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AMERICAN VALLEY � <br /> WASTE ®IL, INC. 40589. <br /> Invoice Number: <br /> P.O. Box 340 , Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA#CAL000827878 <br /> MORGAN AUTO REPAIR MORGAN AUTO REPAIR <br /> BILL TO: JOB SITE: 7710 MURRAY DR <br /> 4171 INDUSTRIAL WAY STOCKTON,CA 95245 Invoice Date: <br /> TRACY:CA 95304 iM OIL <br /> SelesReR. MI , .HUGER <br /> Phone Customer P.O. Ter s EPA# <br /> 2�-836-49096ILL �Ie4300eys C/{CD00352141 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRI E• AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/M'ixed Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Drained Used Oil Filters <br /> DUE TO THE DRASTIC FALL IN CRUDEOI <br /> PRICES.VVE HAVE BEEN FORCED TO CHA 14GE <br /> PRICING FOR V�ASTE OIL AND FILTER PI K U( <br /> Sakes 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 T <br /> becomes necessary to collect this invoice. OTAL <br /> By signing I herby certify that I have not mixed anyof the waste described above with any other hazardous waste,the total halide content Is 5 than 1"009 ppm,' <br /> and the waste does not contain any PCBs.I have complied with the requirements of the applicable California used oil management regulation tc determine this is <br /> true.I agree to acceptthe additional charges forthe disposal of this waste if the information I have provided aboutthis waste is incorrect. <br /> Generator's Certification:Bysigning 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 ofwaste <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 am a small quantity generator,I have ade 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 both parties signing this invoice it will serve as an agreement that American valley Waste oil will submit confirmation for(certain waste stre ms)to the generator <br /> that their waste has been transported to a ficensed treatment or transfer facility. <br /> f- �~ <br /> D , . GENERATOR/ <br /> NATURE: AUTHORIZED <br /> r ` c <br /> - <br /> SINATURE: DATE:. <br /> DISPOSAWE -LING FACILITY <br /> 0-DK-DIXON.% 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 213-746-0237 818-787.2649 <br /> EPA#CAT080012602 EPA#CAL000270577 EPA#CAL000379069 <br />