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Jul 01 15 09:06a Acme Saw & SuppivA.Inc. 2093 26 P.1 <br />' 0. -1 1 <br />'V 7 <br />AMEPJCAN VALLE1hLr.1=1VEt.!35976 <br />WASTE Oil., INC. Invoice Number: <br />R O. Box 340 * Delhi, CA 95315 <br />PH, 1-800-732-4645 & FAX 209-868-36 <br />_qqVIRONMENTA, <br />EPA# CAL000827878 <br />BILL TO: 12'04 ki P%.,N JOB S ;;it Invoice Date: <br />C11 0 <br />Sales Rep fiJb& i 1<4iiq <br />Phone 20y <br />DIANA <br />Customer P.O. <br />TbrmsN,,.-.,,0I), <br />EPA4 <br />PRODUCT SHIPPING DESCRIPTION <br />MANIFEST <br />QUANTITY <br />PRICE <br />AMOUNT <br />WASTE <br />CODE <br />NON-RCRA Waste Liquid Used 0111MIxed Oils <br />221 <br />NON-RCRA Waste Liquid Used Antifreeze <br />133 <br />NON-RCRA Waste Liquid Used Oily Water" <br />223 <br />Drained Used Oil Filters <br />i�14-- lv) T'Pp URA-`�Tlr' Val I iNCRI ff"S= 1"W_ <br />PR 1C I�ES,VVE KA VE SEEK, TQ <br />"flli k:t< !J K.K UP, <br />TERMS: Invoices overxD* are subjectto a 1.51/16 service charge. Customer agrees -to payall legal fees ff court action <br />TOTAL <br />becomes nBce!M to thisIrw*e. ---------- <br />Bysigning 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 witty 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 Cerdficaf*n- 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 eCDnomically 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 mini mite my waste generation and select the waste managemeni, 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 or transfer facility. <br />GENERATM <br />DRIVER AUTHORIZED <br />SIGNATURE: DATE: SIGNATURE - <br />QL1 <br />D15POSAL I FLITY <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 90621 SUN VALLEY, GA 91352 <br />707-693-6008 213-746-0237 8118-787-2649 <br />EPA#,CAT080012602 EPA# CAL000270577 EPA# CAL000379M <br />"jk_AK.&QA&L <br />