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AMERICAN VALLEY 165786 WASTE OIL,, INC. Invoice Number: P.O Box 340 • Delhi CA 95315 PH 1-800-732-4'64;5-,'FAX 209-668-3880 .EPA# CAR00.0272302 WE AUTO REPAIR $ILL TO: 2256 S.AIRPORT WAY JOB SITE: MOF-AdTca REPAtR invoice Date: STCCIL'4'ON,CA 85208 2255 8,AIRPORT WAY STOCKTON,CA 9520$ A71ft5ftnVaIq Phone 2W-M9-14M7 Customer. P:O. Terms C.O,O . I 'EP9# CALCOQSO1071 PRODUCT SHIPPING DESCRIPTION. WASTE MANIFEST QUANTITY PRICE AMOUNT CODE NON:-'RCRA Waste Liquid Used Oil/Mixed Oils 221 )o y ,, ��"q er,y� :NON-RC.RA'Waste Liquid'Used Antifreeze 1:33 NON-RC:RA Waste Liquid Used Oily Water 223 'Drained Used Oil Filters OIL COLLECTION FEE TERMS: fnvoices:over30 pays are subject to a 1.5%service:charge. Customer agrees:to:pay all1egatfees'if court action TOTAL ' `y becomes;hecessary to collect this invoice. By-signing.1-herby ceMfy thatI have not'mixed;any of the wasteldescribed above with•anyother hazardous waste,the total halide content is LESS than 1,000 ppm,and the waste does not.pontain:anyPCBs.I have compiled with the-requirements•ofthe applicable California used oil,management regulationto determine this is true.I agree to accept the additional charges for the'disposal of.this waste-if the information I have provided about this waste is incorrect. Generator's Certification:By signing!I'certifythat if.I am a large•quantity generator,t certify that'hhave a:program in place to:reduce the volume-and toxIelty-nf:waste.generat- ed to the degree I have deterrriined'to,bereconomically affordable and that l have selected the,practit:able method of�treatment;:storage„or disposal currentiy'available to which minimizes•the present and4uturethreat to�human life-and the environment.-Or,.if I:am a.small quantitygenerator,I have made a,&od.faith effortto minimize my waste gerneratibn,and.select the waste:management,method.thEitis avaiiablelto me that 1 ean;.affordi American Valley Waste Oil hereby advises the above-Generator that generators•shlpment:of used!oil may be transported,to a:facility thatils,req uired'to comply with federal regulations-applicable to imanagement of used nil',.but that is not required to comply with tho�more:stringent requirements.applicable to hazardous Waste:management faclll- ties.Califomla.faciflties that handle or process•used oil are required to;meetthose-morestringent requirement„and someout=of-state.facilities-,that process used oll;also meet those•requirements,engineering•ceriifications 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;oil management standards.and'not•these more•stringeht requirements. This notification is for infonmation,purposes,only. By both parties;signing.this'Invoice It willLserve as•amagreeiment?that American Valley'Waste,Olhwill submit confirmationfo°(certain waste streams)to the-generator that their waste has been transported to a licensed'treatment or transfer facility. GENERATORI DRIVERUTHORIZED ; f 51GiJATURE: �� DATE + l% GNAT DATE: / DISPOSAL I:RE:CYC.LIN.G FACILITY 1 C) DK-IDIXON O ASBURY ENVIRONMENTAL C RIVVERBANK OIL TRANSFER O'CFR. O GLOBAL MATERIAL.MGMT 7300:CHEVRON WAY •1.9201MORG'AN RD. 5300:CLAUS RD, - 2035 E. 15TH ST. 1640:N.;BROADWAY DIXON,CA 95620 CERES,CA'95358 RIVERBANIE, CA�95367. LkCA 90021 STOCKTON,CA 95205 707-693-6008 209-541-1`825 209=863=8181 2,13-746-0237 818-.770=2577 EPA#CAT080012602 EPA#CAL000393680 EPA#CAL000194816 EPA#CAL000270577 EPA#CALOI 04:1.7316 MPC(712016)