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AMERICAN VALLEY I 14JU73 <br /> WASTE OIL, INC. <br /> • 1 ivoice Number: <br /> P.O.Box 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> ' EPA#CAL000827878 j <br /> M€?RGAN AUT AL WAi6? ` ORt3AN AUTO RE€RAIR <br /> BILL TO: 4171 INDUSTR4AL WAY JOB SITE: 7718 MURRAY IDR <br /> ;RACY,CA 95304 voice Date: <br /> STOGlfTOht,CA 95205 <br /> 1M OIL <br /> as Rep PAIN HU R <br /> PhonER09-23649rigBILL Customer P.O. Terms�et30Days EPA#c LO[z7 ^77 <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 /> UN 5 GAL PAIL(METAL SHAVINGS) <br /> I fansporz, tOn Cilargea <br /> get- 5 V0 i <br /> TERMS: Invoices ober 30 Days are subject to a 1.5%service charge. Customer ag <br /> becomes necessary to collect this invoice. rees to pay all legal fees if court action TOTAL <br /> }y Z <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 LBSS 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 d termine this is <br /> true.I agree to acceptthe additional charges for the disposal of this waste if the Information I have provided about this waste is incorrect <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 thavolume 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,t 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 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 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 ] f AUTHORIZED <br /> SIGNATURE: ..��ff�� DATE:11•1fi �'� SIGNATURE:. DATE: <br /> DISPOSAL/ RECYCLING FACILITY <br /> O 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 818-7874649 <br /> EPA#CAT080012602 EPA#CAL000270577 EPA#CAL000379059 <br /> MFC(62013) <br />