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NOR-CAL BATTERY ea. INVOICE <br /> ((' <br /> 3 D STOCKTON,CA 955 No.1 9 0 0 9 7 <br /> PHONE(209)946-1411 <br /> FAX (209)948-5131 <br /> SOLD TO AMERICAN VALLEY 121200 <br /> — a a _ WASTE OIL, INC. Invoice Number: <br /> `/-y//// f f P.O.Box 340 Delhi,CA 95315 <br /> j �' 1 , � I 1 r PH.1.800-732-4645 • FAX 209-668-3880 <br /> irr T" C EPA#CAL000827878 <br /> r GRUPE COMMERCIAL <br /> RILL TO: GRU PE COMMERCIAL JOB SITE604 C C S <br /> 6D4 : T <br /> 4 E ACACIA ST STOCKTON, <br /> CA 95202 16voice Date: <br /> STOCKTON,CA 95202 <br /> SHIP TO TERMS:NET,15 OAYS.A finance Sales Rep <br /> charge of 1V:°e per month(18% Phone 209403-1438CHRIS Customer P.O. Tel"1030D&ys EPA#AL00018B139 <br /> per annum)will be charged on past <br /> due accounts. PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> L CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 Z6- � <br /> OUR TRUCK WILL CALL NON-RCRA Waste Liquid Used Antifreeze 133 <br /> 080 OTY.ORDERED DESCRIPTION SHIPPED UNIT PRICE EXTENSION NON-RCRA Waste Liquid Used Oily Water 223 <br /> t .�. Drained Used Oil Filters <br /> I <br /> So bs Tax <br /> m � <br /> M <br /> o C7 <br /> Z TERMS:Invoices over 30 Days are subject toe 1.5%service charge.Customer agrees to pay all legal lees if court action TOTAL <br /> / v t co <br /> becomes necessary to collect this invoice. r <br /> m By signing I herby certify that I have not mired any of the waste described above with any other hazardous waste,the total halide content is LESS than 1,000 ppm, <br /> I and the waste does not contain any PCBs-I have compiled with the requirements of the applicable California used oil management regulation to determine this is <br /> oO r i 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 /> M C <br /> mZ ("Tl 7 I Generators 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 /> D 0J Z -I' 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 s <br /> iavailable 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 /> N ' <br /> I By both parties signing this invoice k wms)will serve as an agreement that Valley Waste Oil will bmit confirmation for(certain waste streato the generator <br /> D _ <br /> O i I that their waste has been transported toalicensed treatment or transfer facility <br /> - <br /> Z T' GENERATOR! <br /> I DRIVER AUTHORIZED `' <br /> SIGNATUDATE: '7 SIGNATURE- __ DATE: <br /> I <br /> i <br /> 1 DISPOSAL/RECYCLING FACILITY <br /> .�O DK-DIXON O CFR O UNITED ENTERPRISES CORP <br /> 7300 CHEVRON WA! 2035 E.15TH ST. 11190 PENROSE ST. <br /> RESALE FR DIXON,CA 95620 LA,CA 90021 SUN VALLEY,CA 91352 <br /> 707-693-6008 213.746-0237 818-787-2649 <br /> TAXABLE ' EPA#CAT080012602 EPA#CALOG0270577 EPA#CAL000379059 <br /> TAX <br /> IIITOTALS <br /> i4PC(82013) <br /> PLEASE PAY FROM J <br /> CUSTOMER THIS INVOICE <br />