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4RE!"CLE •AMERICAN VALLEYWASTE OIL, INC. INvoICE # X691 <br /> P. O. Box 340 DATE <br /> Delhi, CA 95315 <br /> PH. 1-800-732-4645 <br /> FAX 209-668-3880 EPA. CAL000827M P.O.# CHECK ❑ CASH ❑ VISA ❑ <br /> BILLING INFORMATION JOB SITE EPA# (fv4C 00 1 If6c? <br /> NAME NAME II <br /> —(vG ir--j S ✓ C S <br /> ADDRESS ADDRESS <br /> rU <br /> CITY I STATE CITY I STATE Z�I <br /> PHONE PHONE <br /> 333 < < 9 `f3Y <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE NUMBER <br /> USED OIL NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br /> USED AUTOMOTIVE ANTIFREEZE, NON <br /> RCRA HAZARDOUS WASTE LIQUID 134 <br /> OILY WATER, <br /> ON RCRA HAZARDOUS <br /> WASTELIQUID 2- 1-3 <br /> NON HAZARDOUS WASTE LIQUID <br /> TRANSPORTATION CHARGES <br /> ADDITIONAL LABOR <br /> HALOGEN TEST <br /> TERMS:INVOICES OVER 30 DAYSARE SUBJECTTOA 1.5%SERVICE CHARGE.CUSTOMERAGREES TOTAL -'a <br /> TO TO PAY ALL LEGAL FEES IF COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. <br /> DISPOSAL/ RECYCLING FACILITY I <br /> O INDUSTRIAL SERVICE OIL CO INC. (�L K.oD4-r.Oi.+ SSC . O <br /> 1700 S.SOTO ST. I b I& w '6�' 1, <br /> LOS ANGELES, CA 90023 G C+ t <br /> CAD099452708 ``V C.4 y <br /> 562-598-5577 Co"93i ga 6ciy rp) <br /> 7YS -�1C, Y 3 <br /> O O O <br /> DRIVER GENERATO <br /> SIGNATURE SIGNATURE <br /> THANK YOU MPC(41100) <br />