Laserfiche WebLink
'r'a�, d�c-se <br />` AMERICAN VALLEY <br />7 r h1� WASTE OIL, INC. <br />P.O. Box 340 • Delhi, CA 95315 <br />ENVIRCEIyTA PH. 1-800-732-4645 • FAX 209-668-3880 <br />HFALTI-f -"a Z? +;z .i. r EPA# CAR000272302 <br />ASSUCIA-r EU 1 RACTOR ASSOCIA1 ED TRACTOR <br />BILL TO: <br />1323 W. CHARTER WY JOB SITE: 1323 W. CHARTER WAY <br />s,rocK'rON, CA 95206 X:AIRGONAUT & FRESNO <br />STOCKrON, CA 95206 <br />16 ,�I/ <br />4✓ �v; h �� mss' <br />Invoice Number: <br />Invoice Date: <br />Arwrican Valey <br />Phone <br />Customer P.O. <br />Terms Net 30 Days <br />EPA# CAD983606930 <br />PRODUCT SHIPPING DESCRIPTION <br />WASTE <br />MANIFEST <br />QUANTITY <br />PRICE <br />AMOUNT <br />CODE <br />NON-RCRA Waste Liquid Used Oil/Mixed Oils <br />221 <br />( >, <br />NON-RCRA Waste Liquid Used Antifreeze <br />133 <br />NON-RCRA Waste Liquid Used Oily Water <br />223 <br />Drained Used Oil Filters <br />TERMS: Invoices over 30 Days are subject to a 1.5% service charge. Customer agrees to pay all legal fees if court action <br />becomes necessary to collect this invoice. <br />TOTAL <br />By signing I 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, and the <br />waste does not contain any PCBs. I have complied with the requirements of the applicable California used oil management regulation to determine this is true. I agree to <br />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 generat- <br />ed to the degree I have determined to be economically affordable and that I have selected the practicable method of treatment, storage, or disposal currently available to me <br />which minimizes the present and future threat to human life and the environment: Or, if I am a small quantity generator, I have made a Good faith effort to minimize my waste <br />generation and select the waste management method th available to me that I can afford. <br />American Valley Waste Oil hereby advises the above Gen r%tor that generators 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 management facili- <br />ties. California facilities that handle or process used oil are required to meet those more stringent requirement, and some out-of-state facilities that process used oil also meet <br />those requirements, engineering certifications of tank integrity, and financial assurances for closure and accidental releases. It is lawful to send used oil to out of state facilities <br />that comply only with federal used oil management standards and not these more stringent requirements. <br />This notification is for information purposes only. <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 generator that their <br />waste has been transported to a licensed treatment or transfer facility. c <br />GENERATOR/ <br />DRIVER AUTHORIZED <br />SIGNATURE: DATE: '; l- SIGNATURE: DATE7. ( , <br />DISPOSAL/ RECYCLING FACILITY <br />0 DK-DIXON 0 ASBURY ENVIRONMENTAL 0 RIVERBANK OILTRANSFER 0 CFR 0 GLOBAL MATERIAL MGMT <br />7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD. 2035 E. 15TH ST. 1640 N. BROADWAY <br />DIXON, CA 95620 CERES, CA 95358 RIVERBANK, CA95367 LA, CA 90021 STOCKTON, CA 95205 <br />707-693-6008 209-541-1825 209-863-8181 213-746-0237 818-770-2577 <br />EPA# CAT080012602 EPA# CAL000393680 EPA# CAL000190816 EPA# CAL000270577 EPA# CAL000417316 <br />near, 17i9mri <br />