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AMERICAN VALLEY 1-70863 _. BASTE OIL, INC. Invoice Number: P,O..'Box 340 Delhi,'CA 95315 :PH. 1-800732-46455- FAX 209-668=3880 EPA# CAR000272302 NIOE AUTO REPAIR PJ0E Al1M REPA I R BILL TO: 2255 S.AIRPORT WAY JOB SITE: 2255 S.AIRPORT WAY r r STOCKTON,CA 952133 $Too TOM,CA £5206 Invoice Date: I a�rtq: AM:1 0M Vbcz f Phone 4urd*3 °°C55 ` Customer P.O. Terrns C.O.D. EPA# gOkLeT0351t77g o `PRODUCTSHIPPING.'DESCRIPTION MANIFEST QUANTITY PRICE AMOUNT WASTE CODE NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 NON-RCRA Waste iLiquid Used Antifreeze 133 NON-RCRA Waste LiquidUsed Oily Water 223 Drained Used Oil Filters -S TAX- ' TERMS: Invoices:over30'Days are subject'to.a 1.5%service charge`. •Customer�agmes'to-pay al[legal fees.ifrcouft`'actiorr TOTAL becomes necessary fo collect this invoice. ' Bysigning it;herbycertify that.l have:notmixed any..of the'waMe described above-wlth,dnyotner hw fardous waste,theaotal halide contentis�LESS than 1;000 ppm,:and the waste does.not'contain any'PCBsJ.have,complled-wiih the requirements of the applicable California used olt'management.regulation to determine this is true.l agree to acceptthe additional,charges for the disposalrof this waste ifthetnformation:lbave provided about.this'waste is incorrect. Generator's Certification:Bysigning 1 certify;that if'l am-a,largejquantlty generator,I certlfy;that.l have�a program in place to reduce the volume and toxicityof waste generat- ed to-the degree)have-determined to be economically:affcrdable and that�l:iave seteoted the practicable: rrtethod ofitredtment;,storage;or disposal currently available to me t which minimizes the present.and fixture threat-to,human:life andAhwenvironriment:-Or;if'l am&small quantity generator,I have made a Good faith effort to minimlze!my waste generation:and`select the,waste managementmethod:that is.avaitableto me#hatI-carnafford. American VelleyWaste 0111hereby advisesAhe;above.Generatorthat generators shlpment;of used oil may betransported•to a facilitythat is required to•complywith federal regulationsapplicable to management of:used eil,butthat isnot required-to comply with.the more stringent requirements:aoplicabie�to hazardous waste management facili- ties.Californ'ia:facilities that handle or process used oil are requlfed'to meet those more stringent requirement,and some out=of-state facilities-that process used oil also-meet those requirements,engineering certifications of'tank:integeity,and;financial'assurances-for closure and accidental releases.It is;lawful to send used oil to out.of state facilities that comply onlywith.federalcused diDmanagemenvstandards and not these more:stringent;requirements: This%notification,is for information purposeslonly. By both,partles.signing this-iiivoice it will serve as an agreement that American Valley Wasle.Qil•willsubmit confirmation-for(certain waste streams).to-the.generator that their waste has been transportedto a;licensed treatment or transfer facility. GENERATOR! DRIVER / AUTHORIZED SIGNATURE; DATE;�// �� `.SIGNATUflE, ;DATE: DISPOSAL RECYCLING FACILITY O DK-DIXON; O'ASBURY ENVIRONMENTAL. O RIVERBANK OILTRANSFER O'CFR O GLOBAL MATERIAL MGMT 7300-CHEVRON'WAY 1920 MORGAN RD. 5300-CLAUS,RD: 2035:E.15TH-ST. 1'6.40 N: BROADWAY DIXON,CA'95620' CERES',,CA 95358' RIVERBANK, CA 95367 LA,CA 90021 STOCKTON,CA 95205. 707-693=6008 209-541:4825 209.863-81:81 213-746=0237 818-770-2577 EPA#CAT0800.12602 EPA#CAL000393680 EPA#CALOW-190816 EPA#CAL000270577 EPA#CAL00041'7316 MPC(712016)