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AMERICAN VALLEY 7 <br /> WAST5 OIL, INC. I ivoice Number: <br /> P.O..Box 340 • Delhl, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA#CAL000827878 <br /> MORGAN AUTO REPAIR i, • ! / <br /> BILL TO: MORS AU O REPAIR JOB SITE: 7750 MURRAY DR <br /> 41711NWSTRIAL'YJAY STOCKTON,G4 9'5205 voice Date: <br /> TRACY,CA 95304 11:4 OIL <br /> Sales Re,: MKE USER <br /> Phone 3 Customer P.O. Term9t 51)Dom <br /> 2G+3-2e'r•39�3ft L ,`-� EPA#CALiK30`s.25t?'! <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used OiVMfxed Oils 221' 1 <br /> - <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Drained Used Oil Filters <br /> Safes Tax <br /> TERMS: Invoices over 30 Days are subJea to a 1.5%service charge. Customer agrees to pay all legal fees if court action `TOTAL"- <br /> becomes necessary to collect this invoicet <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 than 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 c eterminethis 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 /> Generator's certification:By signing I certify that if I am a large quantity generator,I certify that I haves program in place to reduce the volume a idtbxicItyofwaste <br /> generated to the degree I have determined to be economically affordable and that I have selected the practicable method of treatment,storage, r 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 a ade a goodfaith <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 sties n s)to the generator <br /> that their waste has been transported to a licensed treatment or transfer,facility. ' <br /> GENERATOR/ <br /> DRIVER �a AUTHORIZED •? r;...:: ;.'�; J <br /> SIGNATURE: , DATE: '''�Ir'�� SIGNATURE: i % DATE tx�•!/ <br /> DISPOSAL/ RECYCLING FACILITY <br /> 0-5K-DIXON O CFR Q 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#CAL000379059 <br /> MPC(612013) <br />