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,mr <br /> AMERT N'ALLEY <br /> WASTE OIL, INC, Invoice'Num er: <br /> P 0. Box 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4.645 * FAX 2C 3-868-3880 <br /> EPA#CAL000827878 <br /> BILL TCS: <br /> 3r <br /> JOB SITE: F' L 11 Y SI1E1L 1V,t710E d1e, <br /> Li.D1 (A 15242 LE3f_)l, GA �42 <br /> Phone- Customer PQ: I=PA# <br /> PRODUCT SHIPPING DESCRIPTION —T—' Nr'ASI E MAtJIFEST QUA�iTITY PRICE AMOUNT <br /> CODE " <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils � 221 i <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> MARI 7 20ri NON-RCRA Waste Liquid Used Oily Water 223EN���Drained Used Oil Filters- DERA� <br /> 77— <br /> t <br /> T— <br /> .�_.__ <br /> TERMS:,Invviees oyer 30 Days ire subject to a 1.5%service charge, Customer gees to pay all legal fess if court action TOTAL <br /> t>eeomesnecessary to colt bet this invoice. -�°-- <br /> --G – _. <br /> 8y signing I herby certify that f have not mixed any of the waste desc-ibe„;l"o,-e with any other Iiarardous was te,the total halide content is t ESS than 1,0-^40 ppm, <br /> and the waste does not contain any PCBs.l have complied with the rcquirements of the applicable California usrad oil management regulation to determine this is <br /> true.I agree to accept the additional charges for the disposal of this waste if the information I have i,rovided about this waste Is incorrect. <br /> Generator's Certification:By signing I certify that if I am a large quantstY generator,l certify that ra program in place to reduce the volume and 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,tirdisposal current;y, <br /> available to me which minimizes the present and future threat to human life and the erivlronment:Or,if I am a t:mall quantity generator,I have rnioe a good faith <br /> effort to minimize my waste generation and select the waste managemert metnod that is available to me that I can afford. <br /> By both partirs signing this rnvonre it will serve as an agreement that American valley waste oil wiit submit confirmation for,certain waste streams)M&e generator <br /> that their waste has been transported to a licensed treatment or transfer faalive. <br /> f� <br /> RIVER , . GENERATCR <br /> f AUTHORIZED <br /> SIGMTUREoATE ,GNATJRE; <br /> LATE.—)� <br /> r <br /> DISPO AL l EECYGEING FACILITY <br /> DK-DIXbN 0 CFR 0 UNITED ENTERPRISES CC iP <br /> 7300 CHEVRON WAY 2035 E. 1STH ST, 1119L PENROSE ST. <br /> DIXON,CA 95620 LA,CA 90021 . SUN 4'ALLE-Y,CA 91352 <br /> 707-693.6008 213-746.0237- 8113-787-26,19 <br /> EPA#CAT080012602 . EPA;#CAL000270577 EPA#CAL00037W59 <br />