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AMERICAN VALL,[-Y <br /> 142440 <br /> WASTE OIL, INC. Invoice Number: <br /> 0. Box 340 • Delhi, CA_,,,95315 <br /> t PH. 1-800-'7-"3Z=4645 • FAX 209-668-38817-'- <br /> EPA#CAL000827878 <br /> 001-E PACKAGING <br /> BILL TO: 168 EL PiNAL DOLE PACKAGING <br /> STOCIKTON CA 96205 JOB SITE: 186 EL PINS AL Invoice Date: <br /> ,,.. STOCKTON, CA 96206 <br /> Soles Rep <br /> Phort6t32I4F1GHELtCustomer PO: ra Ter <br /> sNet 3o o I EPA#CAL010353037 <br /> PRODUCT SHIPPING DESCRIPTION <br /> WASTE MANIFEST QUANTITY PRICE_ AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 } U` G 06f <br /> NON-RCRA Waste Liquid Used Antifreeze 133 (_,J <br /> NON�RCRA.Waste Liquid Used Oily Water 223 <br /> Drained.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 /> lEf ER Crk UP. <br /> Sales Tax <br /> ;L <br /> TERMS: Invoices over 30 Days are subject to a 1.5%service charge. Customer agrees to pay all legal fees if court actiono <br /> becomes necessary to collect this invoice:; TOTAL <br /> By signing I herby certify that I have not ixed 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 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 chAes for the disposal of this waste if the information I have provided about this waste is incorrect. <br /> ft <br /> Gdnerator'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 /> ger rated to the degree I have determined to 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 /> DRIVER <br /> THOIZED <br /> SIGNATURE: DATE: AU GNATURE: DATE: �3 <br /> DI OSAL/ 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(6/2013) <br />