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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 1: Final disposal record for the removal of all wastes from facility from October 4, 2019 <br /> AMERICAN VALLEY 178418 <br /> WASTE OIL,INC. invoice Number <br /> P0 Box 340•Delhi,CA 95315 <br /> - PH.1-800-732-4645-FAX 209-668-3880 <br /> EPA#CAR000272302 <br /> BIL[TO Itl l l 1 r 1 <br /> re'.Rr+ I c.L, .,..f_:r JOB SITE: - - .. <br /> r"Invoice Datz: <br /> 5 I Phone <br /> y.x C <br /> a Z Phone - - - Customer P.O. � <br /> Terms EPA# S. - <br /> �' Iq ''PRODUCT SR1PPIryG DESCRIPi <br /> O PRODUCT SHIPPING DESCRIPTION wt ..G.ra Jo:ar,r.7 §- <br /> WASTE MANIFEST pUi y <br /> W (V PRICE z AMOUNT --- <br /> CODE NOW-RCRA waste Ctgwd Used�ry m - <br /> a = NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 �_ NON-RCRA Waste liquid Used <br /> C14 NON-RCRA Waste Liquid Used Antifreeze <br /> >- 133 - - ¢ NON-RCRA Waste Lquld User <br /> ` <br /> m c ^ NON-RCRA Waste Liquid Used Oily Water 223 3 Compham ramed Used Meta <br /> 4 <br /> ,y 3 O m Compliant Drained Used Metal Oil Filters a U11:11-71t iEi-llrxt Fit <br /> a zr Z Q <br /> '4 e V to 10 02 OIL COIL EC I ICNV FEE <br /> ryf Z Z Z 0 - <br /> rn w O o <br /> W . <br /> u <br /> o 0o <br /> .� k 111 <br /> F W }4- o f I rEgAts Invmces over 30 nays a <br /> (;T I— a becomes nQor�sMr co calker ml <br /> L) a a Ihao�.p Mot. <br /> co TERMS.Invoices over 30 Days are subject to a 1.5%service charge.customeraw ran <br /> $ becomes necessary to crollect Ihis invoice. agrees to pay all legal fees If court action +tr;amawrrel rnra <br /> TOTAL <br /> a` ay signing f herby nearly thar I have not mixetl any of the waste described above with any other hazardous waste.the Total halide contents LESS than 1.000 n } so le My llevea v <br /> U a asre'hes not conalcontain any for the <br /> have compllad elth the requirements of the applicable California used oil Management vMcn mrvm.-r.Me Presaesn <br /> [cepl rhe atltlilional charges for the dis PPm,eaend Me �rrera0on ua1 aGecl su vmNr <br /> poral of Ihis waste it the information l have gement regula\ion to tletemtine this is True.I agr to anracy,veery'hasbO"t— <br /> l0 D <br /> Generators CerliGcelion:B provltled abWt this Wazte is in<orrecl, <br /> a C y signing I certity that If am a large quantity generator.I certify that I have a program in place to reduce the Volume and Ioxici of waste BpNceWeb man <br /> UO U ed to the degree 1 have determined to be econgm,cally aFwtlable an 1!hal have selectetl Ilse practicable method o1 treatment.storage,or dispose ty 9aneat 1M CaRlan lsrdsuey Marry <br /> �,E which minimizes the present and future threat to human life and the env,ronmenh Oc it I em a small quanli[ pose currently available tome tlmeeregyrrenre„q.erKyrreri <br /> generation and select the wade management method Mat,s available urine that l can aRord. Y generator. have made a Goptl Mrth eflpn M minimize my waste CaG runply only wnhrWbM <br /> I N American Valley Waste Oil hereby advises the above Generator that generators shipment of used oil may be hanspodea to a facility that Isequined tq can I !!s fir rntvm <br /> rp regulations applicable to management of used oil.but that,s n01 required to comply with the more stringent re P Y VIM ledere, 0y sdstu3f sgag ilio <br /> lies.Celcitne an tkheS that Handle or process used oil are required to meet those more shin t re Iremanl.and somesou[Po�cOblee o hatees ous eau,management Iaci1'. waste hay b—lhansllonel <br /> those requirements,engineering certrllcahons of tank integrity,and financial assurances for cglam and scent.anl releases.It is lawful to send used oil t_use sOil aso tele laicmeiall 1II <br /> that comply only with letleral used oil management standards and not these more stringent r1 <br /> This notification is for infomlallon 9 Qquiremanls. DRIVER <br /> purposes only. SIGNATIIR�.' <br /> By both parries signing this invoice it will serve as an agreement that Amencan Valley Waste oil will submit c-numation for(certain waste Streams)to the generator that their <br /> waste has been transported to a licensed Treatment or rmnsfer facility, <br /> DISPOSAI I P <br /> DRIVER GENERATORI <br /> SIGNATURE: AUTHORIZED '.O OK-DIXON <br /> SIGNATURE. DATE, 7300 CHEVRON <br /> Y ! 1 DIXON,CA 9562 <br /> DISPOSAL/RECYCLING FACILITY IXON,,CN 9 <br /> Epm CAi08001 <br /> O DK-DIXON 0'SBURYENVIRONMENTAL O RIVERBANK OILTRANSFER O YUMAYES LLC <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD, O AMERICAN INDUSTRIAL <br /> L DR OIL INC <br /> DIXON.CA 95620 CERES.CA 95356 6500 US Z 85 95 521 INDUSTRIAL 95 STE M <br /> 707-693.6008 RIVERBANK,CA 95367 PUMA,AZ85365209-66STON,CA 95n4 <br /> 209-541.1825 209-863-8181 928-344-9628 209-667-8857 <br /> EPA#CATOBOO12602 EPA#CAL000393680 EPA#CAL000190816 <br /> EPAp AZR000521146 EPAp CAL000449004 <br /> Mac v+20161 <br /> Tricia Dai, EHS Page 1 of 2 <br />