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VAL <br />AMERICAN G � V E � rh 1 <br />C <br />WASTE OIL, INC. APP 0 6 2015 invoice Number: <br />P. O. Box 340 • Delhi, CA 9WONMENTAL <br />PH. 1-B00-732-4645 • FAX 209- <br />EPA# CAL000827878 W7A!-'P r1cDADTAA1=AIT <br />LOVE'S TRAVEL STOPS LOVE'S TRAVEL STOPS <br />ILL TO: ATTENTION: MICHAEL KEY JOB SITE: 1W3COLONY RD Invoice Date: <br />10601 NORTH PENNSYLVANIA RIPON, CA 95366 <br />OIQ.AHOMA CITY, OK 73126 <br />Sales Rep <br />Phone4W751-9000 CHRIS <br />Customer PO. <br />Te Nlet30Days <br />EPA#CAR000220707 <br />PRODUCT SHIPPING DESCRIPTION <br />MANIFEST <br />QUANTITY <br />PRICE <br />AMOUNT <br />WASTE <br />CODE <br />NON-RCRA Waste Liquid Used Oil/Mixed Oils <br />221 <br />NON-RCRA Waste Liquid Used Antifreeze <br />133 <br />NON-RCRA Waste Liquid Used Oily Water <br />-223 <br />n0,5DS, V ' <br />90 <br />�+ I <br />Drained Used Oil Filters <br />575 <br />._ -------_._...-- --- <br />-------�----SHIES <br />TSX__— <br />--- <br />- -- - <br />TERMS: Invoices over 30 Days are subiect to a 1.5% service charge. Cllsttxner agrees to pay all legal fees it court action <br />T pTAL <br />becorttes necessary to coRW this moice. <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 dratermine 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, Ravage, or disposal currently <br />available to me which minimizes the present and future threat to human life and the environment: Or, tf I am a small quantity generator, I have made a good faith <br />effort to mmitnue 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 />n <br />GroNERATOW <br />DRIVER <br />/ <br />SIGNATURE: >10 DATE. p7 / SIGNATURE: GATE' <br />DISPOSAL/ RECYCLING FACILITY <br />0 DK-01XON O CFR U UNI FED 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-ri93-6008 213-746-0237 818-787-2649 <br />EPA# CAT080012602 EPA# CAL000270577 EPA# CAL000379059 <br />MPC(812013) <br />