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' AMERICAN VALLEY 22471 <br /> 44WRECYCLE WASTE OIL, INC. Invoice Number <br /> P O Box 340 • Delhi, CA 95315 <br /> PH 1-800-732-4645 • FAX 209-668-3880 <br /> EPA CAL000827878 / <br /> Invoice Date <br /> ' BILL TO: JOB SITE: <br /> nrqq 77� TTC�^E�'+D -art T j{{��,� �,rmTT .~..f- # r. ALiU 1 <br /> "15L ,'.aV4L,L V�..+—. iia V..s%3 11 .4_.:n— <br /> a 3 r SHAW RD L0CxIj K0D t ST-- cR 4 iGt 'r ' 3A1, rFz 9 5-21 " 6 5 C MQ�NTE D I BLO <br /> _A 952201 <br /> 7 <br /> Phone Customer PO Payment Terms r' EPA x <br /> . J <br /> 14 � ���_ r'r � , k� - Net 30 Dajs CAL601466832 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> ' CODE <br /> USED OIL NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br /> ' USED AUTOMOTIVE ANTIFREEZE, NON <br /> RCRA HAZARDOUS WASTE LIQUID 134 <br /> OILY WATER, NON RCRA HAZARDOUS 221 <br /> WASTE LIQUID <br /> ?HAZARDOUS WASTE LIQUID 3C)a '-' Cl '/6TRE NIA <br /> ' GREASWEEP NIA <br /> HALOGEN TEST N/A <br /> SLUDGE, NON-RCRA HAZARDOUS <br /> WASTE LIQUID NIA <br /> TERMS INVOICES OVER 30 DAYS ARE SUBJECT TO A 1 5/o SERVIGE CHARGE <br /> CUSTOM R AGREES <br /> TO PAY ALL LEGAL FEES IF COURT ACTION BECOMES NECESSARY TO COLLECT THI VOICE TOTAL . <br /> ' DRIVER CUSTOMER I <br /> SIGNATURE SIGNATURE <br /> THANK YOU <br /> DISPOSAL / RECYCLING FACILITY <br /> ' O INDUSTRIAL SERVICE OIL CO INC O CHICO DRAIN OIL SERVICE O RIVERBANK OIL TRANSFER <br /> 1700 S SOTO ST 1618 W 5TH ST 5300 CLAUS ROAD <br /> 1 LOS ANGELES, CA 90023 CHICO,CA 95928 RIVERBANK,CA 95367 <br /> CAD099452708 CAD980694103 CAL000190816 <br /> 562-598-5577 530-345-9043 <br /> ' MPC{4l01 <br />