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AMERICAN VALLEY 147571 <br /> WASTE OIL, INC. Invoice Number: <br /> P O. Box 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-6��-A'W&0004 1 67 1 4 <br /> i!PA#CALOOi0827,78.. <br /> ASSOCIATED TRACTORji ��d <br /> BILL TO: ASSOCIATED TRACTOR JOB SITE: 1323 W.CHARTER WAY <br /> 1323 W.CHARTER WY X:ARGON AUT 8 fRESN U Invoice Date: <br /> STOCKTON,CA 95 STOCKTON.CA 95206 <br /> Sales Rep: Amertcan Valley <br /> Phone Customer PO. Terr13(JDays EPA#C�AD383606930 <br /> "'09-466-,V03 RCtCKY <br /> PRODUCT SHIPPING DESCRIPTIONWASTE 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 /> HIM WASTE PICK UP-SLUDGE OILILART ���IA �IZI { t]/j�—(r 91) f <br /> 55 GAL G/ QPUTA(;E RT 51 EEL RECON <br /> Sales Tax <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 fh.n"Ubepprn, <br /> and the waste does not contain any PCBs.I have complied with the requirements of the applicable California used nil management regulation to determine this is <br /> true.I agree to accept the additional charges forthe 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 environments 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 their waste has been transported to a licensed treatment ortransfer facility. <br /> GENERATOR/ <br /> DMVEfi THORIZED .i <br /> SIGNATURE: DATE: IGNATURE' DATE; <br /> DISPOS RECYCLING FACILITY <br /> O DK-DIK'ON 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 EPA#CAL000379059 <br /> MPC(6/2013) <br />