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I <br /> AMERICAN VALLEY <br /> *nr:CYCLE WASTE OIL, INC. IlvuolcE # <br /> D. Box 340 DATE J <br /> Delhi, CA 95315 <br /> �H- 100-732.4845 <br /> FAX 209-668-3880 EPA. CAL000827878 P.O. FCHECK Cl CASH O PISA D <br /> BILLING INFORMATION JOB SITE EPA# — <br /> NAME NAME <br /> AOURFRf ADDRESS <br /> (:ITYI`;IATF. `y 5 L CifyIS)AIL <br /> PF C <br /> PHONE <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST OUANTITY PRICE AMOUNT <br /> CODE NUMBER <br /> USED OIL NON RCRA HAZARDOUS Ff7 <br /> WASTE LIQUID 2215fi6 �8 ( t1 <br /> USED AU-tOMCITIVE ANTIFREEZE, NON <br /> RCRA HAZARDOUS WASTE. LIQUID 134 <br /> OILY WATER, NON RCRA HAZARDOUS <br /> WASTE LIQUID 1 `7�`1�' 5 3 to <br /> NON HAZARDOUS WASTE LIQUID <br /> TRANSPORTATION CHARGES <br /> ADDITIONAL LABOR <br /> HALOGEN TEST <br /> TERMS:INVOICE$OVER 30 DAYS ARE SUBJECT TOA 1.5%SERVICE CHARGE.CUSTOMER AGREES TOTAL <br /> TO PAY ALL LEGAL FEES IF C40URT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE_ 44 <br /> DISPOSAL/ RECYCLING FACILITY ff�� <br /> C� INDUSTRIAL SERVICE OIL GG INC_ G>� Ic 6,0 �J� Q <br /> 1700 S SOTO Sf - 3 f <br /> LOS ANGELES,CA 90023 I (� <br /> CAD09945Z708 14 11 S-dj� <br /> 562.598-557 <br /> 10 Y3 <br /> � 0 0 <br /> 7RIV ER GENERATOR <br /> SIGNATURE _ SIGNATURE <br /> THANK YOU MPC W100) <br /> ZD d V00 :60 oo-SZ-Asw <br />