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AMERICAN vALLE CEIVEL12 96 7 0 <br /> WASTE OIL, INC. JUN 2 4 2015 Invoice Number: <br /> P. O. Box 340 • Delhi, CA 95315VIRONMENTAL <br /> PH. 1-800-732-4845 • -FAX 209-668-3 Op1TU nCD 0T1aCMT <br /> EPA#CAL000827878 <br /> ACME SAW <br /> 1204 E.MAIN ACME AW <br /> BILL TO: STOCKfON, 95206' JOB SITE: 214 N.SACRAMENTO ST. <br /> LOOT, 95240 Invoice Date: <br /> Sales Rep Albert Ketting <br /> z <br /> Phone Customer P.O. Terms <br /> PRODUCT SHIPPING DESCRIPTION MANIFEST QUANTITY PRICE AMOUNT <br /> WASTE <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 f <br /> NON-RCRA Waste Liquid Used Airttifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Drained Used Oil Filters <br /> I <br /> i <br /> Sales Ta <br /> TERMS: Invoices over 30 Days are subj to a 1.5q service charge. Customer agrees to pay all legal es 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 m aste,the total halide content is LESS than 1,000 ppm, <br /> and-the waste does not contain any PCBs.I Dave complied with the requirements of the applicable California ised oil management regulation to determine this is <br /> true.I agree to accept the additional charge for the disposal of this waste if the information I have provided ibout this waste is incorrect. <br /> Generators Certification:By signing I certify that if I am a large quantity generator,I certify that I have a prog rarn in place to reduce the volume and toxicity of waste <br /> generated to the degree I have determined.o be economically affordable and that I have selected the practi able 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 th t I can afford. <br /> By both parties signing this invoice it will serve as an agreement that American Valley Waste Oil will submit c nfirmation for(certain waste streams)to the generator <br /> that their waste has been transported to a licensed treatment or transfer facility. <br /> GENERATOR/DRIVER J <br /> ORIZED <br /> SIGH URE,, �� DATE:II / Y�AUT <br /> H:SIGNATURE: Y..J Y!`�yfl DATE://be tf <br /> ISPOSAL/ 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#ICAL000270577 EPA#CAL000379059 <br /> MPG(6/2013) <br /> i <br />