Laserfiche WebLink
' AMERICAN VALLEY <br /> RECYCLE <br /> WASTE OIL, INC, <br /> Invoice Number <br /> 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: <br /> I TIC, , v. <br /> Phone Customer PO Payment Terms EPA# <br /> t tt r ,?r L a x <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 /> HAZARDOUS WASTE LIQUID ',r 't <br /> 4E F <br /> J <br /> TRUCK TIME N/A <br /> GREASWEEP NIA <br /> HALOGEN TEST N/A <br /> SLUDGE, NON-RCRA HAZARDOUS <br /> WASTE LIQUID N/A <br /> I <br /> TERMS INVOICES OVER 30 DAYS ARE SUBJECT TO A 1 5%SERVICE CHARGE CUSTOMER AGREES <br /> TO PAY ALL LEGAL FEES IF COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE TOTAL <br /> DRIVER '''`- y.ri ,`° GENERATOR r - - <br /> SIGNATURE - --f4 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 /> I RIVERBANK, CA 95367 W SACRAMENTO, CA 95691 <br /> 209-863-8181 916-371-5747 <br /> CAL000190816 CAD044003556 <br /> I <br /> MPC(5102) <br />