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AMERICAN VALLEY 132383 <br /> WASTE OIL, INC. Invoice Number: <br /> P, O. Box 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 0 FAX 209-668-3880 <br /> EPA#CAL000827878 <br /> MOEAUTOREPAIR MOEAUTOREPAIR <br /> BILL TO: 2255 S.AIRPORT WAY JOB SITE: 2255 S.AIRPORT WAY Invoice Date: <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 <br /> Sales Rep Arnencen Valley <br /> Phone209-939.1490 MOE Customer P.O. Terms C.O.D. EPA#CAL000361071 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used OIVMixed Oils 221 G 35cki <br /> ' -RCRA Waste Liquid Used Antifreeze 133 <br /> RCRA Waste Liquid Used Oily Water 223 <br /> wined Used Oil Filters <br /> DUE TO THE DRASTIC FALL IN CRUDE OIL <br /> PRICES,WE HAVE BEEN FORCED TO <br /> CHANGE PRICING FOR WASTE OIL AND <br /> Fft:TER P ICK UP. <br /> Sales Twr <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 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 deterrYtted is 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/ /J n, / �ORIZED <br /> SIGNATUREEEE�"` DATE:s`� C/ /� SIGNATURE: DATE: �O <br /> D P SAL/ RECYCLING FACILITY <br /> DK-DIXO.N 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 /> 707-693-6006 213-746-0237 818.787-2649 <br /> EPA#CAT08DO12602 EPA#CAL000270677 EPA#CAL000379059 <br /> MPC(62013) <br />