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AMERICAN VALLEY 15 53 4 7 4. <br /> WASTE OIL, INC. Invoice Number: <br /> I <br /> RO. Box 340- Delhi,, CA 95315 <br /> PH. 1-8.00-732-4645 e FAX 209-668-3880 <br /> EPA#;;CP LO�a�O: �£ CAR000272302 <br /> 7 <br /> BILL TO:: MOEAUTO REPAIR JOB SITE: MOEAUTO REPAIR Invoice Date <br /> 2255 S.AIRPORT WAY 2255 S.AIRPORT WAY <br /> STOCKTON,CA 95,206 STOCKTON,CA 252M <br /> Sales Rep Amedc an'Valley <br /> • Phone209-939,I4_NIOE . Customer RO, Terms C©D EPA# <br /> lA CALOOD361071 <br /> PRODUCT SHIPPING DESCRIPTION MANIFEST QUANTITY PRICE AMOUNT <br /> WASTE;. <br /> CODE <br /> NON=RCRA Waste',Liquid Used OEIIMNed Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze I.33 <br /> NON=RCRA Waste:Liquid Used Oily Water 233 <br /> Dre0ned Used,Oil Filters` <br /> OIL COLLECTION EEE j <br /> .i <br /> TERMS; Ihvoibes 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 1,herby certify that.i`fiave not mixed <br /> ;any of tiie waste described.above-with.any other:hazardousrwaste,the total halide content Is LESS.1han 1;000 ppmf and the:.. <br /> WasterdoesTnot contain any'PCBs.ahave compliedWth the requirements of the applicable-Callfornia used oil-management regulation to determina1his is true.I agree td" <br /> ce <br /> acpf the:additional charges for the,disposalof this waste if the information:l.have.provided',about this waste is Incorrect. <br /> Generator'sCerti$catlon Dy,signing:l certifythat'if,I am a large•quantity.generator,I certify ithat I'have a.program In•place to-reduce the volume;and.toxicity.of waste:generat- <br /> ed,to#fie degree1 have defermined to be,economicallyafforda6le and that Phave selected:the:practicable method.of:treatment,storage,or disposal currently available'to me <br /> whici minimizes the present••and'ftiture threat'to human,life-and the.environment Or,;if;l.am a small quantity generator,I have,made.&Good1aithmeffort to minimize my waste <br /> generation and,select the,waste management methodthat;is�availableto:methat fcan afford,. <br /> AmericaniValleyWasteiOil hereby-advises the above Generator that generators,shipment of:used oll.maybet risported to:afacitity that is--requlred to comply with federal <br /> regulations applicable•tolmanagementof used'oil,but that!is,not.required to-comply-with the more stringent requirements:applicable-to,hazardous,waste management facili- <br /> ties.CaliforNa faellitles that handle-or process:used oil,are required'to�meet those more stringent.requirement,and some out-of-state facilities that,process used oil also meet <br /> thosereggftments,engineering,certifiications of tank integrity;anflinancial assurances.forclosure.and accidental:releases.It Is lawful to sendused.oirto+out of statefacilitles <br /> that complyoniy with federaliused oil!management standards and not these more 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.wlll'submit confirmation for(certain wasfe.streams)-to the generator that their i <br /> waste has been.iransportedto,a-licensed:treatment-or transfer.facility. <br /> DRIVER GENERATOR! <br /> r� r AUTHORIZED <br /> SIGNATURE: DA7 ' yS[GNT(IE:, <br /> DISPOSAL I RECYCLING FACILITY <br /> O DMDIXONi OSA BURY ENVIRONMENTAL O RIVERBANK OILTRANSFER O CFR O GLOBAL.MATERIAL.MGMT f <br /> 7300-'CHEVRON WAY 1:920 MORGAN RD. 5300'CLAUS-RD. 2035 E. d5H ST 1640.N.,BROADWAY <br /> DIXON,CA 95620 CERES,CA 95358 RIVERBANK, CA.95367 'LA,,CA 90021 STOCKTON,CA 95205 <br /> 707-693-6008 707-693-60OB 209-863-8181 213-746=0237 818-770-2577 <br /> EPA#CAT080012602 EPA#CAL000393680 EPA#'CAL0001.908:16 +:EPA#CAL000270577 EPA#'CAL00041731.6 i <br /> I <br /> MPC(712016) <br />