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Mar 12 09 08: 36a tom price 209-365-13781 p. 3 <br /> - AMERICAN VALLEY - <br /> WASTE OIL, INC. Invoice Number: I <br /> P. O. Box 340 - Delhi, CA 95315 <br /> PH;-1-800-732-4649: • FAX 209-668-3880 <br /> EPA. CAL000827878 ......... <br /> Invoice Date: <br /> BILL TO: = r JOB SITE: p. <br /> Phone <br /> Customer P.O. Payment Terms EPA# <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> USED OIL NON RCRA HAZARDOUS <br /> WASTE LIQUID <br /> 221 <br /> USED AUTOMOTIVE ANTIFREEZE, NON <br /> RCRA HAZARDOUS WASTE LIQUID 343 <br /> OILY WATER, NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br /> TRINITY HEAVY DUTY PREMIX <br /> RECYCLED ANTIFREEZE N/A <br /> NON HAZARDOUS WASTE LIQUID <br /> TRUCK TIME N/A <br /> GREASWEEP N/A <br /> I hereby certify that I have not mixed this waste with any other waste,that the total halides are less than 1000 RRM.;and that <br /> the waste does not contain any RC.B.'s. I further agree to accept the additional charges for legal disposal if this waste is over <br /> 1000 P.P.M.total halldes,.Rr container aTOTAL <br /> wEEEi.'s. <br /> DRIVER 7 2 GENERAT R/ALITHORIZED <br />