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AMERICAN VALLEY <br /> .) e J-366 <br /> WASTE OIL, INC. Invoice Number: <br /> P.O. Box 340 - Delhi CA 95315 <br /> PH. 1-800-732-4645 - FAX 209-668-3880 <br /> EPA# CAR000272302 <br /> BILL TO: JOB SITE: <br /> Invoice Date: <br /> Phone Customer P.O. Terms EPA# <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST c)uANTrry 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 /> TERMS: Invoices over 30 Days are subject to a 1.5%service charge.,Customer agrees to pay all legal fees if court action <br /> becomes necessary to collect this invoice. TOTAL <br /> 06 <br /> By signing I herby certify that I have not mixed any of the waste described abcive,Wlth any other hazardous waste the total <br /> tal halide content is LESS than 1,000'pprp,and the <br /> Waste does not contain any PCBs have cornpNed ikith:th6 re <br /> of�the,aipplic4ble!�Callt�rijjl 6 management regulitlo0o determine this is true. <br /> accept the additional charges--,f this waste if the; !�q.' i ". ' this I agree to <br /> "at"W" is. <br /> A,7-3 <br /> pr the thea <br /> 4, <br /> Generator's,06�tlfic- <br /> ation:By',41igning,I�b6rtif�that'ri is'. ia <br /> ItIt' I fy,:. til., <br /> rgpqy�� .y,:0enerator.'.I.c' fy.- 'hawa, p me <br /> progl�arn <br /> �7 hevoturne! OfwgAte.Qenmt�; <br /> Ih , , "I,"" --", --:, �04019'redqcO." , <br /> to th6 d I 6.gree� aye.deterrnWi�i. to,:be 66o66inlcally <br /> 717-5 77 <br /> 7-4:7777777 <br /> MR, iY M 9 <br /> 1 y { 1! :: 411 <br /> the ti�overC3rler$tot that Wrs t' "' <br /> t1 RSPVV IL . .... .. <br /> T <br /> 17. <br /> 7977777 <br /> This notEffcatiarti r irifdrrn­itl' <br /> on P <br /> By both parties signIn6:this invoice�it illl serve as an a en�t,t.,at Amencan Valley W"6 Oil will confirmation for(certain waste streams)to the generato <br /> r that their has been transported to'a licensed.trea"ent or transfer facility. GENERATOR/ <br /> DRIVERDATE; SIGNATURE <br /> SIGNATURE: RE: <br /> DATE;, <br /> DISPOSAL IRECYCLING FACILITY <br /> 0 DK-DIXON -a-A-S-BURY ENVIRONMENTAL 0 RIVERBANK OIL TRANSFER bbFR 0 GLOBAL MATERIAL MGMT <br /> 7300 CHEVRON WAY 1920 MORGAN.RD. 5300 CLAUS RD. 2035 E. 15TH ST 1640 N. BROADWAY <br /> DIXON,CA 95620 CERES,CA 95358 RIVERBANK, CA 95367 LA,CA 90021 STOCKTON,CA 95205 <br /> 707-693-6008 209-541-1825 209-863-8181 213-746-0237 818-770-2577 <br /> EPA#CAT080012602 EPA#CAL000393680 EPA#CAL0O0190816 EPA#CAL000270577 EPA#CAL000417316 <br /> MPC(7/20161 <br />