Laserfiche WebLink
AMERICAN VALLEY bb601� <br /> �-- WASTE OIL, INC. Invoice Number: <br /> P. 0. Box 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 * I= X 209-668-3880 <br /> EPA. CAL00087878 <br /> Invoice Date: <br /> BILL TO: JOB SITE: <br /> �S-ROUND ZERO `PUFF BOY I'RAI LEES <br /> 1'7I4 MAIN S! 5151 ALMONDWOOD IiR <br /> ESQ ALON{ CA 95:321_T MA.WTECA, CA <br /> Phone Customer P.O. Payment Terms E_PP A# <br /> ,ALOG«C135904 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> USED OIL NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br /> USED AUTOMOTIVE ANTIFREEZE, NON <br /> RCRA HAZARDOUS WASTE LIQUID 343 <br /> OILY WATER, NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br /> TRINITY HEAVY DUTY PREMIX <br /> RECYCLED ANTIFREEZE NIA <br /> NON HAZARDOUS WASTE LIQUID <br /> TRUCK TIME NIA <br /> GREASWEEP NIA <br /> FUEL R CHARGE <br /> I hereby certify that I have not mixed this waste with any other waste,that the total halides are less than l000 P.P.M.;and that 00 <br /> the waste does not contain an .C.B.'s,.-t-further agree to accept the additional charges for legal disposal if this waste is over TOTAL <br /> on <br /> 1000 P.P.M.total halides,o tairri?s any RG.B.'s. <br /> DRIVEfGENERATOR AUTHORIZED,,,,- <br /> S GNARURE SIGNATURE SIGNATURE ('�JP':U+? t (_r <br /> TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE.CUSTOMER AGREES TO PAY ALL LEGAL FEES IF <br /> COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. <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 to meet those more stringent requirements,and some out-of- <br /> state facilities that process used oil also meet those requirements, engineering certifications of tank integrity, and financial 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 not these more <br /> stringent requirements. <br /> This notificatior7 is for information purposes only. <br /> Driver signed Date_ Generator signed Date <br /> By signing the invoice the generator certifies that the generator has established a program to reduce the volume or quantity and toxicity of the hazardous <br /> waste to the degree,as determined by the generator,to be economically practicable. <br /> By both parties signing this invoice it will serve as an agreement that American Valley will submit confirmations for(certain waste streams)to the generator <br /> that their waste has been transported to a license treatment or transfer facility. <br /> DISPOSAL 1 RECYCLING FACILITY <br /> IVERBANK OIL TRANSFER �RAMOS ENVIRONMENTAL SERVICES <br /> 5300 CLAUS ROAD• RIVERBANK, CA 95367 1515 SOUTH RIVER ROAD•W. SACRAMENTO, CA 95691 <br /> 209-863-8181 • EPA#CAL000190816 916-371-5747• EPA#CAD044003556 <br /> MPC(10/26 <br />