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HOLLY
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2421
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3500 - Local Oversight Program
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PR0545285
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Entry Properties
Last modified
2/3/2020 12:37:25 PM
Creation date
2/3/2020 11:47:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
WORK PLANS
RECORD_ID
PR0545285
PE
3528
FACILITY_ID
FA0006068
FACILITY_NAME
PALADIN MILEAGE CENTER
STREET_NUMBER
2421
STREET_NAME
HOLLY
STREET_TYPE
DR
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
2421 HOLLY DR
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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AMERICAN VALLEY 27248 <br /> AEcYCLE WASTE OIL, INC. Invoice Number: <br /> t P. 0. Box 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA. CAL000827878 <br /> Invoice Date: <br /> BILL TO: JOB SITE: 7 <br /> sEhf'L.-`'_T <br /> ���i`IE L�'t AVE <br /> �UIT <br /> y'] .5: isi r� <br /> Phone Customer P.O. Payment Terms EPA# <br /> Oo. �a.�5C8 ire* 30 Days <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 /> NON HAZARDOUS WASTE LIQUID _ � '7 7`' <br /> TRUCK TIME NIA <br /> GREASWEEP NIA <br /> HALOGEN TEST NIA <br /> SLUDGE, NON-RCRA HAZARDOUS <br /> WASTE LIQUID NIA <br /> TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TO A .5% SERVICE CHARGE. CUSTMER <br /> TO PAY ALL LEGAL FEES F COURT ACTION B COMESINECESSARY TO COLLECT THIO INVOCE.EES TOTAL <br /> DRIVER1 GENERATOR A <br /> SIGNATURE �'. SIGNATURE <br /> By signing the invoice the generator certifies that the generator has established a program to reduce the volume or quantity <br /> and toxicity of the hazardous 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 <br /> waste streams) to the generator that their waste has been transported to a license treatment or transfer facility. <br /> DISPOSAL / RECYCLING FACILITY <br /> O RIVERBANK OIL TRANSFER O RAMOS ENVIRONMENTAL SERVICES <br /> 5300 CLAUS ROAD 1515 SOUTH RIVER ROAD <br /> RIVERBANK, CA 95367 W. SACRAMENTO,CA 95691 <br /> CAL000190816 916-371.5747 <br /> CA0044003556 <br /> MPC(1!027 <br />
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