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ra AMAICAN VALLEY <br /> 136932 <br /> WASTE OIL, INC. Invoice Number: <br /> P. O. Box 341]' • Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> 11- �� EPA# CAL000827878 <br /> BILL TO: FCS>k �S JOB SITE: INTERSTATE TRUCK CENTIEDare: <br /> 825 NAW DR. <br /> STOCKTON, CA 95206 <br /> hs CLl �Q �rj�c�t\� 1WOIL1MF6MSU <br /> Se les Rep Steve <br /> Phan Customer P.O. Terms EPA# <br /> e209-9446821 Welt Net30Days CAD981571979 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed 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 /> AUG 0 <br /> .y 4. Sales Tex I-irdte - r-1 n Q.97T�Ir•�,� <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 /> f By signing I herby certify that I have not mixed any of the wastedescribed 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 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 practicable method of treatment,storage,or disposal currently <br /> available to me which minimizes the present and future threat to human life andthe environment:Or,if I am a small quantity generator,Ihave made a good faith <br /> effort to minimize my waste generation and select the waste management method that is available to me that Ican 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 /> �j,/ GENERATOR/ <br /> DRIVER // TH01101 <br /> SIGNATURE! . ATE: SIGNATURE:.- L�' TE: <br /> r <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(6@013). <br />