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AMERICAN VALLEY 140984 <br /> WASTE OIL, INC. IT Lvoice Number: <br /> P. O. Box 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA#CAL000827878 <br /> MORGAtf AUTO REPAR i <br /> BILL TO: 4171 INDUST RIAL WAY MORGANAUToREPAIR � <br /> TRACY,CA 96304 JOB SITE: 7710 MURRAY DRi Invoice Date: <br /> STOCKTON,CA 93205 <br /> IM OIL <br /> Sales Rep MIKE HUSI�R . <br /> Phan tft Customer P.O. TermsNet800ays EPA#CCAL0=W 777 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRIG AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> r <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Drained Used Oil Filters ... <br /> DUE TO THE DRASTIC FALL IN CRUDE OIL <br /> rnn ts,a r ISI t Ytc.'tu 1U <br /> CHANGE PRICING FOR WASTE OIL AND <br /> i <br /> Sales Tax <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 <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 hallde content is LE55han 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 /> (t <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 an 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,o 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,1 have m e 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 /> ly both parties signing this invoice;it will serve as an agreement that American Valley Waste Oil will submit confirmation for(certain waste stream to the generator <br /> nat their waste has bleent/�Jjnspoited to a licensed treatment or transfer facility. - <br /> VER <br /> ORIZED <br /> ^MATURE:/f,1y`� 1 DATE:t?-(Nr{rj SIGNATURE a'hf' )ATE1Ztf�'f: <br /> 3POSAL/ 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 B18-787.2649 <br /> EPA#CAT080012602 EPA#CAL000270577 EPA#CAL000379059 <br /> MPC(612013) <br />