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I *AMERICAN VALLERWEIVEL135099 <br /> WASTE OIL, INC. Invoice Number: <br /> JUN 2 4 2015 <br /> P. O. Box 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX209-668-flPOV'RONMENTAL <br /> EPA#CAL000827878 nr=o"Mncm- <br /> ACME SAW <br /> BILL TO: 1204E MAIN k, JOB SITE: ACME r W Invoice Date: <br /> STOCKTON, Cb 9520' LU;ii,_14 , C1, 95C240 OST <br /> L4t! <br /> Sti 4r Nt,vr[ Kettnsl <br /> PhoneCustomer P.O. Terms EPA# <br /> . r.54S-&T35UlANA � Net:30 :AI t)(1f1315p=,.: <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 ' <br /> INN-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Drained Used Oil Filters <br /> I I <br /> C •c . <br /> PRICES.VVE HAVE SEEN FORCED TO <br /> CHANGE PRICING FOR WA-11 E OIL AND <br /> FI11 ER PICKUP. <br /> Ja eS Y. <br /> TERMS: Invoices over30 Days are subject to a 1.5%service charge. Customer agrees to pay all lega fees 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 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 I 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 and the environment:Or,if I 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: at I can afford. <br /> uhmit <br /> By both parties signing this invoice it will serve as an agreement that American valley Waste Oil will sonfirmation for(certain waste streams)to the generator <br /> that their waste has been transported to a licensed treatment or transfer facility. I. <br /> GENERATOR/ <br /> DRIVER AUTHORIZED DATE: <br /> SIGNATURE: - - DATE:- - SIGNATURE: _. <br /> DISPOSAL/ RECYCLING FACILITY <br /> O DK-DIXON O CFR O UNITED ENTERPRISES CORP <br /> 7300 CHEVRON WAY 2035 E.15TH',ST. 11190 PENROSE 9r. <br /> DIXON,CA 95620 LA,CA 90021SUN VALLEY,CA 91352 <br /> 707-693-6008 213-746-0237 8181787-2649 <br /> EPA#CAT080012602 EPA#CAL000270577 EPA#CAL000379059 . <br /> MPC(6/2013) <br />