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• AMERICAN VALLEY 136285 <br /> WASTE OIL, INC. Invoice Number: <br /> P.O. Box 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA#CAL000827878 <br /> MOE AUTO REPAIR <br /> BILL TO: MOEAUTO REPAIR JOB SITE: 2255 S.AIRPORT WAY oice Date: <br /> 7255 S.AIRPORT WAY STOCKTON,CA 95206 <br /> STOCKTON,CA 95206 <br /> Sales Rep: Amedcan Valley <br /> Phone209 839 14 90 MOE Customer P.O. Tere.b D EPA#CAL000361071 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 OoM <br /> rj,llj <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Drained Used Oil Filters r <br /> DUE TO THE DRASTIC FALL.IN CRUDE O.1 <br /> PRICES,WE HAVE BEEN FORCED TO CRA E <br /> Saks Tax <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 Califomia 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 havebrovlded about this waste is incorrect. <br /> Generators Certification:By signing I certify that'd 1 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 practicablelmethod 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 /> AUTHORIZED <br /> DRIVER DATE: SIG ATLI / DATE: <br /> SIGMA <br /> DISPOSAL / RECYCLING FACILITY <br /> DK-DIXON 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 /> 707-693-6008 213-746-0237 818-787-2649 <br /> EPA#CAT080012602 EPA#CAL000270577 EPA#CAL000379059 <br /> MPC(62013) <br />