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AMERICAN ALLEY 138037 <br /> WASTE OIL, INCZ Invoice Number: <br /> P. O. Box 340 ® Delhi , CA 95315 <br /> PH . 1 -800-732-4645 a FAX 209-668-3880 <br /> EPA# CAL000827878 <br /> 9T0 TRU. _ {; BFG6400 NEivair-ON RD � RUC �i NG <br /> BILL TO : 7 v. ! 01,4% CA 85205 JOB SITE: -c v <br /> Invoice Date : <br /> 96 <br /> 4:a Gs Rel <br /> Phone Customer P. O. Terms - EPA# a � e0 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> r <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Drained Used Oil Filters <br /> I <br /> I I <br /> r FL 03 at cJ <br /> l <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. 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 information 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 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 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 AUTHORIZED <br /> SIGNATURE: - DATE. SIGNATURE: - DATE: <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, OA 90021 SUN VALLEY. CA 91352 <br /> 707-693-6005 213-746-0237 81.8-787-2649 <br /> EPA4 CAT080012602 EPA# CAL000270577 EPA# CAL000379059 <br />