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04/07/2016 23:30 2099437993 WILD HORSES 4X4 PAGE 02/04 <br /> ~' ANmRicAN VALLEY / 143932 <br /> WAS TtblL, INC. Invoice Number: <br /> P.O. Box 340 a Delhi, CA 95315 <br /> PH. 1.800.732-4845 a FAX 209-668-3880 <br /> EPA#CAL000627878 <br /> WILD HORSES <br /> BILL TO- WLD HORSES JOB SITE: 1045 S.CHEROKEE Invoice Date: <br /> 1045S.CHEROI E8 LODI.CA 95240 <br /> LODI,CA 95240 <br /> $ales Rep: <br /> Phone 482.5410 JIM Customer P.O. TerERO D EPA40AM02852538 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mlxed 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 /> OIL OOLLECIION FEE <br /> APR 0 8 2016 <br /> Nd N AL <br /> �.,_.. <br /> TERMS: I=ow,30 W ere subject to a 1.5%service charge. Customer agrees to pay all legal fees it court action TOTAL <br /> becomes necessary to collect this lnvoioe• <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,DOD ppm, <br /> and the waste does hot contaih any PCes.I have complied with the requirements of the applicable Califpmla used oil management regulation to determine this is <br /> tru&l agree to accept the additional charges for the disposal of this waste if the information l have provided about this waste is Incorrect. <br /> Generator's Certification:By signing I certify that N I am a large quantity generator,I Certify that I have a program In place to reduce the volume and toxicity of waste <br /> i generated tothe degree I have determined to he economically affordable and that 1 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 n good faith <br /> effort m minlmlxe my waste generation and select the waste management method that is available to me that I can afford. <br /> By both panics signing this invoice it wol serve as an agreementthat American valley waste 011 will submit confirmation for(certain waste streams)to the generator <br /> that their waste has been transported to a licensed treatment or transfer facility. 11 <br /> GENERATOR/ � �^l <br /> DRIVER AUTHOPoZED If It <br /> SIGNATURE: DATE: `/�.:�"/� SIGNATURE: DATE: <br /> DISPOSAL I RECYCLING FACILITY <br /> C> OK-DIXON O.CFR O UNITED ENTERPRISES CORP <br /> 7300 CHEVRON WAY 2035 E.1.5T'H ST. 11190 PENROSE ST. <br /> DIXON,CA 95620 LA,CA OOD21 SUN VALLEY,CA 91352 <br /> 707.693-WOS 213.746.0237 818.767,2649 <br /> EPA#CAT080012802 EPA#CAL000270577 EPA#CAL000879059 <br /> MPC fe2ohp <br />