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AMERICAN VALLEY 1 4 '7 5 l 1 <br /> WASTE OIL, INC. Invoice Number: <br /> P. 0. Box 340 • Delhi, CA 95315 <br /> PH. 1-$00-732-4645 • FAX 209-688-388.0 .,`k?416714 <br /> EPA# CAL000827878 <br /> A5&ODA1 ED ?RAC f OR <br /> Ifx- <br /> BILL TO: ;3z +N`AlCHARTERC. f JOB SITE: `323 N CHARTER WAY <br /> VVYARaC NAUT 8 FRESNO Invoice Date: <br /> ST0C KT 0N,1-"A `3b-KW,: -<A 9.5:1Jb <br /> `ffle-S Rep A rellLzr VaNey <br /> Phone ..,�, 466-�(, ).i h;ICk.v Customer P.O. Terms1,GDays EPA# <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 <br /> �1AL Vi;AS' t.. }''IK-N 1-* -St URGE t'-AUDP: _)f L.{ <br /> r� tt#f OP U.Ni CE R1 ,r TEES.. R t-CON <br /> I <br /> ie3 T a), <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 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 can 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 thelr waste has been transported to a licensed treatment or transfer facility. <br /> " GENERATOR/ <br /> DRIVER �t)THORIZED <br /> SIGNAURE: GATE <br /> DATE.Llr � . <br /> DISPOSAPI RECYCLING FACILITY <br /> O DK-DIXON O CFR 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 EPA4 CAL000379059 <br /> MPG(62013) <br />