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AMERICAN VALLEY I.4. 1 19 <br /> r 5111 <br /> WASTE OIL, INC. Invoice Number: <br /> P. 0. Box 340 * Delhi, CA 95315 <br /> PH. 1-800-732-4645 - FAX 209-668-3880 <br /> EPA#CAL000827878 <br /> N AUTO REPIVR <br /> N AUTO, REPAIR <br /> BILL TO: 'AO 3 N. M A]N JOB SITE: '1403 F MAW IT Invoice Date: <br /> STOCKTON. CA 95205 STCICKTON, CA 95'205 <br /> Sales Rep Atnellcan Valley <br /> Phone_,09-46 --8881 ; Customer P.O. Terms C).D. ER f TiZT, <br /> ;J <br /> f <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 /> HAZARDOUS WASTE PICK UP-BREAK SHAVINGS <br /> HAZARDQUS WkSTE PICK UP-ABSC)RUENTSANLS UIL <br /> 4.ti <br /> liN-,;GAt VIA!t <br /> 47 A <br /> UIN A Z-16 GA <br /> T <br /> TERMS: Invoices over 30 Days are subject to a 1.5%service charge. Customer agrees to pay all legal fees if cou action TOTAL a-7 vi <br /> becomes necessary to collect this invoice. ( -, <br /> By signing I herby certify that I have not mined 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 their waste has been transported to a licensed treatment or transfer facility. <br /> GENERATOR/ <br /> DRIVER AUTHORIZED <br /> SIGNATURE: DATE: SIGNATURE: DATE: <br /> DISPOSAL / RECYCLING FACILITY <br /> 0 DK-DIXON 0 CFR 0 UNITED ENTERPRISES CORP <br /> 7300 CHEVRON WAY 2Q35 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 />