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I - <br /> AMERICAN VALLEY 16' 5 7 0 2 <br /> WASTE OIL, INC. Invoice Number: <br /> P.O. Bbx 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA# CAR000272302 <br /> BILL TO: FLEENOR PAPER GO <br /> 4201 E-FREMONT ST JOB SITE: FL6GNOR PAPER co Invoice Date: <br /> STOCKTON, CA 95215 4201 E.FREMONT ST <br /> STOCKrON,CA 96215 <br /> Phone 209-361-8696 JCW Customer P.O. Terms EPA# <br /> C O,D. CAV=318085 <br /> PRODUCT-SHIPPING DESCRIPTION VAfNIFEST al ION&v i r' <br /> WASTE PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 4 <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 /> PERMS: invoices aver 30 Days are volle l to a 1.696 service charge. Customer apr�ras to pay all legal lees if court t3ctlgrl TOTAL - <br /> becomes necessary to collect this inva101. '? - <br /> By signing I herby r:erlRy that I have not mined any of the waste.described above with any other hazardous waste,the total helido content 11,LESS Ihars 10()q <br /> waata dog not con[aln any PCBs.I have comptted wish the eQquirem ants of the applirabie Callio rola used❑II menagement regulation to determina rltls is tnre�l aglea iQthe <br /> a=apt the additional charges for the dispose of Ihta waste it the In torrrrallon I have provided abvuI this waste in Incoresct. <br /> Cvenaratora Certiricatlon:By atoning i cerHty that If t am a large quantity genaratar,I"NO that i have a program In place to reduce the volum4+and toxicity of waata garretat- <br /> ed to the degroe I have rielermined to be economically affnrdabia and 111 at 111avo selected the practlt able method 0l traalmant,storage,0r diarlUsai atjrrently available try me <br /> which minimizes the present and fut.ule throat to human IIto and the environment:Or,if i am a smnil quanllty generrator,t have made a Good faith effort to minimize my waste <br /> generaIlan and select 1-ho waste management msitiod that is available to tele that I can afford, <br /> American V"Iley Waste OII hereby advises in above Clan erator that generators shipment of uWd hitt may be transported to a tacliiiy that I9 required to Cornply With Ieftei <br /> F09ulotions applleabin to managament of used 011,but Ihot is not required to comply with ttte more stringenl requiromonis applicable to hazardous wast❑management rr�clli- <br /> llas,Cailfomla farilitlas that handle or process used Alt arch required to meet those more stilt ngent requirement,and some out-ol-state facHit fes that process usr-d oil also meal <br /> those requirements,engineering cartaieatlons of tank integrity,and financlaI assurances for closure aril accidental roleam.it is Iawtul to send used o11 to nut of sta(a facilities <br /> that corn ply only with federat used o[I management standards and not these more stringent r❑quiremants. <br /> This nalfflsallon Is for Information purposes nniy. <br /> By both parties signing this invoice it will serve as an agraem@rnl 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 tranehar fliallity. <br /> DRIVER GENERATOR/ <br /> SIGNATURE: AUTHORIZED i <br /> DATE: r 6IGNATURE: <br /> 1 I LI Y <br /> 0 DK-DIXON 0 ASBURY ENVIRONMENTAL 8rIVERBANK OIL TRANSFER 0 CFR 0 GLOBAL MATERIAL MGMT <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 5300.CLAUS RD. Pn3,s F 1ATI-I RT IPAn nr PQ0 ArN%A/Av <br />