Laserfiche WebLink
BILLING INFORMATION <br />Send Payment to: <br />P.O. Box 1904 <br />Vacaville, CA 95696 <br />(800) 669 - TANK <br />JOB SITE <br />Invoice <br />Inv. # <br />Date: i -- (�a , =! i .. <br />EPA #: CAD981694722 <br />NAME <br />NAME <br />PO# CASH CHECK <br />ADDRESS <br />ADDRESS <br />CUSTOMER EPA ID # <br />1 ,�.`' y_<yi ,y•.l 1 � ...¢. <br />-�/l / 'if.T'li�. -%(. ,, F <br />CITY STATE ZIP <br />CITY STATE ' ZIP <br />PROFILE # <br />.•, <br />Y <br />PHONE # <br />PHONE # <br />CUSTOMER ID # <br />PRODUCT PROPER <br />WASTE <br />MANIFEST NUMBER <br />QUANTITY <br />UNITS <br />PRICE <br />AMOUNT <br />SHIPPING DESCRIPTION <br />CODE <br />Non-RCRA Hazardous Waste, Liquid <br />221 <br />GAL. <br />Used Oil <br />Non-RCRA Hazardous Waste, Liquid <br />Used Automotive Antifreeze <br />34 <br />GAL. <br />Non-RCRA Hazardous Waste, Liquid <br />223 <br />Qi �t•F! <br />- ( <br />GAL <br />T=l <br />I - <br />Oily Water <br />`, l"``� .�` <br />; <br />�� <br />Transportation <br />CHGS. <br />Additional Charges <br />Other <br />GENERATORS CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name, are <br />classified, packed, marked, labeled, and are in all respects in proper condition for transport by highway according to applicable state and federal regulations. <br />If I am a large quantity generator, I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined <br />to be economically practicable and that I have selected the practicable method of treatment, storage, or disposal currently available to me which minimizes the <br />present and future threat to human health and the environment; OR I am a small quantity generator. I have made a good faith effort to minimize my waste <br />generated and select the best waste management method that is available to me and that I can afford. I hereby certify that all the information submitted in this and <br />all attached documents contains true and accurate description of the waste. All relevant information regarding known or suspected hazards associated with the <br />waste has been disclosed. I also certify that I have not mixed this waste with any other waste. Venue for purposes of enforcement shall be IN Solano County. I <br />declare under perjury that the foregoing is true and correct. <br />IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR USED OIL. PLEASE SIGN AFTER READING. <br />TTS Environmental Inc. hereby advises used oil generator that your shipment of used oil may be transported to a facility that is required to comply with federal <br />regulations applicable to management of used oil, but that is not required to comply with the more stringent requirements applicable to hazardous waste <br />management facilities. California facilities that handle or process used oil are required to meet those more stringent requirements, and some out-of-state <br />facilities that process used oil also must meet those requirements. These include more stringent leak detection and prevention requirements, engineering <br />certifications of tank integrity, and financial assurances for closure and accidental releases. It is lawful to send used oil to out-of-state facilities that comply with <br />only federal used oil management standards and not those more stringent requirements. This notification is for information purposes only. <br />Initials <br />Test Pass ❑ Fail ❑ PPM Lubricating Oil ❑ Industrial Oil ❑ <br />DISPOSAL/RECYCLING FACILITY:Collection <br />Station <br />; Industrial <br />Agriculture <br />Government <br />Marine <br />1. Garris Environmental 2.. Industrial Oils 3. gamos Environmental 4. Other <br />535 Industrial Circle 1291 Laverne Ave. '1__-'1515 S. River Rd. <br />White City, OR 97503 Klamath Falls, OR 97603 Sacramento, CA 95667 <br />EPA# ORC000007781 EPA# ORD980980775 CAD044003556 <br />GOVERNMENTAL COMPLIANCE FEE: $ <br />Late Charge to all balances not paid within 30 days. <br />Total Charges <br />hereby certify that all the information submitted in this and all attached documents contains true and accurate descriptions <br />of the waste. All relevant information regarding known or suspected hazards associated with the waste has been disclosed.' <br />J <br />Driver's Signature = - - Generator's Signature <br />