Laserfiche WebLink
_ AMERICAN VALLEY r 4 2113 6 , <br /> WASTE OIL"' INC: y= Invoice Number: <br /> P. 0. Box 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA. CALO00827878 <br /> ir— <br /> �'Invoice Datej <br /> WILL TO- ,SOB SITE: <br /> J .i! 11?ORP.E'_r OIL, !? O. C xIllJz ; tl�1Azxr ; <br /> 'P.O. .in.'4 X 357 <br /> .LODj.y. ,-A, 95241. �! i ,'tom �'•' <br /> ;• i .;Pta rnent 'erms ` PA#Phone Cusore6. <br /> jQ_: '�—'45S 1 CC <br /> I ' S d i sCECv <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 Gam- <br /> Zz- <br /> WASTE LIQUID 221 <br /> TRINITY HEAVY DUTY 50/50 <br /> RECYCLED ANTIFREEZE NIA <br /> NON HAZARDOUS WASTE LIQUID <br /> TRUCK TIME NIA Ll h <br /> L <br /> GREASWEEP N/A <br /> TERMS: INVOICES OVER 30 DAYSARE SUBJ CT TO A 1.5% SERVICE CHARGE.CUSTOMER AGREES <br /> TO PAY ALL LEGAL FEES IF COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. TOTAL ��, <br /> DRIVER f,`!,' — �r. GENERATOR <br /> SIGNATURES + ' SIGNATURE <br /> American Valley Waste Oil hereby advises ttae-above C�anerator the Generators shipment of used oil rpt be transported to a facilitx that.is required to comply <br /> with federal regulations applicable to management of Used oil,but that isnot required to comply wjtii the more stringent requirements applicable to hazardous <br /> waste management facilities. California facilities that handle or process used oil are required toAeet ose more stringent requirements,.and some out-of- <br /> state facilities that process used oil also meet those requirements, engineering certifications of tank in"rity,andffinanciai assurances for closure and acci- <br /> dental releases. It is lawful to send used oihto out-of-state facilities that comply only with.federal used bil ynanagement standards and not these more strip <br /> gent requirements. i of <br /> This notification is for information purposes only. <br /> Driver signed '� ' 1 Date I f Generator signed r� Date 1 }; <br /> By signing tt> r,v eeG Brie"rotor Certifies that the geii�atorsttas es fished a program to refuge tNe oluina or quantity and toxi _ of azaFdous <br /> waste to the degree,as determined by the generator,to be economically practicable. `l V <br /> By both parties signing this invoice it will serve as an agreement that American Valley will subrd con#irmations for(66rtain waste streams)to the generator r <br /> that their waste has been transported to a license treatment or transfer facility. 11 <br /> DISPOSAL/ RECYCLING FACILITY <br /> O RIVERBANK OIL TRANSFER O RAMOS ENVIRONMENTAL SERVICES <br /> 5304 CLAUS ROAD•RIVERBANK, CA 95367 1515 SOUTH RIVER ROAD•W. SACRAMENTO, CA 95691 <br /> 209-863-8181 • EPA#CAL 000190816 916-371-6747 EPA#CAD044003556 <br /> MPC(412003] <br />