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RECYCLE <br />• :.4,1 tf <br />WASTEio AMERICAN VALLE16 <br />FAX 209-668-3880 EPA, CAL000827878 <br />P.O. # <br />�CHEC�K[lCASH ❑ VISA ❑ <br />BILLING INFORMATION <br />JOB SITE EPA # <br />NAME <br />NAMEADDRESS <br />ADDRESS <br />CITY / STATE ^^Jt <br />CITY / STATE <br />PHONE <br />o <br />PHONE <br />PRODUCT SHIPPING DESCRIPTION <br />WASTE <br />MANIFEST <br />QUANTITY <br />PRICE <br />AMOUNT <br />CODE <br />NUMBER <br />USED OIL NON RCRA HAZARDOUS <br />WASTE LIQUID <br />221 <br />�� <br />V <br />l <br />t <br />USED AUTOMOTIVE ANTIFREEZE, NON <br />RCRA HAZARDOUS WASTE LIQUID <br />134 <br />OILY WATER, NON RCRA HAZARDOUS <br />WASTE LIQUID <br />NON HAZARDOUS WASTE LIQUID <br />TRANSPORTATION CHARGES <br />ADDITIONAL LABOR <br />HALOGEN TEST <br />TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TO A 2% SERVICE CHARGE, CUSTOMER AGREES 1 <br />TO PAY ALL LEGAL FEES IF COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. TOT 1(G_/ <br />DISPOSAL/ RECYCLING FACILITY <br />O ADVANCED ENVIRONMENTAL O AMERICLEAN INC. O BAYSIDE OIL <br />13579 WHITRAM AVE. 2430 ALMOND DR. 210 ENCINAL ST. <br />FONTANA, CA 92337 SILVERSPRINGS, NV 89429 SANTA CRUZ, CA 95060 <br />CAT080025711 NVD982368483 CAD088838222 <br />909-356-9025 702-577-9001 800-433.7426 <br />O HARBOR OIL O INDUSTRIAL SERVICE OIL CO INC. O <br />5300 CLAUS RD. 1700 S. SOTO ST. <br />RIVERBANK, CA:,95�367 LOS ANGELES, CA 90023 <br />CAL000161056 CAD099452708 <br />503285-4648 562-598-5577 <br />DRIVER ,�% S --'�� GENERATOR <br />SIGNATURE / SIGNATURE <br />THANK YOU MPC KK 12315 (9/981 <br />