Laserfiche WebLink
� aril! Ij � '.; <br /> AMERICAI�1ALLEf" E <br /> ....;064 <br /> WASTE IL, � <br /> '`-' OINC.. Invoke Number: <br /> P. O. Box 340 • Delhi, CA 95315 <br /> PH- 1-800-732-4645 • FAX 209-668-3880 <br /> EPA, CAL000827878 <br /> Invoice Date: <br /> BILL TO: GUZMAN AUTO REPAIR JOB SITE: GUZMAN AUTO REPAIR <br /> 10.37 W YOSFNhTF 1037 W YCaSlltMTF.•' <br /> MANTECA, CA 95337 X; UNION <br /> (14` K MA[!!i`ECAA 9633-i <br /> 0 Sa"rep: Rick Daniel <br /> Phone Customer P.O. Payment Ter — EPA# <br /> 209-1:39,2819 MARIA C 0.D. C.AL000244551 <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 <br /> WASTE LIQUID 221 <br /> TRINITY HEAVY DUTY <br /> RECYCLED ANTIFREEZEEMIX N/A � � 1 � 60 <br /> NON <br /> Q <br /> NON HAZARDOUS WASTE LIQUID <br /> TRUCK TIME N/A <br /> GREASWEEP N/A <br /> FUEL SUR CI-ARGIE $5.00 <br /> 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 <br /> the waste <br /> does <br /> no laontajtn fconta nes enl further <br /> c fir:gree to accept the additional charges for legal disposal If this waste is over OTAL /S7S; <br /> DRIVERJ GENERATOR AUTHORIZED <br /> SIGNATURE ( µ SIGNATURE/ SIGNATURE (`+ <br /> TERMS:INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE.CUSTOMER A S O 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 facil@les 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 /> accidents] 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 requirements. <br /> This notification Is for Information purposes onty. <br /> Driver signed Date Generator signed Date <br /> By signing the invoice the generator certifies that the generator hes established a program to reduce the volume or quantity end toxicity of the hazardous <br /> waste to the degree,as determined by the generator,to be economically practicable. <br /> By both parties signing this Invoice It will carve 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 /> O RIVERBANK OIL TRANSFER 'b RAMOS ENVIRONMENTAL SERVICES <br /> 5300 CLAUS ROAD•RIVERBANK, CA 95367 1515 SOUTH RIVER ROAD•W. SACRAMENTO,CA 95691 ' <br /> 209.863-8181 •EPA If CAL000190816 916.371.5747•EPA#CAD0,44003556 <br /> ;Mil ""• � MPc(toreao4) <br />