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AMERICAN VALLEY _ , , 144808 <br /> WASTE OIL, INC Invoice Number: <br /> P. O. Box 340 • Delhi, CA 95315 MAY 2 6 2016 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA# ret nnnaZ7$7R <br /> CAL..0004k,71y �.��:�...�.1t`.. ... <br /> BILL TO: VVASFE RECOVERY Wks r JOB SITE: wq.RTF i2EfX1VFRY WFRT Invoice Date: <br /> 4554 S ELDORADO ST aFFa G tri finRArinT <br /> STOCKTON. CA 96206 STOCI TOP,,CA %22M <br /> Phone Customer PO. Terms EPA# <br /> 916-813-47 04 PICARDO Ne?:+0 Days (.AL00039658R <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <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 Cu <br /> 1 <br /> UN 5<3 PAIL VWLABELS METAL FINES <br /> Sa ie5 I ax <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 <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 2,000 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 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 be economically affordable and that Lhave 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 both parties signing this invoice it will serve as an agreement that American Valley Waste Oil will submit confirmation for(cert4in waste streams)to the generator <br /> that their waste has been transported to a licensed treatment or transfer facility. <br /> GENERATOR/ ` <br /> DRIVER / / ' '�` ORIZED , <br /> SIGNATURE. , j'' DATE: , NATURE: DATE: <br /> IV <br /> DISPOSAL / RYCLING FACILITY <br /> 0 DK-DiXON Qlll�6FR 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 213-746-0237 818-787-2649 <br /> EPA#CAT080012602 EPA#CAL000270577 EPA#CAL000379059 <br /> MPC(612013) <br />