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AMERICAN VALLEY <br /> *RECYCLEWASTE 'OIL, INC. +NvoIcE # 13482 <br /> P O Box 340 DATE F5-- f S —�-!C J <br /> Delhi, CA 95315 <br /> PH 1-800-732-4645 <br /> FAX 209-668-3880 -EPA CAL000827878 PO # CHECK ❑ CASH ❑ VISA ❑ <br /> BILLING INFORMATION JOB SITE EPA# <br /> NAMENA <br /> R n e)W,),Dtd Z <br /> ro <br /> ADDRESS 'ADDRESS <br /> I ,! if Lon <br /> CITY!zC70 <br /> CITY 1 Ao ^ v� <br /> i <br /> PHONE PHONE <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE NUMBER <br /> USED OIL NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br /> USED AUTOMOTIVE ANTIFREEZE, NON <br /> RCRA HAZARDOUS WASTE LIQUID 134 <br /> OILY WATER, NON RCRA HAZARDOUS <br /> WASTE LIQUID <br /> A60N HAZARDOUS WASTE LIQUID e"-�--r 0 111111p 0& al dr 40 e <br /> TRANSPORTATION CHARGES <br /> ADDITIONAL LABOR , <br /> HALOGEN TEST <br /> TERMS INVOICES OVER 30 DAYS ARE SUBJECT TO A 1 5%SERVICE CHARGE CUSTOMER AGREES <br /> TO PAY ALL LEGAL FEES IF COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE TOTAL <br /> DISPOSAL/ RECYCLING FACILITY <br /> O INDUSTRIAL SERVICE OIL CO INC O CHICO DRAIN OIL SERVICE O AMERICLEAN INC <br /> 1700 S SOTO ST 1618 W 5TH ST 2430 ALMOND DR <br /> LOS ANGELES CA 90023 CHICO, CA 95928 SILVER SPRINGS NV 89429 <br /> CAD099452708 CAD980694103 NVD982358483 <br /> 562 598 5577 530-345-9043 702-577-9001 <br /> O O O <br /> DRIVER GENERATOR � �` <br /> SIGNATURE SIGNATURE 0404(—) <br /> THANK YOU MPC(6m0f <br />