6rai <br /> regulallofrs applicable to rnsnagemant of used oil,but that Is not required to comply with the more stringent requlraments applicable to hazardous wattle management raclli- <br /> ties.California facllitles that handle or process used oil are required to meet those more stringent requirement,and some out-af-erste fad!itles that process used all also meet <br /> those requirements,engineering cartiflcations of tank Integrity,and Tnanclal assurances for elosure and accidental releases-It I6 iawfur to send used oil to aut of slate rai:illlleg <br /> that cam ply only wllh rederaI used ail management slandards and not Lhasa mora 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 waste streams)to the generator that their <br /> waste has been transported to a licensed treatment or transfer facility. <br /> GENERATOR/ <br /> DRIVERl AUTHORIZED <br /> . <br /> SIGNATURE: DATE; , `r. 5�-rSIGNATURE: ! DATE: �.. , <br /> �I$PQ��L 1 RE�Y�lwl�siEACI_�..ITY <br /> O DK-DIXON O ASBURY ENVIRONMENTAL O RIVERBANK OIL TRANSFER O CFR O 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(712016) <br />