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06 / 11 / 2021 1 : 36 PM FAX 2099488625 AMCE SAW 0003 / 0007 AMERICAN VALLEY . . WASTE OIL , INC . Invoice Number , P 0 , Box 340 + Delhi , CA 95315 PH . 1 -800-73 4545 • FAx '209-568&003830 EPA# CAR000272302 llybcll II,L TO : ACME SAW 4JOR SITE: ACME SAWvoce Date. E. MAIN 1264 E , MAIN ST STOCKTON , CA 9506 X, AIRPORT STOCK TON , r�A 85205 ' Phbhe' Customer P.O. Terms EPA •I I 209,OrW1- 1917 JOHN Net30 ' I ys CALOOOII8438 PRODUCT SHIPPING DESCRIPTION WASTE' MANIFEST QUANTITY PRiCE AMOUNT CODE NOWFICRA Waste Liquid Used Oil/Mixed Oils 221 NON -RCRA Waste Liquid Used Antifreeze 133 NONr:RCRA Waste I,igluid Used Oily Water 223 Cgrnpliant brained Used Metal Oil Filters HAZ wAsTE R CK UP ,, 01 L $ CpAs MIX f'. 7. .I'�, ' � � � :�¢-. �y ) �w � �l� � uL) 55 QNw Of TOP U .N CERT STr;:EL a mFO 1 t71� .TERMS! ' invoices over 30 Days are subject to a 1 .5% service Charge, Customer &VR p'a " ' legal fees if court action TOTAL . .�' becomes necessary to Collect this invoice. 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 l,$$S than 1 .000 ppm, and the waste does not contain any PGBs. I have compiled with the requirements of the applicable California used oil management regulatio`fi. determine this is truem i agree to accept the additional charges for the disposal of this waste if the Information I have provided abdut this waste is incorrect. ' Generator's CertifiCatloni By signing I certify that if I am a fame quantity generator, 1, certify tflat I have a program In place to reduce the volume and toxicity of waste generat- ed to ths ,degree I have determined to be economically affordable and that I have selected the practicable method of treatment, storage, or disposal currently available to me Which minimizes the present and future threat to human life and the environment: Or, if I am a small quantity generator, i have made a Good faith effort to minimize my waste geheratiDen and select the waste management method that 'is available to me that I can afford. American Valley Waste Oil hereby advises the above Generator that generators shipment of used oil may be transported to a ftiCility that'ia required to comply with federal regulations applicable to management of used oil„ but that is not required to comply with the more stringent requirements applicable to hazardous waste management facllim ties. California facilities that handle or process used oil are required to meet those more stringent requirement, and some out-of•state facilities that process used qil also meet those requirements, engineering certifications of tank integrity, and financial assuran"s for closure and accidental releases, It is lawful to send used oil to out of state facilities That Comply only with federal used oil management standards and not these more stringent requirements. This notlfloation is for information purposes only. By both parties slgn�ng this invoice it will se s an agreement that American Valley Waste Oil will submit c firm ion fpr Cental waste ams o the generator that their waste has been trsnsported to a licensed trent or transfer • pity; DRIVER I,� GENERATOR! AUTHORIZED SIGNATU E' f;: ` ti`'�� % DATE: / SIGNATURE: DATE; ( f CJP SAL / RECYCLING FACILITY Q DK-DIXON 0 ASBURY ENVIRONMENTAL 0 RIVERBANK OILTRANSEER O YUMA YES LLC OA MERICAN VALLEY WASTE OIL, INC 7300 CHEVRON WAY 1920 MORGAN RD, 5300 CLAUS RD , 6500 US HWY 95 521 INDUSTRIAL DR STEM DIXON , CA 95620 0ERES, CA9535$ RiVERBANK, ' CA95367 YUMA, AZ853$5 LIVINGSTON , CA 9=4 707-693.6008 209.541 -1825 209.863-8181 928-344-9828 20900667008857 EPA# CAT080012602 EPA# CAL000393680 EPA# CAL000190816 EPA# AZp000521148 EPA# CA1000443004 41 inac psora} I'