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AMERICAN VALLEY 177662 WASTE OIL, INC. Invoice Number: P.O.Box 340•Delhi,CA 95315 PH, 1-800-732-4645•FAX 209-668-3880 EPA#CAROD0272302 €Aal GAY "witr'614'I A EAST i3 .: CLkRkLIFf l4rtg//S BILL TO: 4741 1`t�POPT ST JOB SITE: 1310 Mrt''I AT t3Lt'G Invoice Date: {?A1;LhND,CA 9 14906 IVIANI ESA CA 95338 Phone Customer P.O. Terms CO D EPA# .A'.000394327 PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST ouANTrry PRICE AMOUNT CODE NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 NON-RCRA Waste Liquid Used Antifreeze 133 NON-RCRA Waste Liquid Used Oily Water 223 Compliant Drained Used Metal Oil Filters OIL COLO CIION FEE SIS Da TERMS:Invoices over 30 Days are subject to a 1.5%service charge. Customer agrees to pay all legal fees if court action TOTAL bticomes necesea to collect this invoice. By signing I heby certify Chet 1 have not mixed any of the waste described above with any other hazardous waste,the total halve content is LESS than 1.000 ppm,and the waste does not contain any PCes.I have compiled with the requirements of the applicable California used oil management regulation to determine this Is",I agree to accept the additional charges for the disposal of this waste if the information I have provided aboul this waste Is incorrect. Generator's codification:By signing I codify that if I am a large quantity generator,I corllly,Mat I have a program In place to reduce the volume and toxWy of waste generat- ed to the degree I have determined to be econom!cally affordable and that 1 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 1 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 shloment of used oil may be transported to a facility that Is 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 facili- ties.California facilities that handle or process used oil are required to meet those more stringer 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 releases.It is lawful to a"used oil to out of slate facilities that comply only with federal used oil management standards and not these more stringent 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 confinnalion for(certain waste streams)to the generator that their waste has leen transported to a licensed treatment or transfer facility. GENERATOR/ DRIVERl AUTHORIZED E: ° /i``� SIGNATURE. DATSIGNATUATU DATE: DISPOSAL/BEC)�QLJNQ EACILIT O DK-DIXON ASBURY ENVIRONMENTAL O RIVERBANK OIL TRANSFER O YUMA YES LLC O AMERICAN VALLEY WASTE CIL INC 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD. 6500 US HWY 95 521 INDUSTRIAL DR STE M DIXON,CA 95620 CERES,CA 95358 RIVERBANK, CA95367 YUMA,AZ 85365 LIVINGSTON,CA 95334 707.693-6008 209-541-1825 . 209-863-8181 928-344-9828 209-667-6857 EPA#CAT080012602 EPA#CAL000393680 EPA#CAL000190816 EPA#AZR000521146 EPA#CAL000443004 MPC Vr0016)