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AMERICAN VALLEY <br /> WASTE OIL, INC. 1137942-. <br /> 'voice Number: <br /> P,O- Box 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 9 FAX 209-668-3880 <br /> EPA#CAL000827878 <br /> BILL TO: MORGAN AUTO REPAIR JOB SITE: {nvoic.e Date: <br /> 417-1 INDUST MAL WAY 'v:iv>*.u.+ty Au,u rxcrrtK <br /> TRACY,'CA 95304 i 10'MURKRA DR <br /> 0TOCM CN,CA 95205 <br /> Ed OIL <br /> Phone Customer P.O. Terms EPA ' <br /> 53ies RetAIKE HU'-:p <br /> PRODUCT SHIPPING DESCRIPTION WASTE MA € T tys QUANTITY SPR( '1 1'•AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221i <br /> Cir <br /> NON-RCRA Waste Liquid Used Antifreeze 133 A '( S <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Drained Used Oil Filters <br /> } ti <br /> - 11 �LP t :i� o <br /> f- I <br /> DUE 1'0 THE DRA.8—,iC FALL IN CRUDF-0;L <br /> RIGE$-biF RAVE€iEFN FORCED TO <br /> CHANGEPRIC;INC FOR VeASTEOiLAND <br /> rL t'iLiK�. <br /> TERMS: Invoices over 30 Days are subject to a 1.5%service charge. Customer agrees to payag4egaW"eesifcourt action " TOTAL' <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 LESS an 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 d ermine this Is <br /> true.I agree to accept the additional charges for the disposal of this waste if the information l have provided about this waste is incorrect I - <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 an A toxicity of waste <br /> generated to the degree I have determined to be economically affordable and that Ihave selected the practicable method of treatment,storage,c 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 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 agreement that American Valley Waste Oil will submit confirmation for(certain waste stream I to the generator <br /> that their waste has been transported to a licensed treatment or transfer facility, <br /> GENERATOR/ <br /> DRIVER AUTHORIZED f <br /> SIGNATURE ,�"' DATE: <77 /; ,,,,-SIGNATURE: ..'J' DATE / <br /> DISPOSAL/ RECYCLING FACILITY . <br /> O-DK`--XON - O CFR O UNITED ENTERPRISES CORP <br /> 7300 CHEVRON WAY 2035 E.1STH ST. 11190 PENROSE ST. <br /> DIXON,CA W620 LA,CA 90021 SUN VALLEY,CA 91352 <br /> 707.693-6008 213-746-0237 818.787-2649 <br /> EPA#CAT060012602 EPA#CAL000270577 EPA#CAL000379059 -- <br /> MPO(62013) <br />