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AmEwAN VALLEY <br /> WASTE OIL, INC. Invoice Number: <br /> P. 0,Box 340 Delhi, CA 95315 <br /> PH, 1-800-732-4645 , FAX 209-668-3880 <br /> EPA#CAL000827878 <br /> LIONUDIS JOB SITE. LIONUDAKIS In ice Date: <br /> BILL TO: AK407JONES <br /> 20451 MCHENRY ESCALON,CA 95:320 <br /> ESCALCR%CA 95320 3M OIL <br /> Sales Rep- MIKE HUBER <br /> # <br /> Phone Customer P.O. Terms EPA <br /> D.0. <br /> 209-838-8150 KENNY C. CAL0001 487,3 <br /> i PRODUCT SHIPPING DESCRIPTIONWASTE MANIFEST i QUANTITY PRICE AMOUNT <br /> CODE ; <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 cc� <br /> NON-RCF1A Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Drained Used Oil Filters <br /> SALES TAX- <br /> rT-E7;9—M;§-. Invoices over 30 Days are subject to a 1,5%service charge. Customer agrees to pay all legal fees it court action MDTAt <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 die waste does not contain any Pces.I have compiled with the requirements of the applicable California used oil management regulation to determine this is <br /> ti true.I agree to accept the additional charges for the disposal of this waste if the information I have provided about this waste is incorrect. <br /> Generator's Certification:By signing I certify that 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 he 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 With <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 Va lley waste ail will submit confirmation for(certain waste streams)to the generator <br /> that their waste has been mnsported to a licensed treatment or transfer facility. <br /> GENERATORt <br /> DRIVERAUTHORVED <br /> SIGNATURI <br /> !, ,on, DATE 1306/ SIGNATURE DATE: <br /> //-Y <br /> DI POSAL I RECYCLING, B-CILITY <br /> DK-DIXON 0 OFR 0 UmiTED C-NTERPRISES CORP <br /> 7300 CHEVRON WAY 2035 E.I STH ST. I I I So PENROSE ST. <br /> DIXON.CA 95620 LA,CA 90021 SUN VALLEY,CA 91352 <br /> 707-693-6008 213-746-0237 818-787-2649 <br /> C-pA#CAT080012602 EPA#CALOD0270577 EPA#CAL000379059 <br />