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AMERICAN VALLEY 1 4t 5 4 9 3 <br /> WASTE OIL, INC. Invoice Numbej-: <br /> P. O. Box 340 - Delhi, CA 95315 <br /> PH. 1-800-732-4645 * FAX 209-668-3880 <br /> E�PA4 CA-L-6008278,778- V <br /> PAO (�Ac,XC 4 16 i 14 <br /> BILL TO: Ar-;Sk)0'AT'E:) TRA'L'TOR JOB SITE: ASS'(,.ADAI'El) 1"FZAICITOR Invoice Date: <br /> 13233 (;HAl VVAY <br /> I OC K-1 C. �';A 95200 XARGC)NAUI &I"RFSNO <br /> �'JOCK'T(JN GA 91206 <br /> Phone Customer P.O. Terms EPA# <br /> —77—slo I <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 /> ----------- <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Drained Used Oil Filters <br /> TERMS: Invoices over 30 Days are subject to a 1.5%service charge. Customer agrees to pay all legal fees it 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 1,000 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 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 car afford. <br /> By both parties signing this invoice it will serve as an agreement that American Valley Waste Oil will submit confirmation for(certain waste streams.}to the generator <br /> that their waste has been transported to a licensed treatment or transfer facility. <br /> GENERATOR/ <br /> DRIVER AUTHORIZED <br /> SIGNATJRE.- DATE: SIGNATURE: DATE: <br /> DISPOSAL I RECYCLING FACILITY <br /> 0 DK-DIXON 0 CFR 0 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#CAT0800 12602 EPA4 CAL000270577 EPA#CAL000379059 <br /> MPC(612w2) <br />