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Sf1,1, TO: <br />AMERICAN VALLEY <br />WASTE OIL, INC. <br />P. O. Box 340 - Delhi, CA 95315 <br />PH 1.800-732-4645 - FAX 209-668-3860 <br />EPAN CAL000827876 <br />ARCA-HARDING ARI n 1-1AN1I N" <br />tr., E HARDING vvnY Jot; SITU.: tr• t- rinrervrrr. vdr v <br />t TCKI<rC)N CA --04 TCH'Y.tnt•i ,.A 9...'01 <br />PRODUCT SHIPPING DESCRIPTI <br />VON-RCRA Waste Liquid Used Oil/Mixed Oils <br />JON-RCRA Waste Liquid Used Antifreeze <br />ON-RCRA Waste Liquid Used Oily Water <br />ained Used Oil Fillers <br />DUE TO THE DRASTIC FALL IN CRUDE OIL <br />PR KITS. <br />CHANGE PRICING FOR WASTE OR AND <br />1.33336 <br />Invuluc Numl,c] <br />� Inv„i� c I tele <br />} le& Reif, <br />Terms c . 1 + f 1 EPAlli'-A1 nrp)� n:,^a', ----- - <br />MANIFEST QUANTITY PRICE AMOUNT <br />WASTE <br />CODE <br />221 <br />133 --------- <br />Sales T <br />TERMS Invoices over 30 Days are subject to a 1.5% service charge. Customer agrees to pay all legal foes It court action TOTAL _4 <br />By <br />L ( J <br />becomes necessary to collect this invoice. <br />By signing 1 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 IN - i% <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 1 have determined to be economlcally affordable and that I have selected the practicable method of treatment, storage, or disposal cufrentty <br />available to me which minlmizes the present and future threat to human life and the environment. Or, if I am a small quantlty generator, I have made a good fadh <br />effort to minimize my waste generation and select the waste management method that is available to me that I can afford <br />Syboth parties signing this Invoice It will serve as an agreement that American Valley Waste Oil will submlt confirmation for (certain waste streams) to the gen,•t.no, <br />that their waste has been transported to a licensed treatment or transfer facility. r <br />DRIVERAUTHORIZED- - <br />SG7JAT R / %/ %'711'-, <br />S _ <br />U E, ��� /� <br />1 DATE:-' % /'.> SIGNATURE. <br />1"l <br />DK--DIXON <br />7300 CHEVRON WAV <br />DIXON, CA 95620 <br />707.693-6008 <br />EPA# CATOSOO12602 <br />O CFR <br />2035 E. 15TH ST, <br />LA, CA 90021 <br />213.746-0237 <br />EPA# CAL00027057-7 <br />SU M. , ": j <br />O UNITED ENTERPRISES CORP <br />11190 PENROSE ST, <br />SUN VALLEY, CA 91352 <br />818.787.2649 <br />EPA# CAL000379059 <br />b s. <br />