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AMERICAN VALLEY 1140984 <br /> WASTE OIL, INC. voice Ntimber: <br /> P.O. Box 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA#CAL000827878 <br /> MORGAN AUTO REPAIR <br /> BILL TO: 4171 INDUSTRIAL WAY MORGAtd AUTO REPAIR <br /> TRACY,CA 95304 JOB SITE: 771 D MURRAY DR Invoice Date: <br /> STOCYTON,CA 96206 <br /> 1M OIL <br /> Sakes Rep MIKE HU R . <br /> Phone's - U&bILL Customer P.O. TermsyetZIODOYs EPA#CA1.000358777 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE 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 /> DUE TO THE DRASTIC(:ALL IN CRUDE OIL <br /> FK a.0 E tx t. <br /> CHANGE PRICING FOR WASTE OIL AND <br /> FILTER 149K LIP <br /> Sales 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 .U' <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 than 1,000 ppm, <br /> aridthe waste does not contain any PCBs.I have compiled with the requirements of the applicable California used oil management regulation to cetermine this 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 /> (Y <br /> Generators Certification:By signing I certify that if I am a large quantity generator,I certify that I have a program in place to reduce thevolumead toxicity of waste <br /> generated to the degree I have determined to be ewnomically 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 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 /> ly both parties signing this invoice it will serve as an agreement that American Valley Waste Oil will submit confirmation for(certain waste stream si to the generator <br /> nat their waste has l;I6en tr�nso ed to a licensed treatment or transfer facility. <br /> ��/ i_ '^''''� GENERATOR <br /> LIVER / / / r / AUTHORIZED f"_ / - <br /> ;NATURE:./C ,fl!J ,L' ! GATE:IZ.-( rj SIGNATURE: (�'.`-�c.—'c �`� DATE:� .'(r{��j <br /> 3POSAL/ 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#CAL000270577 EPA#CAL000379059 <br /> MPC(WO13) <br />