Laserfiche WebLink
k y <br /> AMERICAN VALLEY 19917 <br /> WASTE 01L, I�C. Q �. 1 Z313: Invoice Number: <br /> P. 0. Box 340:, Delhi, CA 95315VIRN1` <br /> PH. 1-800-73244645. • FAX 2;097668-3$80' <br /> EPA4 CAL000827878 r/ -z <br /> BILL TO: 608 ALIFN JOB SITE; BOB ALUM <br /> 2904 BEYER LN, 2D04 B � LN. Invoicc Date: <br /> SFOWON,CA 96201 STOCKTON,CA 96201 <br /> Sdoo Rep. st <br /> Phone Custorher P.O: rm,s EPA# <br /> 209-9313535 BOB Net 30 Dep <br /> PRODUCT'SHIPPINC DESCRIPTION MANIFEST QUAN PRICE ,' rtd�]T`L <br /> WASTE „ <br /> CODE �r �- <br /> 4 yQ' =,'. <br /> NON-RCRA Waste Liquid U�-ed Oil/Mixed Oils 221 • �, <br /> NOWRCRA.Xl t. Liquid Used Antifreetie 133 <br /> NON-RCF Waste Liquid iYsed Oily,Wtif pr 223 <br /> Draine•' Used O1� `;filters <br /> 1 � �:� 1• : 1 �r� .1 ill t{ k_.., <br /> TERMS:•Invoices over 30 Days a(e subject tb a 1-6 o servic :cli te:"CUst® iY agree? ,t payaII legal.f$es d court eict(ott' TOTAL o <br /> becomes nec'eSsary to collect thrs�;hVoice: r 6' ,� ry <br /> By sigrlmg I herby cel'tify that I gave not mixed an iNa escr t d abo�/e''w 'any o`the,-azardaus�ha`ste the total hif9efcoxt16r, is L-ss tAan 1000 pjYcn �' <br /> and the waste does not cc n any PCBs.I have co q�2d4 6 ke reg fxementsof the applicable California eised oil.rrrahagement regulation to determine this i,5-. ,r <br /> true.l agree to accept the,additional charges`or the i�(b,a'I o 4his waste if.the informatidn I have providedabout th+s<waste is)ncorrect: <br /> Generators.Certlfrcation:By sighg certi that am a large_quarrti''y generator,l certify that I have a program in place to reducethevolume andtoxiuty of.waste <br /> generated to the degree I have determines_o be micailyraffci',, and that I have selected the practicabtemeth8d of treatipent,storage.6 d#sposaf Wrreptly r <br /> r'r <br /> available to,me-which minirrmizes the presf and r,�sthrea”ic,human life ands he environment:Qr,if I am a small q�i8htlty generator;f have made a gobdfa=tM <br /> effort to-minimize my waste generation 4'd lieCt thAe aste., a6agenient'method that is available to me that 1.can afiford <br /> f �+r t <br /> r By both par..ties signing Skis inVoi«e it w l servey,5tt aireenienfY hat Artlenc rl Valley Waste:0 i1 will-submit corifirmabgp for(serf i�waste stream5).to thegerieral r r <br /> that their waste,has been tiansjiortedo-a licenses treabmentor_transfec`facihty.' i <br /> - GENERATO. <br /> DRIVERAle L" AUTHORIZE <br /> SIGNATURE: DATE:;`_ SIGNATURE:: .I/ DATE: <br /> DISPOSAL / RECYCLING FACILITY. Ak <br /> O DK-DIXON O CFR 01�NITED ENTERPRISES CORP <br /> 7300 CHEVRON WAY 2035 E. 15TH ST. 11190 PENROSE S.T. <br /> DIXON, CA 95620 LA,CA 90021 SUN-VALLEY, CA 91352 <br /> i - '. 0237 -- -81-8=787=2649 <br /> EPA#CAT080012602 EPA#CA•L000270577 EPA#.CAL000379"059 � � *' <br /> =y:J <br /> ` _ - `;MPC(6/2013).. <br />