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AMERICAN VALLEY 13 111 <br /> WASTE OIL, INC. Invoice Number: <br /> P.O. Box 340 • .Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA#CAL000827878 t� <br /> MORGAN AUTO REPAIR 47/}str <br /> MORGAN AUTO REPAIR 7710 MURRAY DR <br /> BILL TO: 4171INDUSTRIAL YVAY JOB SITE: STOC�ON,CA 95205 vWe Date: <br /> T RACY,CA 95304 i M OIL <br /> Safes Prep: 1311;..USER <br /> Phone -,6-490.31LL Customer P.O. Ter{.t30Dsys EPA4t;AL000352101 <br /> PRODUCT SHIPPING DESCRIPTION MANIFEST QUANTITY PRICE AMOUNT <br /> WASTE <br /> CODE <br /> NON-RCRA Waste Liquid Used OiVMixed Oils 221 T l- <br /> - q <br /> NON-RCRA Waste Liquid Used Antifreeze . 133 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Drained Used Oil Filters <br /> PR!CES,VVE HAVE SEEN FCRCED.TO CHA .nE <br /> PFLIG�NG MIR <br /> '.1 e <br /> TERMS: Invoices over 30Doys are subject to a 1.5%service charge. Customer agrees to pay all legal fees if court action 'i'OTAL <br /> becomes necessary to colI 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 halide content is LESS ihan 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 /> tr(M.I agree to.accept the additional charges for the disposal of this waste A the Information l have provided about this waste is incorrect. <br /> Generators Certification:Sysigning I certify that if I am a large quantity generator,I.certify that I have a program In place to reduce the volume an I toxicityof waste <br /> generated to the degree I have determined to be economically affordable and that I have selected the practicable method of treatment,storage,c r disposal currently <br /> available to me which minimizes the present and future threatto human life and the environment:Or,if I am a small quantity generator,I have m de 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 agreementthat American Valley Waste Oil will submit confirmation for(certain waste stream )to the generator <br /> that their waste has been transported to a licensed treatment or transfer facility. <br /> *" GENERATOR/ <br /> DRIVER !�} t AUTHORIZED <br /> SIGNATURE'.r'�J P DATE:J? +''-Lig SIGNATURE: c ' ATE 12 <br /> 'I f <br /> DISPOSAL/ 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 818.787-2649 <br /> EPA#CAT080012602 EPA#CALD00270577 EPA#CAL000379059 <br /> MPC(6=q <br />