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AMERICAN VALLEY X136614 <br /> WASTE ®IL, INC. It ivoice Number: <br /> P.O.Box 340 • Delhi, CA 95315 <br /> PH.1-800-732-4645 • FAX 209-668-3880 <br /> EPA#CAL000827878 f <br /> MORGAN AUTO REPAIR <br /> BILL TO: MORGAN AUTO REPAIR —.SITE: T710 MtsRI�AY DR / voi a Date: <br /> 4.711 NDUSTIZAL WAY STOCKTON,CA 95205 <br /> TRAACY,CA. 95304 IM OIL <br /> Sales Rev. MIKE IUBER <br /> Phone 209-336 X90981' L Customer P.O. Ter1nst30Days .... <br /> EPA#CAL00035 101 <br /> I <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEgT. QUANTITY PRIG AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed 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 /> 4 <br /> DUE Ml THE ORASTJC FALL.IN C;�UDE OIL <br /> PR1vES,L l-IAvid, FOR D 1 O C1iA IGE <br /> nICI IN 9�F2 W#STE OIL AND F1LTEd Pi OF <br /> S3les 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 ]//P' <br /> becomes necessary to called 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 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 determinethis Is <br /> truce.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 have a program in place to reduce the volume ai 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,i ir 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 in ide 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#or(cartaln waste strea s)to the generator <br /> that their waste has been transported to a licensed treatment or transfer facility. q <br /> aWGENERATORISIGNER 7 AUTHORIZE ,> t ,71SIGNATURE � - DATE/ SIGNATURE: } ( DATE: S s{ <br /> DISPOSAL/ RECYCLING FACILITY <br /> 0 DK-OIXON 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#CAL000270577 EPA#CAL000379059 <br /> MPC(82013) <br />