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/ AMERICAN VALLEY 1126304 <br /> WASTE OIL, INC. I Voice Number. <br /> P.O. Box 340 • Delhi, CA 95315 <br /> PH..1-800-732-4645 • FAX 209-668-3880 f <br /> EPA#CAL000827878 <br /> MORGAN AUTORERNR �f <br /> BELL TO: M ORGAN AUTO•rRERNR JOB SITE- 7710 MURRAY DR voice Date: <br /> NDUS T RI4L tr±rtAY STCCKTON,CA 95205 <br /> TRACY,CA 0-5304 IM OIL <br /> SalesReg, MIKE' 'USER <br /> Phone <br /> 20G-£36-A9MBIL.L Customer P.O. Terv,30d3sys EPA 1=352,1011 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA.Waste Liquid Used Oil/Mixed Oils 221 �j ( y� <br /> NON-RCRA Waste Liquid Used Antifreeze 1331 °G6SGf.31C- Xtl <br /> .NON-RCRA Waste Liquid Used Oily Water 223 <br /> Drained Used Oil Filters <br /> 'Saies 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 • Tt�fikt �, - <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 halide content is LM ban 1,000 ppm, <br /> and the wastetdoes not contain any PCBs.I have complied with the requirements of the applicable-California used oil management regulation to d termine this is <br /> true.I agree to$ccept the additional charges for the disposal of this waste if the information f 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 hive program in place to redute the volume ar d 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,ordisposal 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 m idiia 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 stream )to the generator <br /> that their waste has been transported to a licensed treatment or transfer facility. <br /> , GENERATOR/ <br /> DRIVER AUTHORIZED <br /> SIGNATUDATEE: �, <br /> SIGNATURE. r'.P. +i. Gss • DATE:- <br /> Y <br /> DISPOSAL/ RECYCLING FACILITY <br /> O�DK-DIXON O CFR O UNITED ENTERPRISES CORP' <br /> / 7300 CHEVRON WAY 2035 E.15TH ST. 11196PENROSEST. <br /> DIXON,.CA 95620 LA,CA 90021 SUN VALLEY,'CA 91352 <br /> 707-693.6008 213446.0237 818-787-2649 <br /> EPA#CAT080012602 EPA#CAL000270577 EPA#CAL000379059 <br /> MPC(62013) <br />