Laserfiche WebLink
AMERICAN VALLEY 90742 <br /> WASTE OIL, INC. Invoice Number: <br /> P. O. Box 340 - Delhi, CA 95315 <br /> PH. 1-800-732-4645 - FAX 209--1568-3880 <br /> EPA. CAL000827878 <br /> Invoice Date: <br /> BILL TO: MANTECA TIRE JOB SITE: MANTECA TIRE <br /> 201 W. EDISON 201 W. EDISON <br /> MANTECA, CA 95335 MANTECA, CA 95,436 <br /> Sales ft: <br /> Phone Customer P.O. Payment Terms EPA# <br /> 205-239-3558 GREG Net 30 Days <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODES /y f <br /> USED OIL <br /> NON RCRA HAZARDOUS <br /> WASTE 221 ,� f L L (/ �ljCj <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 N/A <br /> NON HAZARDOUS WASTE LIQUID <br /> TRUCK TIME N/A <br /> GREASW EEP N/A <br /> Trinity Extended Life Premix recycled Antifreez <br /> I hereby certify that I have not mixed this waste with any other waste,that the total halides are less than 1000 P.P.M.;and that ,df, <br /> the waste does not contain any RC.B:s.I further agree to accept the additional charges for legal disposal if this waste is over V�J <br /> 1000 P.P.M.total halid r container any RC.Bls. TOTAL �-- <br /> DRIVER "" GENERATOR AUTHORIZED ( . <br /> SIGNATURE SIGNATURE /SIGNATURE " C_ 1'. <br /> TERMS:INVOICZ970VERDAYS ARE SUBJECT TO A 1.50%SERVICE CHARGE.CUSTOMEFf 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 requiremeUr/1�Voro; <br /> This n otification is fP�poses only. 9r ^�! {'r <br /> ...--�0S. Date.•r ,f C��7 , .Driver signedr Generator signed Date <br /> By signing the invpd t 9g'terator certifies that the generator has established a program to reduce the volume or quantity and toxicity of the hazardous. <br /> waste to the degfee,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 / RECYCLING FACILITY <br /> P-.61K-DIXON O RAMOS,`ENVIRONMENTAL SERVICES <br /> 7300 CHEVRON WAY- DIXON, CA 95620 1515 SOUTH RIVER ROAD-W.SACRAMENTO,CA 95691 <br /> 800-727-2879-EPA N CAT080012602 916-3711-5747-EPA#CAD044003556 <br /> rwc tomo <br /> 41.'d 9ZLL-6EZ-60Z 1Pu8S sen rUoBEfD 849:60 01 170 100 <br />