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AMERICAN VALLEY 134840 <br /> WAO-TE OIL, INC. Invoice Number: <br /> P. 0. Box 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA# CAL000827$78 <br /> AS Sc�C;IATE[�TRACTUF� ASS00kT1=D TRACTOR � 4`'; <br /> BILL TO: 1323W CHARTER WY JOB SITE: 1323 W CHARTER WAY Invoice Date: <br /> STOCKTON, CA 96206 X.ARGONAUT 8L FRESNO <br /> STOCKTON, CA 95206 <br /> Sales Re Rick Daniel <br /> Phone. X19-466.3003 ROCKY Customer P.O. Terms;-4,t30 Days EPA# 'D983FE16Q30 <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 /> HAZARDOUS WASTE PICK UP <br /> 55 GAL 01TOP U N C:ERI STEEL RECON / 7- <br /> i2 a_ '-RSAL VVAS TE -AER OSOL f30(--'AL,, i <br /> J <br /> Sales Tax <br /> 1 iiTv1y Xf i f a / ' <br /> rel 12— <br /> !o <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 1,000 ppm, <br /> and the waste does not contain any PCBs,l 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 information 1 have prov+ded 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 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 I am a smal4 quantity generator,I have made a good faith <br /> Effort to minimize my waste generation and select the waste management method that is availabie 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 /> ri <br /> GENERATORI <br /> AUTHORIZED <br /> DRIVER <br /> SIGNATURE: DATE -, c' SIGNATURE: { DATE: <br /> DISPOSAL / RECYC ING FACILITY <br /> O DK-DIXON CFR O UNITED ENTERPRISES CORP <br /> 7300 CHEVRON WAY 2035 E. 15TH ST. 11190 PENROSE ST. <br /> DJXON, CA 95620 LA,CA 90021 SUN VALLEY,CA 91352 <br /> 707-693-5008 213.746-0237 818-787-2649 <br /> EPA4 CAT080012602 EPA#CAL000270577 EPA#CAL000379059 <br /> MPC(6/2()13) <br />