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18997 E. Front St. Record ID# PR0514503 <br /> 11/30/2020 Program: HW <br /> Photo 3: Used antifreeze removed from site on 9-26-2019. <br /> AMERICAN VALLEY 177021 <br /> BILL Tp; o�ia 'AWASTE OIL, INC. invoice No nbcr: tZ " <br /> _ P.O.Box 340•Delhi,CA 95315 <br /> PFI.1-800-732-4645•FAX 209-668-3880 l <br /> EPA#CAR000272302Phone <br /> Jt <br /> M AUTO SHRVIGES JBM Al SERVICE 1' <br /> } BILL TO: 11887 FROhfT ST SOB SITE: 16997 FRONT IIT Invoice Date; PRODUCT SHIPp <br /> LINDEN,CA 85136 LMDEN.CA H238 <br /> .i <br /> Felix 'I NON-RCRA We,$ <br /> l <br /> Phone Customer P.O. Terms GO D EPAtAL000176549 I NON-RCRA Was <br /> it 10&47441D T <br /> PRODUCT SHIPPING DESCRIPTION MANIFEST QUANTffY PRICE AMOUNT NON-RCRA War <br /> WASTE <br /> CODE Compliant Drain <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> 1 NON-RCRA Waste Liquid Used Oily Water 223 <br /> Compliant Drained Used Metal Oil Filters <br /> TERMS: lnu.icE <br /> hocomes necee <br /> 9y-9n1115 I her <br /> wUA.doss- <br /> al the aar <br /> � Ganaretor's C <br /> ed tome seg <br /> which mlmmi <br /> generation ai <br /> rum-lc—va <br /> raguiauons <br /> I Y RMS: necessary <br /> over Co Days are voicec[to a 1.5%service charge. Customer agrees to pay all legal lees It court action TOTAL ties.Caleor <br /> becomes necessary to Collect this invoice. <br /> C those requr <br /> that comp) <br /> By signing I herby certify That I neve not mixed any of the waste descnbetl above wdh any other hazardous waste,dIe total h0lyde content vs Lt:551nen 1.660 ppm and ttre Tnra nein¢ <br /> 1 waste does not contain any PCBs,i have compiled with the requirements of the applicable Cali used oil management regulation to determine thks to Irue.1 agree to <br /> accept the adtlulonal charges for the disposal Of this waste n the Information I have provided about u is waste Is Incorrect, ny hath p <br /> Generator's Certification:By signing I certify that II l am a large quantity generator,I candy that 1 have a program in place to reduce the volume and toxicity of waste General- waste ha' <br /> t ed to the cial 1 have determined to be economically affordable and that I have selected the precticabla math.,)of Treatment.storage,or dsposat cu—i—skiable to me <br /> Ik 1 which minimlzes the present and fwurs 111 10 human life anq the environment:or,If I am a small quantity generemr,I have made a Good laith effort to M;—iza my waste OR4VER <br /> generallon and select the waste management method that Is available to me that I can afford, SiGNATI <br /> American Valley Waste Oil hereby advlaes the above Generator that generators shipment of used all may be transported to a tacilRy mat is required to camR1Y With federal <br /> regulations applicable to managenrenl of used all,but that Is not required to comply with the mora stringent requirements applicable to heaardous waste tnanagOmi lacilr <br /> ties.California facllltlss that handle or process used oil are requkrad to meet Those more sldnganl requirement,and some out-ot-stale,taclttlies that process used oll also meet 111 C i- <br /> those requirements.englnoadng cenlfications of lank Integrity,and financial assurances for closure and accidental raleasee.It is lawful to send used all to out of state laclhtles <br /> that comply only with federal used all management standards and riot those mare stringent requirements. O Ok <br /> 15 This ratification Is forinformallon purposes only. 7` <br /> 1 <br /> By both gonias signing This lnvolca It W'rll serve as an agreement that American Valley Waste oil will submit conllnnatlo6 ho loamem waste aueamsl to the genaratot that%halt U <br /> waste has been transported to a licensed treatment or transfer facility. 7 <br /> GENERATOR! <br /> ORIVER 7 AUTHORIZED ].I <br /> SIGNATURE: BATE: SIGNATURE -11 9ATE:� ` <br /> 1 <br /> DISPOSAL/REC <br /> ,-,Y <br /> �CLING FACI Ty t <br /> I ODK•DIXON (7 A58URYENVIRONMENTAL O A IVER BANK OIL TRANSFER Q YUMAYE:SLLC Q MAACM4%iiiiWASTr,QW.k4c <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD. 6500 US HWY 95 521 INDUSTRIAL DR SZE M <br /> DIXON,CA 95620 CERES,CA 95358 RIVERBANK, CA95367 YUMA,AZ 85365 LAANGSTON,CkSl <br /> 707.693-6008 209-541.1825 209-863.8181 928.344-9828 209.6 -%57 <br /> r EPA#CATOBOO12602 EPA#CAL000393680 EPA#CAL000190816 EPA#AZR000521146 EPA#CALOM44.121l <br /> MPC 1717Dt81 <br /> JASON GAITAN, REHS Page 3 of 3 <br />