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t AMER,RICAN V ALLEY 134939 <br /> WASTE 0&.1 Invoice Number: <br /> i Q 0. Box 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA#CAL000827878 <br /> A5S4GATED TRACTOR <br /> 1323 W.CHARTER W11' JOB SITE: ASScx'�IArED TRACTOR <br /> BILL TO; 1323 W. CHARTER WAY Invoice Date: <br /> STOCKTON,+ZEA 95" XARGONAUT&FRESNO <br /> STOCKTON, CA 96206 <br /> Sales Rep Rick Daniel <br /> I hone _46tr3f1{ 3I2L�GICY Custorner:P.O. TermsNet3pp EPA#CADW26M93t1 <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 13345 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Drained Used Oil Filters <br /> i <br /> DUE TO 12jF DRASTIC ALLINCRUDEOIL <br /> PRICES,VVE.HAVE BEEN FORCED TO <br /> CHANGE PRICING FOR WASTE OIL AND <br /> CtA <br /> SOWS <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 <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 1,004 ppm, <br /> and the waste does not contain any PCBs../have complied with the requirements of the applicable California used oil management regulation to determine this is <br /> is 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. <br /> Generator's Certification:By signing i certify that if!am a large quantity generator,I certify that!have a 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,or disposal currently <br /> available to me which minimizes the present and future threat to human life and the environment:Or,if l 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_.goth 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 /> 2s <br /> GENERATOR/ ' <br /> DRIVER " <br /> AUTHORIZED ✓ <br /> SIGNATURE: DATE: /. -`.. ";," . SIGNATURE: DATE_ <br /> DISPOSAL 1 RECYCLING FACILITY <br /> O DK-DIXON O CFR O UNITED ENTERPRISES CORP <br /> 7300 CHEVRON WAY2035 E,15TH ST. 11190 PENROSE ST. <br /> DIXON,CA 95620 '"- CA 90021 SUN VALLEY,CA 91352 <br /> 707-693-6008 2746-0237 818-787-2649 <br /> EPA#!CAT080012602 EPA#CAL000270577 EPA#CAL000379059 <br /> r <br /> MPC(V2013) <br />