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AMERICAN VALLEY 1, 63 9 WASTE OIL, INC. Invoice Number: P.O. Box 340 • Delhi, CA 95315 PH. 1-800-732-4645 - FAX 209-668-3880 EPA#CAR000272302 FLEENOR PAPER (1) BILL TO: 4201 E �=P�;MONT, JOB SITE: rrl-r,G ror�PP,r4 co 1201 L FPS UOIN ST Invoice Date: STOC 1'C�i�4,CA -45215 0T0(;KT0N,C�A a�71 16 Phone I 98 or P.O. Terms C EPA# ��Oot3.31�3Ct PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST CtUAiVIIII Y PRICE AMOUNT CODE NO_1-RCRA Waste Liquid Used Oil/Mixed Oils 221 NON-RCRA Waste Liquid Used Antifreeze 133 NON-RCRA Waste Liquid Used Oily Water 223 j} Drained Used Oil Filters IL C1104-LECTION 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. 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.t have Complied with the requfroments of the applicable California used oil management regulation to determine this Is true.I agree to accept the additional charges for the dlaposal of this waste If the Information I have pmvldcd about this waste 1r,Tncorrael. Genarator's Cerlif a lom By signing I certify that 111 am a large quantity gimemlor,I eertlfy that t have a program In 1313CS to radiMe tare volume and Toxlrity of waste gars-rat- ed to trim degree;have determined to be econornlcally affordable and that t liave selected the praotloabfa method of treatment,storage,or disposal currently avallable to we which minimises the present and future threat to human Ilse and The snvlronment:Or,if I am a small quantity genaralor,f have rttada R Good Fath effort to minimize my waste generation and select the waste management method that Is available to me that I can afford. Amerlaan Valfoy Waste Oil horeby advises the above Generator that goneretors ahtprrtent of used oil may be transported to a facility that is rtquired to comply with federal regufallona applicable to managemont of used oil,but that Is not required to comply with the more stringent requiremonts applicable to horarrteus waste management facili- ties,California faulldfes that handle or process used oil are required to meat Ihoso mate stringent reWiremsnt,and some uut•of-state facgdlas that prncess 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 oll management standards and not these more stringent requirements. This notification Is for Information purposes only. By both partleq signing INA Invoice Tt will serve as an agreement that American Valley Waste Oil will submit confirmation for(certain waste streams)to the generator that their waste hRs heart transported to a Ilcan$od frealrttent or transfer facility, / DRIVER AUTHORI EDf r�I SIGNATURE: DATE: SIGNATURE: '(. �� .�� DATE I� fr,.r MSPOSA.LLF3YCtl _FACIL-ITY O DK-DIXON O ASBURY ENVIRONMENTAL RIVERBANK OIL TRANSFER 0 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 95356 RIVERBANK, CA 95367 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 p2016;