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06 / 11 / 2021 1 : 29 PM FAX 2099488625 , AHCE SAW , 0001 / 0012
<br /> AMERICAN VALLEY
<br /> WASTE OIL , INC . P So , Invoice Number:
<br /> P. O . Box $40 Delhi , CA•'96315
<br /> PH . I -800-732-4645 • FAX 209,66$-3880 ,
<br /> EPA# CAR000272302
<br /> BILL TO : AW14 SAW JOB SIxE: Ar,Ml� 8AW Invoice Date%
<br /> 1 04 F . hal 1 1 32144 E . I�0,ll\l ,T
<br /> TOCKTON CA IZ6 42Ar` `'; A.IRPOR•I'
<br /> STOCKTON, CA 95205
<br /> Phone Customer P. G. Terms EPA# t,
<br /> 2019461 " 1917 JOHN l'4@t 30 Drys CAL0 0170$
<br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT
<br /> CODE
<br /> NON -RCRA' Waste Liquid Used Oil/Mixed Oils 221
<br /> NON"IICRA Waste ' Liquid Used Antifreeze 133
<br /> NON „ RCRA Waste Liquid Used Oily Water 223
<br /> ito
<br /> J1 I C6mplient Drained Used Metal Oil Filters '
<br /> OIL COLLEW ION FEE S . I •
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<br /> TERMS: invoices over 30 Days are subject to a 1 .5% 6ervice..charge . Customer agrees to pay all legal fees If court action TOTAL / 'i
<br /> becomes necessary to, collect this invoice. ! � r ' ' ”
<br /> By signing I herby certify that,] have not mixed any of the waste,described above with any other hazardous waste, the• tcta} halide conteri0s 'LESS than 1 ,Ooappm, and the
<br /> waste does not eoptaimany PCBs:,] have complied,with the requirements of the applicable California used oil management regulation to determine dile Is true, I .agree to
<br /> •accept the addItlonai charges for the disposal of this waste 'if the information I have ptovidod about this waste is incorrect.
<br /> .Generator's Certification: By signing i certify that If I am a large quantity generator, I certify that I have a program in place to, reduce the volume and toxicity of waste ganerat-
<br /> ed to the degree,) have determined to be economically effordabie and that f have selected the praaticable, method•of treatment, storage; or, disp6sal.curmntly available to me .o
<br /> which minimizes the present and future threat to human life and. the envircnmem: Or, If I am a small quantity generator, i have .mado ,a Good faith affbrt t6 minimize my Waste
<br /> generation and select.ths waste management method that is available to me that I can afford.. 0 4 1 '
<br /> American Valley Waste QA hereby advises the above Generator that generators shipment of used oil may be transported to a facility that is required to comply with federal ,
<br /> regulations applicable to management of used cli; but that fs noGrequired to Comply With the mors stringent requirements applicable to hazardous ,waste management facili-
<br /> ties. California facilities that handle or process used oil are required to meet those more stringent requirement, and some out�ot`Stafa.faoilitias that pmcess •ueed oil also, meet
<br /> those requirements, angineering certifications of tank Integrity, and financial sasurances for closure and accidental releases. It is iaWful to send used oil to out ,of statbdadlities
<br /> that comply only with federal used oil management standards and notthese more stringent requirements.
<br /> This notification is for information purposes only.
<br /> By both; parties signing this invoice k will serve as an agreement that American Valley Waste Oil will submi o irmaf rtain wast streams) to the generator that tFielr
<br /> waste has been transported to a licensed treatment or transfer facility.
<br /> GENERATOR!
<br /> DRIVER AUTHORIZED .._. ... •
<br /> I SIGNATURE: ,r., DATER. • /,;) y ,/r„J SIGNATURE: DATE:
<br /> 4ISPOSAL / RECYCLING FACILITY .
<br /> DK�DIXON CKASBIaRY ENVt1�t�NMi"N' TAL C RIVERBANK, OIL,TRANSFER 0 YUMA YES . I.,LC +� AMERrcaN VALi V WASTE 014 [NO
<br /> 7300 CHEVRON WAY . 1920 MORGAN RD. , 500 01,.AUS RD. . • 6500 .US HWY g5• . 521 iNDUSTRtAL DR STP M
<br /> or 1DIXON, CA 95620 CERES, CA 95358 RIVERBANK, , oCA85367 • . YUMA, AZ85365 I LIViNIGSTON, CA95334 . .
<br /> 707$93.60013• 208-541 - 1825 209-863-8181 ' 928344-9132$ : 209"t367�61357
<br /> EPA# CATQ130012602 f=PA# CAL0003936130 EPA# CALQgQi9p816 . EPA# AZRo00521146 EPA# OAL00003004
<br /> MpC (7/2P18}
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