Laserfiche WebLink
05/13/2010 10:30 FAX 209 466 3537 .)a EQUIPMENT CO. X1004/004 <br /> C•' r InvDtCC Numb= <br /> p O. Box 340 .Delhi, CA '95315 <br /> PH. 1-800-732.4545.,4 FAX 209-668-3880BILL ' <br /> •J.M EQUIPMENT JOB SITE:J y BQUNWM; Invtnce'Date: " <br /> 1245w.CHARTER 7216 W: 7ER.WAY- <br /> 870CKTON.CA 98206 STQCICTOK CA'95215 <br /> time tiP:*ve <br /> P0.SCOTT <br /> Customer P.O. Ter EPA# <br /> Tera,3ai cAoex�e.li�ao <br /> PRODUCT SHIPPING DESCRIPTION <br /> WASTE MANIFEST QUANTITY "PRICE AMOUNT. <br /> CODE <br /> NON-RCRAWasteLiquid Used OIVMIxed Oils 221 . <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Z40 H;;-4ous Waste Liquid <br /> Trinity Heavy'Rtdypremixed Recycled Antifreeze, <br /> Trinity Extended Life premixed Recycled Antifreeze <br /> Trinity Case Goods <br /> Truck Wast Out <br /> Truck Time <br /> TERMS: Invoices over 30 Days are subject to a 1.5%service charge. Customer agrees to pay all legal fees it court action " TOTAL' $'O <br /> becomes necessary to collect this invoice. <br /> By ankV I fierrbbyy cert6y,that I have not mired this waste with any other waste,that the total halides are less than 1000 P.P.M;and that the waste does not <br /> contain any PC <br /> I further agree to accept the additional charges for legal disposal if the waste is over 1000 P.P.M.total halides;or contains any P.C.B's <br /> Generator's Certification: By s�i'ggnning I certify that I have a program in place to reduce the volume and toxicity of hazardous waste generated to the degree i <br /> have determined to be economically practicable. <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 <br /> generator that their waste has been transported to a licensed treatment or transfer facility. . <br /> American Valley Waste Oil hereby advises the above Generator the Generators shipment of used oil may be transported to a facility that is required to comply <br /> with federal regulations applicable to management of used oil,but that is not required to comply with the more stringent requirements applicable to hazardous <br /> waste management facilities.California facilities that handle or process used oil are required tomeetthose more stringent requirements,and some out-of- <br /> state facilities that process used oil also meet those requirements, engineering certifications of tank integrity, and fmancial assurances for closure and <br /> accidental releases. It is lawful to send used oil to out-of-state facilities that comply only with.federal used oil.management standards and these more <br /> stnngent requirements.This notification is for i n purposes only. <br /> DRIVER GENERATOKI AUTHORIZE <br /> SIGNATURE SIGNATURE/SIGNATURE40 <br /> DISPOSAL/ RECYCLING EACILITYti <br /> - DK-DIXCN '- - O RAMOS ENVIRONMENTAL SERVICE <br /> 7300 CHEVRON WAY - 1515 SOUTH.RIVER ROAD <br /> DIXON, CA 95620 W.SACRAMENTO,CA 95681 <br /> - :P <br /> 707-693-6008 <br /> 816-3?t-5747 <br /> EPA k CAT060012602 EPA R CA0044003558 <br />