Laserfiche WebLink
8 2 <br /> *AMERICAN VALLEY I..- <br /> REGEIVED - WASTE IL, INC. Invoice Number: <br /> P 0, Box 34C - Delhi, CA 95315 <br /> MAY 19 2015 PH. 1-800-732-4645 ® FAX 209-668-3880 <br /> gg"MENTAL CAL000827878 ? <br /> LIONUDAKJS <br /> 011crr4fir-NT <br /> MLL TO: 2D461 MCHENRY JOB SITE: 2507 JONES Invoice Date: <br /> ESCALON,CA 953M ESCALON,CA 95320 <br /> 2M OIL <br /> swes Rw: <br /> FPh5iij Customer P.O. Terms SPA# <br /> :'Rir.F <br /> I <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCIRA Waste Liquid Used Oily Water 223 <br /> NON Hazardous Waste Liquid <br /> Trinity Heavy Duty premixed Antifreeze <br /> Trinity Extended Life premixed Antifreeze <br /> o <br /> Trinity Case Goods <br /> Truck Wash Out <br /> Truck T me <br /> J t action <br /> C)'Jf�t L <br /> TERIVIS: Invoices over 30 Days are subject to a 1.5%service charge. customer agrees to pay all legal tees a court <br /> becomes necessary to collect:his invoice. <br /> halides are less than 1000 P.P.M; d that the waste does not <br /> s. r th waste P.C.E�sot <br /> By signing I herbycertifythat I have not mixed this waste with any other waste,that the total he <br /> contain any P.C.B's- I iurtlip-r agree to accept the additional charges for legal disposal if the wastes over 1000 P.P.M.total halides,, r contains any R.C.6's L/ <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 tnis invoice it will serve as an agreement that American Vailw waste Oil will submit confirmation for (certain waste streams)to the <br /> venerator that their waste has been transported to a licensed treatment or transfer facility. <br /> American valley Waste Oil hereby advises the above Generator the Generators shipment of used oil may be transported to F-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 meel those more stringent requirements,and some out-of- <br /> state fecilities 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 notilicatior is for information purposes only. <br /> G :NEqATOPJ <br /> DRIVER 2/ )AUTHCRIZED I <br /> 7!�Zf <br /> SIC-NATURE: �a7 DATESIGNATURE: AT E: <br /> 0 NAVE: DISPOSAL I RECYCLING FACILITY <br /> ADDRESS: RI DK-DIXON O RAMOS ENVIRONMENTAL SERVICE <br /> 7300 CHEVRON WAY 1515 SOUTH RIVER ROA <br /> C 1 T1'ST: DIXON, CA 95520 W.SACRAMENTO, CA 95691 <br /> PHONE:- 707-693-6008 916-371-5747 <br /> EPA#CAT0300126'12 EPA#CAD044003556 <br /> EPA#: <br />