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06 / 11 / 2021 1 : 39 PH FAX 2099488625 AH3CE SAW 0003 / 0008 AMERICAN VALLEY 1 X 8 10 0 6 WASTE COIL , INC . ' Invoice Number, P. O. Box 040 Delhi , OA 9531E ` � • PH . 11111800=7324645 im FAX 209-668-3880 EPA## CAR000272302 BILL 'I`C1: ACME SAVt/ ACME SAW ✓rTimor �(,� 1204 I= . MAIN . JOS SITE: i204 E , MAIN ST Invoice Date: STOCKTON , CA 96208 XJ AIRPORT STOCKTON , CA 95205 Win — Phone 208. 551- 1 917 MHN Customer P. O . Terms EPA#, ' It 11�41: 30 Opyq I CAL 00017W8 PRODUCT SHIPPING DESCRIPTION WANE MANIFEST QUANTr y PRICE AMOUNT CODE NONriRCRA Waste Liquid Used Oil/Mixed Oils 221 NON - R.CRA Waste Liquid Used Antifreeze 133 NON;wRCRA Waste Liquid Used Oily Water 223 1 44 0 lot Compliant Drained Used Metal Oil Filters HAZ WASTE R CK (IF' , t37k6 (Willi 1 0 1 p F65 CAL Of TOP UN CERT STEEL RE ( , b �C7 'i' a it I't pit -1- SIMON pJ ITT IT ip TERMS: Invoices over 30 Days are subject to a 1 .51/a service charge. Customer 4relas tut° a Illegal fees if cdurtIaction TOpApt TAL becomes necessary to collect this Invoice, 1 7o2 Rio By signing I herby cortify 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 ccmplled with the requirements of the applicable California used oil management regulation to determine this Is true. I agree to accept the additional charges for the disposal of this waste if the_inforrpation I have provided about this waste is incorrect. 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 generates ed to the 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 06% and the environment; Or, if i am a small quantity generator, I have made a Good faith effort to minimize my waste generation 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 all may be transported t0 a facility that is required t0 comply with federal regulations applicable to management of used oil, but that is not required to coiYiply with the more stringent requirements applicable to hazardous waste management facili• ties. California facilities that handle or process used oil are required to meet those more stringent requirement, and some =70f,State faoiiities that process Used oil also meat those iequiremsnts, engineering certifications of tank Integrity, and financial assurances for closure and accidental releases. It Is lawful to Send used all to out of state facilities that comply only with federal used oil management Standards and not these more Stringerit requirements. This notification is for information purposes only. By both parties signing this invoice It Will serve as an agreement that American Valley Waste Oil will submit co firmation for (certain waste she 9 to the generator that their waste has been tran�rted.to a licensed t�tMent artransferfsclllty: 1 , To Wol'' GENERATOR/ ` J DRIYE rpoil_`.- '' lot.- ; , f : „ : • t� 7flIZED S)GNATURE: t! ,.-' Vii' %'r ;;'' DATE; )0e AveRE: 7 / DATE ; IW ,+ .. . lip , v ,• to hiSf'C}SAL / ECY (ONO FACILITY DK—DIXON 0/ ASBURY ENVIRONMENTAL Q RIVERBANK OILTRANSFER 0 YUMA YES LLC 0 AMERICAN VALLEY WASTE OIL, INC 7300 CHEVRON 'W 1020 MORGAN RD. 5800 CLAUS RD: 6500 US HWY lab 521 INDUSTRIAL DR STEM DIXON, CA 95020 CERES , CA 95358 PIIVPR5ANK, CA95367 . YUMA, AZ 85366 LIVINGSTON, CA 95334 707-693-6008 205-541 - 1825 , 209.863.81 $1 9213&%344-8828 1 209-667-8857 E EP'AH CAT080012002 EPA# CAL000393680 EPA# GAL000190816 EPA# AZR000521146 EPA# CAL000443004 Wool IT, i i i