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R.Phillips Truckincl,11c 20 48-0840 p.8 <br /> AMERICAN VALLBL311��EIVED1569 <br /> WASTE OIL, INC. FEB 13 2014 Invoice Number: <br /> P.O. Box 340 - Delhi, CA 9315 <br /> PH.1-800-732-4645 - FAX 209-4W%(WINMENTAL 8 <br /> EPA#CAL000827878 <br /> DEPA <br /> L <br /> ROr ERT r-�-J;L T�!V. Pfil"V <br /> BELL TO- -105174c, ADA JOB SITE: Invoice Date: <br /> A 211.E .1 T 1,J'IL <br /> Phone, 17�•ri Customer P.O. Terms <br /> P E PA# "Ai <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-FICRA Waste Liquid Used Oily Water 223 <br /> Drained Used Oil Filters <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 1�7 <br /> becorroas necessary to collect this Invoice. I <br /> By signing I herby certify tnat I have not mixed any of the waste described above with any other hazardous waste,thetotal halide content is LESS than 1,000 ppm, <br /> and:he waste does not contain any PCBs.I have complied with the requirements of the applicabie California used oil management regulation to determine this is <br /> true.I agree to accept the additional charges 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 tomicit:y 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 whlch 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 /> By bath parties signing this invoice it will serve as an agreement that American Valley Waste Oil will submit confirmation for Icertain waste streams)to the generator <br /> that their waste has been transported to a licensed treatment or transfer facility. <br /> GENERATOR/ <br /> AUTHORIZED 'H <br /> ' n <br /> SIGNATURE: DATE 5 014A j! i DATE: <br /> DISPOSAL/ RECYCLING FACILITY <br /> C) DK-DIXON 0 CFR 0 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 213-746-02,97 818-787-2649 <br /> EPA#CAT080012602 Ell CAL000270577 EPA4 CAL00037905D <br /> MPC 0=13) <br />