Laserfiche WebLink
AMERICAN VALLEY 1 .,�F� ; . <br /> WASTE OIL, INC. HECEIVE®oice Number: <br /> P. O. Box 340 - Delhi, CA 95315 <br /> PH. 1-800-732-4645 - FAX 209-668-3880 JUN 0 3 2011 <br /> CAL000827878 <br /> ENVIRONMENTAL H � l <br /> BILL TO: JOS SITE: PERMI /�SERVICES nvoice Date: <br /> EMILS LIQUOR&SPORT EMILS LIQUOR& SPO <br /> 1406 CALI FORNIA ST 1405 CALIFORNIA ST <br /> ESCALON,CA 95320 ESCALON, CA 95320 <br /> i <br /> Phone <br /> Customer P.O. Terms EPA# <br /> 209-480-0693 LINDA � .r?. CAL0002637'3 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 j ' �.� ; �i,.U0 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> NON Hazardous Waste Liquid <br /> Trinity Heavy Duty premixed Antifreeze <br /> Trinity Extended Life premixed Antifreeze <br /> Trinity Case Goods <br /> Truck Wash Out <br /> Truck Time <br /> TERMS: Invoices over 30 Days are subject to a 1.5%service charge. Customer agrees to pay all legal fees if court action TOTAL - <br /> becomes necessary to collect this invoice. <br /> By signing 1 herby 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 the waste does not <br /> contain any P.C.B's. I further agree to accept the additional charges for legal disposal if the waste is over 1000 P.P.M.total halides,or contains any P.C.B's <br /> Generator's Certification: By signing I certify that I have a program in place to reduce the volume and toxicity of hazardous waste generated to the degree I <br /> have determined to be economically practicable. <br /> By both parties signing this invoice it will serve as an agreement that American Valley Waste Oil will submit confirmation for(certain waste streams)tot e <br /> generator that their waste has been transported to a licensed treatment or transfer facility. <br /> il <br /> be <br /> to <br /> that is <br /> to <br /> American Valley Waste a I cable advises the above tom management of used oil�but hats notr the ors requfired oncomply wit of used itth he more st ng ntdrequirem facility s applicable odhazardouls <br /> with federal regulations o pp <br /> waste management facilities.California facilities that handle or process used oil are required to meet those e stringent requirements, and some out-of- <br /> state <br /> ut-o-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 /> GENERATOR' <br /> AUTHORIZED <br /> DRIVERDATE d SIGNATURE: DATE. r!! <br /> SIGNATURE: ! <br /> O NAME: DISPOSAL / RECYCLING FACILITY <br /> ADDRESS: O DK-DIXON O RAMOS ENVIRONMENTAL SERVICE <br /> 7300 CHEVRON WAY 1515 SOUTH RIVER ROAD <br /> CITY/ST: DIXON, CA 95620 W.SACRAMENTO, CA 95691 <br /> 707-693-6008 916-371-5747 <br /> PHONE: EPA#CAT080012602 EPA#CAD044003556 <br /> EPAW <br /> MPC(4/2010) <br />