Laserfiche WebLink
t <br /> •AME-ICAN VALLEY 132400 <br /> 'IrIlA3TE OIL, INC. Invoice Number: <br /> P. O. Box 340 • Delhi, CA 95315 <br /> PH. 1-800-7 32.-4@45 FAX 209-668-3880 <br /> 0827878 <br /> JIM THORPE OIL INC PILIQNGTON 'a 1,2 <br /> LP.O.ODE,,CA 95 � <br /> BILL TO: ICA 95 JOS,SITELOU L241 : 599 Invoice Date: <br /> ,L4THROP,GA ,95330: <br /> CAD0054-15633 <br /> Sales Rep Steve <br /> Phone2V9-462-4581 Customer P.O. TermsNet30 Days EPA# <br /> C4000012884: <br /> PRODUCT SHIPPING DESCRIPTION <br /> WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 2 <br /> Drained Used Oil Filters <br /> DUE TO THE DRASTIC FALL IN CRUDE OIC " <br /> PRICES,WEHAVE BEEN FORCED TO r <br /> CHANGE PRICING FOR WASTE OILAND <br /> TERMS: Invoices over 30 Days are subject tocE[;tl 5! SerVlde d urges Customer a reel to pay all leg i , rt action TOTAL ? <br /> becomes necessaryto collect this§nvolce q,{, <br /> By signing I herby certify that I have not mixed-any of the waste described above with any other hazardous waste,the total ha llde content is LESS than 1,000 ppm,, <br /> and,tJte waste does not contain any PCBs.I have'comphed withtherequilemehtf of the applicable California used off management regulation to determine this is <br /> - <br /> true.I agree to accept the additional charges for the disposal of this was te"ff the'information l have provided"about this waste is incorrect. - <br /> Generator's certification:By signing I certify that if I am a la rge qua ntitygeorstor,I certifythat I have a program,m place to reduce the volume and tbxicty of waste <br /> v,r <br /> generated to the degree I have determined to beeco nom¢ally af(ordahle and_that I have selected thepractIca hle mekhod of treatment,storage,or disposal currently <br /> available to me which minimizes the present and future threat to human life and the environment Or,if I am a small quamity generator,I have made a good faith <br /> effort to minimize my waste generation and select the waste management method that isava ilahle to me that l can afford, <br /> By both partiessigning-this invoice it will serve as an agreement that American Valley Waste Oil will submit confirmation for(certain waste streams)to the generator <br /> thattheirwaste has been transported to a licensed treatment or transfer facility. <br /> GENERATOR/ <br /> DRIVER - AUTHORIZED <br /> SIGNATURE: r DATE NATURE: DATE: <br /> 3POSAL/ RECYCLING:FACILITY' <br /> O'QIXON O1 CFR - O UNITED ENTERPRISES CORP' <br /> 7300 CHEVRON'WAY ' 2035 E. 15TH ST. 11190.PENROSE ST. <br /> bIXON,CA 95626: LA,.CA 90021 . SUN VALLEY,CA 91352 <br /> 707-693-6008 213-748-0237 818-787-2649 - •- <br /> EPAN,CAT080012602 EPA#CAL000270.577 EPA#CAL000379059 , _ - <br />