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06 / 11 / 2021 1 : 29 PM FAX 2099488625 AMCE SAW 1 9002 / 0012 AMERICAN VALLEY 1 . 'WASTE OIL, INC . Invoice Number: P. O . Box 340 • Delhi , CA 95316 PH . 1 -800-732-4645 Is FAX 209-668-3880 EPA# CAR000272302 ��&L TO * ACME SAKI JOE SITE: ACME SAW Invoice bate. 1204 E _ MAIN 1204 E , MAIN ST STOCKTON , CA 95206 x: AIRPORT STOCKTON, CA 96206 Phone Customer P. Q . Terms EPA ete6aP: :AXf 200• �� ,sowhi Nil;:00 DNS GAL00017$438 i PRODUCT SHIPPING DESCRIPTION MANIFEST QUANTITY PRICE AMOUNT ' WASTE Ito CODE NON -RCRA Waste Liquid Used Oil/Mixed Oils 221 In I It NON"RCRA Waste Liquid Used Antifreeze 133 ,; . NUN=RCRA Waste Liquid Used Oily Water 22$ AP Compliant Drained Used Metal Oil Filters wFFF HAZ V"TE h CK UP - QASQ L MIX tX7 r ,r'/ 4AM 4n room! , • . .� 1 _56 GA. 0/ TOP U .N CERT STEEL RE ltd C.�' TERMS ; Invoices over 30 Days are subject to a •1 . 5% service charge. Customer allolegal fees if court action TOTAL becomes necessaryto collect this Invoice. ,�-i • —^"" `' By signing I herby certify that I• have not mixed any of the waste described above with any other hazardous waste, the total halide content Is LESS than 1 ,000: ppm, and the ,waste does not contain any PCBs. I have compiled with the requirements of the applicable California used oli• management regulation to determine this is true, I a9me to accept the additional charges for the disposal of this waste if the information I have provided about this waste 1,5 Incorrect. GerierAtor's Certification: By signing I certify that if I am a large quantity generator, 1• certify that I have a program In place to reduce the volume and toxicity, of waste generat• ad to the degree I have determined to be economically affordable and that I have selected the practicable method of treatment, storage, or disposal ourr4ntly available to, me which minimizes the present and future threat to human life and the environment: Or., rf ;l ,am small quantity generator, I have made a Good faith effort to minimize my waste generation and select the waste management method that is availabia to me that I can aord. American Valley Waste Oil hereby adyises the above C,anerttor that gbnerators shiprnbntoloused oil may be transported to a facility that is required to comply with federal regulations applicable t0 management M used oil, but that Is not required to comply with the more stringent requirements applicable to' hazardous waste management facilt- ties. California facliities that handle or process used oil are regUlred to meet those more stringent requirement, and some out-of-state facilities that process used oil also meet those requirements, engineering certifications of tank integrity, and financial assurances for. closure• and accidental relaasas" It is lawful to send used oil to out of state facilities . - thaTcomply only with federal used all management standards and not these more stringent requirements. This notification is for information purposes only. By both parties sigthis Invoice it will sere as an agreement that American Valley Waste Oil will submit c7f[ 'Dn for (certain waste st a to .the generator that their waata hal been a sported to a licensed treatment or transferfaolUty. /� GENERATORI DRIVER . % AUTHOFtitE 000 ' ooet51CaNATU�i , , 00 DATE; IGNA7URE: DATE; j V !r' LX,,u. , , , �, f r DISPOSAL / RECYCLING FACILITY ( ' Q DK-DIXON 0 ASBURY ENVIRONMENTAL C� RIVERBANK OIL TRANSFER 0 YUMA YES LLC AMERICAN VALLEY WASTE OIL, INC, I 7300 CHEVRON WAY 1920 MORGAN . 5300 CLAUS RD. 6500 US HWY.95 521 INDUSTRIAL DR STEM POD DIXON , CA 95620 CERES , CA 95358 RIVERBANK, CA 95367 YUMA, AZ 85365 LIVINGSTON, CA 95334 707-693-6008 2094IN541 - 1825 209-863-8181 928.344.9828 209-667.8857 EPA# CAT080012602 EPA# CAL000393680 EPA.# CAL000190816 EPA# AZR000521146 EPA# CAL000443004 MPC (7/2018) i