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AMERICAN VALLEY 147646 <br /> WASTE OIL, INC. Invoice Number: <br /> P O. Box 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 11 FAX 209-660fAL000416714 <br /> EPA# CAL000827878 <br /> ASSOCIATED TRACTOR <br /> 3 <br /> BILL TO: 12 WHARTERWYJOB SITE: 9f. <br /> I. CCR 1323 W. CHARTERFI WAY <br /> ARGONAUT <br /> &FRESNO Invoice Date: <br /> ST U( KTON, CA 95206 S.TOCKTON, CA 952UC, <br /> Sales Rel)- Amed(mnV;Wey <br /> Phone 209-465.30W ROCKY Customer P.O. Terll Days EPA#CAD9836D69;!0 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NDN-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 /> ridB�VVAS;�'c .— ;It JF Mia !AL SHA4VIIVGS <br /> UNIVERSAL VMSTE-AEROSOLS <br /> r / <br /> '4 5GAL PO .Y PAIL 1 <br /> ";' L &TOP UA CERT STEEL RECON <br /> .- <br /> ok <br /> TERMS: Invoices over 30 days are subject to a 1.5%service charge. Customer agrees#o pay all legal fees if court action TOTAL t y� <br /> becomes necessary to collect this invoice. �' . <br /> By signing 1 herby certify that I have not mixed any of the waste described above with any other hazardous waste,the total halide content is LE55 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 determine this is <br /> true.I agree to accept the additional charges for the disposal of this waste if the lnformation 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 and toxicity of waste <br /> generated to the degree I have determined to he economically affordable and that I have selected the practicable method of treatment,storage,or 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 made 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 streams)to the generator <br /> that their waste has been transported to a licensed treatment or transfer facility. <br /> GENERATOR/ <br /> DRIVER AUTHORI7ED <br /> SIGNATURE: / DATE5'rI/ z IGNATURE; DATE: <br /> r <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 818-787-2649 <br /> EPA#CAT080012602 EPA#CAL000270577 EPA#CAL000379059 <br /> MPC(612[)131 <br />