Laserfiche WebLink
can AN VALLEY / " ..,Invoice <br /> 4 3 6 Number: <br /> Vol ®® 1 <br /> "Waste Oil, IC. �� • Delhi, CA 95315 <br /> 5 • FAX 209-668-3880 <br /> P O. BOX 340 • DEL111, CA 953i5 L000827878 <br /> 800-732-4645 <br /> Invoice Date: <br /> Date !n /t '�' B SITE: <br /> Sold <br /> C3I12MhN .AUTO REPAIR <br /> Address_ .03 j V. YOS.IxTE; <br /> ?C; . ' 10N <br /> aaa�fml,r r CA. !?ra <br /> AUTOMATICALLY TO ENSURE YOU � ' <br /> PRINTED s OF ACCURACY ---Pay arms ' `'�' <br /> In <br /> MASTER <br /> METER RECEIPT <br /> oRERnTOR C.po p TRUCK NO. TIME MANIFEST QUANTITY PRICE AMOUNT <br /> CHARDE p /'� A.M. <br /> l PM. <br /> p i,N �.ALLYIIt aF.�btiYdl,. '. \ <br /> yj <br /> l 0 o <br /> A4LE 1-f.. :;s ou rtewvEeY �� {1 S"f rt r �� ID <br /> 'U9IOMER EKiNANRE ,"^"""r•er ,, <br /> RECEIVED <br /> 42 4346 Pow. v CH CK <br /> I hereby certlly that I havet mixed this waste with any other waste,that the total halides are less than 1000 P.P.M.:and that <br /> the waste does not contairr;any P.C.B.'s.J further agree to accept the additional charges for legal disposal If this waste is over TOTAL /�Q 'I <br /> 1000 P.P.M.total halides r oontaln do P.C.B.'s. <br /> DRIVER / ---• ---- - GENERATOR AUTHORIZED (, <br /> SIGNATURE SIGNATURE/SIGNATURE �' Y a <br /> TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE.CUSTOMER AGREES TO PAY ALL LEGAL EES 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 facilities 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 /> accidental 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 only. <br /> Driver signed Date Generator signed Date <br /> By signing the invoice the generator certifies that the generator has establ'ahed a program to reduce the volume or quantity and 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 serve 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 faGllty. <br /> DISPOSAL/ RECYCLING FACILITY <br /> O RIVERBANK OIL TRANSFER O RAMOS ENVIRONMENTAL SERVICES <br /> 5300 CLAUS ROAD•RIVERBANK, CA 95367 1515 SOUTH RIVER ROAD•W.SACRAMENTO, CA 95691 <br /> 209.883-8181 •EPA#CAL000190816 916-371-5747•EPA#CA0044003556 <br /> MPC(10,2804) <br />