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AMERICAN VALLEY <br /> 149849 <br /> WASTE OIL, INC. Invoice Number: <br /> P.O.Box 340- Delhi, CA 95315 <br /> PH. 1-800-732-4645 - FAX 209-668-3880 <br /> EPA#CAL000416714 <br /> 1687 FRENCH CAMP RD 'IC <br /> GOLDEN STATE AUTO REPAIR <br /> GOLDEN STATE AUTO REPAIR <br /> , <br /> BILL TO: 1587 FRENCH CAMP RD OB SITE: _ _Z <br /> STOCKrON,CA 952W -XTURNPIKE Invoice gate: <br /> STOCKTON,CA 95206 <br /> Sales Rev. <br /> FP_hone__i0_9-948-366i'____ iTsf(om9_rR_0_.__' I_T1 !0,D EPA <br /> 67 <br /> PRODUCT SHIPPING DESCRIPTION <br /> WASTE MANIFEST !QUANTITY: PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 991 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> 0 <br /> �rWRCII"aste Liquid Used Oily Water L233 <br /> Drained Used Oil Filters <br /> OIL COLLECTION FEE <br /> -TERMS- Invoices over 36 Days fira'subject to a!.s%service chat-g;. Customer agrees to pay all legal fees it Court action i TOTAL <br /> becomes necessary to coiiect this invoice. 1 1 E,2 rT <br /> By signiiuj I herby certify[list I helve not r;,;;ced anyof the rasto dcscrih ti nitava wfti,.any o,,ifr trAzirduus%nrasta,the total halide content is LjESS than 1.000 ppm,and the <br /> waste does not contain any PG&�.I have compliorl%vith Via raqtjirem,anls of tile applicable California Med Oil inarlagetrient regulation to determine this is true.I agree to <br /> adi%Pt the addillonal chavlac!j fur the disposal of this waste it the inwanbuju I have P1017CIA-d about this waste ki Incorrect. <br /> Generator-Certification:By smn*i I certify that if I am a tante quantity gtifleratfl'.I("edify that I Ilave a program it'Pince:to reduce the vd.ume and toxicity of waste generat- <br /> ed to the deoroe I have dvLurinincci zo be econornicaliVaifordatie and the,I have swoczfxi the practicable method oftrea(miml,worage,or disposal currently available tome <br /> which minimiaia;the present and future threat to human lih-rind tluenvironment:Or,if ant a small quantity ganerator,I have made a Good faith effort to minimize my waste <br /> generation and:..erect the wasta ir,,utgenjant nieth.1 that is avak-Ute to me that I can allow. <br /> American Valley waste oil hereby Id-Asag the atinve f,',enerator that gal'Gratois shipment of used oil may ha lra,mparteEf to a facility that is required to comply with federal <br /> regulations av,piicaue to managenivrlt Of I used oil,but that is not requimd to comply with ilv-more stringent reyuitaitt4nis app!.Icable if)wwardoir,waste management iaciff- <br /> tie&Cailtomitl facilities that iiaildie cr prucess Used oil are rrojim.ril to meet vicre,tylom itsinrwnt requirement.OfId some OUt-OG3[Vt0 facigVOS that process used oil also meet <br /> those requircments,engine-ering Certifications of tank integrity,anti for ckmure and accidental rejeases.It is ta-wito to send used Oil to out of state facilities <br /> tilat comply rinfy with fader ii kir.-ni if management standards and not those illor4 stlin-wit require.mrgils. <br /> This notification Is for itiluminautt fiwiposes only, <br /> By both parties signing this 6vaire It trill serfs els an a4Init%r2nt that Arrinrit:an Vai;ey wnsto Oil will suhn f U to <br /> ",,�rnirtna(on r(err Uijil wrt3to,tt*ams)to the generator that their <br /> waste has bann transported to ait;xlfmfr4mullaw or transfer fa.;iwy, <br /> DRIVER GENERATOW <br /> SIGNATURE: AUTHORIZED <br /> I ATURE: DATE: <br /> Q1SPQSA1./_B.EQYQ <br /> -)_4L161Q_E6�MLITY <br /> 0 DK-DIXON (t_—ASBURY ENVIRONMENT AL 0 RIVERBANK OIL TRANSFER 0 CFP 0 GLOBAL MATERIAL MGMT <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD, 2035 E. 15TH ST. <br /> 16401V,BROADWAY I <br /> DIXON,CA 95620 CERES,CA 95358 RIVERBANK, CA 95367 LA,CA 90021 STOCKTON,CA "205 <br /> A 96205 <br /> 707-693-6008 707-693.6008 <br /> 209-863-8181 213­746-M37 818-770-2577 <br /> EPA#CAT08001 2602 EPA#CAL000393680 EPMCAL000190816 EPA#CAL000270577 EPA#CAL30MM4117M3 16 <br /> WIC M2016) <br />