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Terms <br />MANIFEST <br />EPAtt <br />QUANTITY j PRICE AMOUNT <br />• <br />BILL TO: <br />ANIERIC \\ VALLEY <br />WASTE OIL, INC. <br />P O. Box 340 • Delhi, CA 95315 <br />PH. 1-800-732-4645 • FAX 209-668-3880 <br />EPA# CAL000827878 <br />1 74 0 2 2 4 <br />Invoice Number: <br />JOB SITE: / <br />Invoice Date: <br />Phone <br />Customer PO <br />PRODUCT SHIPPING DESCRIPTION <br />-------- <br />NON-RCRA Waste Liquid Used Oil/Mixed Oils <br />NON-RCRA Waste Liquid Used Antifreeze <br />NON-RCRA Waste Liquid Used Oily Water <br />Drained Used Oil Filters <br />sum <br />(D <br />r.) <br />WASTE <br />CODE <br />221 <br />133 <br />IN* <br />L..' Tei ikA.SilC. ;N r.)1L <br />PRICV%:".3 <br />TERMS. Invoices over 30 Days are subject to a 1.5% service charge. Customer agrees to pay all legal fees! court action I TOTAL becomes necessary to collect this invoice. <br />By signing I herby certify that I have not mined any of the waste described above with any other hazardous waste, the total nalide cortent 0 LESS than 1,000 ppm, <br />and the waste does not contain arty 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 chafees for the disposal of this waste if the information I have provided about this wastes riworrect. <br />Generator's Certification: By signing I certify that if I am a iarge qua ntity 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 be economically affordable and that I have selected the practicable method of treatment, storage, or disposal currently <br />available to me which minimizes the present and 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 <br />both parties signing this invoice it will serve as an agreement that American Valley Waste Oil will submit confirmation far (certain waste streams) to the generator <br />that their waste has been transported to a licensed treatment or transfer facility. 91-0Z-91,-9 uo uaNel 01.01-1d DRIVER <br />SIGNATURE <br />DISPOSAL / RECYCLING FACILITY <br />0 CFR <br />2035E 15TH ST <br />LA, CA 90021 <br />213-746-0237 <br />EPA# CAL000270577 <br />GENERATOR/ <br />AUTHORIZED <br />SIGNATURE <br />0 UNITED ENTERPRISES CORP <br />11190 PENROSE ST <br />SUN VALLEY, CA 91352 <br />818-787-2649 <br />EPA4 CAL000379059 <br />DATE/ <br />-0 OK-DIXON <br />7300 CHEVRON WAY <br />DIXON, CA 95620 <br />707-693-6008 <br />EPA# CAT080012602 <br />-DATE <br />MPC 6°011