Laserfiche WebLink
Sep 27 07.03:03p Julie Huber 209-6683880 p.5 <br /> AMERICAN VALLEY 6 2 0 6 5 <br /> WASTE OIL, INC. Invoice Number: <br /> P. O. Box 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-568.3880 <br /> EPA. CAL000827878 <br /> Invoice Date: <br /> BILL TO: GUZMAN AUTO REPAIR JOB SITE: GUZMAN AUTO REPAIR <br /> 1037 W. YOSEMITE 1037 W. YOSIMITE <br /> MANTECA. CA 95337 X. UNION <br /> MANTECA, CA 95337 <br /> Sales rep. RICK Danie: <br /> Phone Customer P.O. Payme arms �S t CEPA <br /> Q024�'951 <br /> 209-239-2819 MARIA <br /> .O,D. CA <br /> -WASTE MA ST QUANTITY P ICE AMOUNT <br /> I <br /> PRODUCT SHIPPING DESCRIPTION CODE <br /> USED OIL NON RCRA HAZARDOUS <br /> WASTE LIQUIDUSED AUTOMOTIVE ANTIFREEZE. 22 c <br /> RCRA HAZARDOUS WASTE LIQUID ON 343 <br /> OILY WATER, NON RCRA HAZARDOUS 221 <br /> WASTE LIQUID <br /> TRINITY HEAVY DUTY PREMIX N/A <br /> RECYCLED ANTIFREEZE <br /> NON HAZARDOUS WASTE LIQUID <br /> TRUCK TIME N/A <br /> GREASWEEP NiA <br /> FUEL SURCHARGE $5.OG <br /> i <br /> I hefeby erfity that I have not mixed this the waste does not contain any P.C.B.'s. Iffurtheaste r�agreeyto accept the additional charges <br /> for less <br /> nPosal this s waste ver OT L. <br /> _ <br /> f logo P.P.M.total halides,or container any P.C.Ba. GENERATOR AUTHORIZED <br /> DRIVER SIGNATURE OR/ <br /> SIGNATUREPAY ALL LEGAL FEES <br /> TERMS:INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE.CUSTOMER <br /> COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. qq to cot <br /> with fade Oil <br /> no management of Gsedol but thalor the t senattequrs hi�aont ami P ed o may <br /> �e/strir genldreQu rem, snapplicable�rtohazarc <br /> waste management facilities. <br /> atlo California to meet thofies se requirements,engiss neering il rcertilcafO se reoot teank n gntymoreand l stringentrequirements. <br /> zssurances forclosure <br /> these i <br /> state facilities that processa.. with lederal d oil manage <br /> slandaros and not these r <br /> accidental releases. It is lawful to send used oil.ro outof-state facilities that comply Y <br /> 9 <br /> stringent requirements. <br /> This notification is for information purposes only. Date-3 <br /> n, /L Date3 -O,C Generator signed <br /> Driver signed N <br /> By signing the invoic the generalar certifies that the generator has established a program to r e volume or quantity and toxicity of the hazer <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!or(certain waste streams)to the gap< <br /> that their waste has been transported to a license treatment or transfer faculty <br /> DISPOSAL/ RECY LING FACILITY O RAMOS ENVIRONMENTAL SERVICES <br /> RIVERBANK C3L'TRANSFER 1515 SOUTH RIVER ROAD•%V.SACRAMENTO,CA 95691 <br /> 5300 CLAUS ROAD•RIVERBANK,CA 95367 916.371.5747•EPA R CAD044003556 <br /> 209.863.8181•EPA#CAL000190816 <br /> _ r <br />