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•AMERICAN VALiA C i <br /> SIVE® <br /> WASTE OIL, INC. Invoice Number: <br /> P,0.Box 340 • Delhi, CA 95315 ,JUN 2 4 2015 <br /> PH. 1-800-732-4645 • FAx 209-6 �iONMENTAL <br /> EPA#CAL000827878 a ICRAMENTOST. <br /> �neoeu <br /> onentr <br /> BILL TO: ACME SAW JOB SITE: ACMEW Invoice Date: + <br /> 1204 E.MAIN 214 N. <br /> STOCKTON, CA 95206 LODI, T 95240 <br /> I <br /> 3M OIAlbert KdfinoL <br /> i <br /> Phone Customer P.O. Terms I EPA# <br /> "09-948 1 Net MDays <br /> PRODUCT SHIPPING DESCRIPTION MANIFEST j QUANTITY PRICE AMOUNT <br /> WASTE <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Drained Used Oil Filters <br /> I <br /> SALES T <br /> TERMS: Invoices over 30 Days are subject to a 1.5%service charge. Customer agrees to pay all legal fees if court action TOTAL 0-/ <br /> becomes necessary to collect this invoice. --- <br /> 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, <br /> and the waste does not contain any PCBs.I have complied with the requirements of the applicable California used oil management regulation to determine this is <br /> true.I agree to accept the additional charges fprthe disposal of this waste if the information I have provided about this waste is incorrect. <br /> Generator's certification:By signing I certifytt�t if-I am a large quantity generator,I certify that I have a program in place to reduce the volume and toxicity of waste <br /> generated to the degree I have determined to a economically affordable and that I have selected the.practicable method of treatment,storage,or disposal currently <br /> available to me which minimizes the present a p d future threat to human life and the environment:Or,if I am a small quantity generator,I have made a good faith <br /> effort to minimize my waste generation and select the waste management method that is available to me that I can afford. <br /> By both parties signing this invoice it will serve.,as an agreement that American Valley Waste Oil will submit confirmation for(certain waste streams)to the generator <br /> that their waste has been transported to a licensed treatment or transfer facility. <br /> GENERATOR! <br /> DRIVER f{ _ AUTHORIZED <br /> SIGNATURE: ����---- DATE;ki" SIGNATURE: DATE: <br /> J-RISROSAL/ RECYCLING FACILITY <br /> )'DK-DIXON O CFR O UNITED ENTERPRISES CORP <br /> 7300 CHEVRON WAY 2035 E. 15TH ST. 11190 PENROSE ST. <br /> DIXON,CA 95620 LA,CA 90021 SUN VALLEY,CA 91352 <br /> 707-693-6008 213-746'1-t0237 818-787-2649 <br /> EPA#CAT080012602 EPA#CAL000270577 EPA#CAL000379059 <br /> MPC(woo) <br />