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Central Valley Lift Truck Inc Record ID# PR0538582 <br /> 2080 E Fremont, Stockton, CA 95204 Program: HW <br /> October 9, 2019 <br /> PHOTO 2: Final disposal record for the removal of all wastes from facility from October 4, 2019 <br /> AMERICAN VALLEY 1"18419 <br /> WASTE OIL,INC. lnvora Nmnfict <br /> P O.Box 340-Delhi CA 95315 <br /> PH.1-800-732-4645-FAX 209-668-3880 <br /> [� - - EPA#CAR000272302 <br /> SOB SITE: <br /> Imuia-Dau• ; —. <br /> i, <br /> Phone Customer P.O. Terms z S 8 <br /> . ,:, 1+:: ,rot EPA: ¢ <br /> ti <br /> _$STSRODUC <br /> I HIPPING DESCRIPTION MANIFEST <br /> PRICE AMOUNT o_ <br /> £g <br /> CODE <br /> h Nc E <br /> h � � NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 i - <br /> [. o <br /> aV } ` NON-RCRA Waste Liquid Used Antifreeze 133 <br /> 223 a <br /> NON-RCRA Waste Liquid Used Oily Water <br /> o` al <br /> I <br /> C U _ Compliant Drained Used Metal Oil Filters <br /> L Z p LLIn UA C(JI_IL(IfclNr+E ��z A <br /> 0 fn c u W •E <br /> N` a lip <br /> L 0 y r is <br /> U F! .; <br /> O _ O a _• <br /> 0 U o <br /> x i <br /> m TERMS:In Voices over 30 Days are subject to a 1.5%service charge.Customer agrees to - <br /> £ la—es necessary to colled this invoice. pay all legal tees if coup action TOTAL <br /> 3 <br /> BY srgning 1 herby-III,that I have nal mlxeq any or the wade described above wllh any other h-e nous f u wale,the IPlel nalioe conlrml h CESS lhan <br /> l=hl tloas rqt contain anV PCBs.I have wm lietl with IM1e ppm.aria l^r � m e�[ceps ional chs br the dai p the <br /> ituo nls al lI h Pllcable Calif IhItseo all management regulation to tletarmine this is true.l agroa to pp <br /> D r9as poral of IM1is waste it the Inlanllai,on 1 have pmNtletl sheaf Ihls..he is Incorrect. <br /> D e Generelw's Cerblicatmn:By signing I tenth'that it l am a large quantity generator,I CeIlly that I have a program In piece to retluce the volume and lovlc al waste ` <br /> o U b the degreo I have detennmed io ba aconomlcally affordable antl mel I have selected the practicable methld at theatrut etPr dY <br /> ue which minlmkes me present and/urate Ifilaal to human life and the environment Or,It I am a smell h age,or d' b�ut culreMly avalable Io me <br /> generation antl select the—e management method that u,—liable io me that I can ahom. 0-Itill,ganeratoc I have matle a Good(alio anon to mlrlimL•e my waste <br /> e, R N American Valley Wl Oil hereby advaheap, the above Oeneralor that generators sthph—of used all may be,,ht paled to a faculty that rs required io comply with IederW <br /> N' tMsuCarlilomlelacll Iles mel hentlle Art of used oil,but that is not equihea to comply with me more sinNanl aqulr&nent.appl-ble la hazardous waste manegemenl fe iu- <br /> Mose process us ail are required to meet hose more stringent requirement,and some aul-ol-sista tac11i0es that prooees used all also meal <br /> r ylnmments,englneedng certmcalions of fent,inlegnly,and ilnencrai assurances lar ell-dre andeccidenbl releaeas.It.is 1-1.1 to sand used.1 1.out of slab bA fl s <br /> #wl—ply onty with federal used oil management standards and not theal more stringent requirements. <br /> This notification is for information purposes only. <br /> RV both parum e(gning this lnvolcc it will serve as an a9reemem that American Valley Waste Oil will suhrnit.-firmation br(garish waste Streams)b thayanerabr u,- <br /> wash has been Transported la a licensed Ireatmaul or hauaf.,faculty. <br /> DRIVER GENERATOR/ <br /> SIGNATURE, DATE?' --t-I- / SIG, <br /> AOTURE <br /> DISPOSAL/RECYCLING FACILITY <br /> O DK-DIXON erASBURY ENVIRONMENTAL O RIVERBANK OIL TRANSFER O YUMA YES LLC O AtERICAN VALLEY WASTE OIL.Wel 1311'5 <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD. 6500 US HWY 95 521 INDUSTRIAL OR STE M _ __ <br /> DIXON,CA 95620 CERES,CA 95358 RIVERBANK, CA 95367 YUMA.AZ 85365 LIVINGSTON,CA95364 _- <br /> 707-693-6008 209-541-1825 209-86&8181 928.344.9828 209-687.8867 <br /> EPA#CAT080012602 EPA#CAL000393680 EPA#CAL000190816 EPA#AZR000521146 EPA#CALOM44,'{08,M1 <br /> Tricia Dai, EHS Page 2 of 2 <br />