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AMERICAN VALLEY1 6'.S c 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 CO FLE:ENOR PAPER C'.b E/ ,!z BILL TO: 4201 E.FREMONT ST JOB SITE: 4201 E FREMON7 ST Invoice Date: STOCKTON, CA 9521: STOCKTOH, CA 96215 s.t_i:� C.AL000318085 Phone � ,L;Lf�am� �'.O� � } Terms C. 0,D EPA# PRODUCT SHIPPING DESCR�PTICIN1 MANIFEST QUiuv i iTr' PRICE AMOUNT WASTE CODE NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 NON-RCRA Waste Liquid Used Antifreeze 133 NON-RCRA Waste Liquid Used Oily Water 2 Drained Used Oil Filters TEAMS: Invoices over 30 Days are subject to a 1.5%service charge. Customer agrees to pay all legal fees if court actlon 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.l have complied with the requirements of the applicable Californla used oil management regulation to determine this is true.I agree to andept the additional charges for the disposal of this waste if the information I haw prr.wided about this waste is incorrect. Generator's Certification,By signing I certify that if I am a large quantity+goneralpr,1 carllfy that f have a program in piece to reduce the volume and toxicity of waste gerferat- ed to the degree I have determined to be economically affordable and that I have selected the I)racticable rnnthod❑I Irestmant,olarage,or disposal cumantly available to me which mInWzas the present and future threat to human life and the environment:Or,If 1 am a small quantity generator;1 have made a Good falai eftrrrl to minimize my waste generation and select the waste management method that is available to me that I can afford. American Valley Waste Oil harmhy ndvtses the above Generalor that Qernerators shipment of used oil may be transported to a facility that is required to comply with federal regulations applicable to manaroement of used oil,but 110111 s.not required to comply wlth the more Onngant requirements appllrable to hazardous waatn management farlli- linfa.CWfiwrila faculties that handfe or process used oil pre required to meat those mare Rtringertt requirement,and some cut•of-state facilites that process used all alar meet Ihose iequlrements,englneerinsf rartificatfans of tank Integrity,and financ lot assurancoa for clDaum and awdentaf mleases.It is lawful to sand used oil to out of stats taoIIIties that comply only with federal used oil management standards and not these more stringent requirements. This notification is for information purposes only. By both partlas 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. GENERATOR/ i DRIVER AUTHORIZED SIGNATURE' � ,�' DATE-,?,/./,) /,,--SIGNATURE: i �- _ DATE y� DISPOSAL I RECYQLING F CLQ UM O DK-DIXON C ASBURY ENVIRONMENTAL O RIVERBANK OIL TRANSFER O 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 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)