Laserfiche WebLink
q r, <br /> F <br /> WASTE `* AMERICAN VALLEY <br /> s INC. Invoice Number: <br /> P.O. Box 340 Delhi, CA 95315 C <br /> PH, 1-800-732-4645 a FAX 209-668-3880 <br /> EPA#CAL000827878 <br /> IL T ' `' JOB SITE: . .. . _ <br /> Invoice Date: <br /> Phone Customer P.O. Terms',," EPA# <br /> l PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> i CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 933 , <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Drained Used Oil Filters <br /> I <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 I herby certify that I have not mixed any of the waste described above with any other hazardous waste,the total halide content is LESS than 1,000 ppm, <br /> I and the waste does not contain any PCBs.I have complied with the requirementsof the applicable California used oil management regulation to determine this is <br /> true.I agree to accept the additional charges for the disposal of this waste if the information I have provided about this waste is incorrect. <br /> Generator's Certification:By signing I certify that if I am a large quantity generator,I certify that I have a program in place to reduce the volume and toxicity of waste <br /> generated to the degree I have determined to be economically affordable and that I have selected the practicable method of treatment,storage,or disposal currently <br /> available to me which minimizes the present and future threat to human life and the environment:Or,if I am a small quantity generator,I have made a good faith <br /> j effort to minimize my waste generation and select the waste management method that is available to me that can afford. <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)to the generator <br /> that their waste has been transported to a licensed treatment or transfer facility.'; <br /> GENERATOR/ <br /> DRIVER AUTHORIZED <br /> SIGNATURE: DATE:: SIGNATURE: DATE: <br /> P"'POSAL/ RECYCLING FACILITY <br /> t JK-DIXON Q CFR Q UNITED ENTERPRISES CORP <br /> 7300 CHEVRON WAY 2035 E.15TH ST. 11190 PENROSE ST. <br /> DIXON, CA 95620 LA,CA 90021 SUN VALLEY,CA 91352 <br /> 707-693-6008 213-746-0237 818-787-2649 <br /> EPA#CAT080012602 EPA#CAL000270577 EPA#CAL000379059 <br /> MPC(612013) <br />