Laserfiche WebLink
4 AMERICAN VALLEY 160306 <br /> WASTE OIL, INC. invoice Number: <br /> P.O.Box 340•Delhi,CA 95315 <br /> PH.1-800-732-4645•FAX 209-668-3884 <br /> EPA#CARD00272302 <br /> r <br /> N85TRACTtiF2 N&5TRACTQ4 <br /> BILL TO: P.O BOX 910 JOB SITE; 1340W.CHARTER WAY Invoice Date: <br /> MERGED,CA 95341 STOWON.CA 95206 <br /> Im OIL <br /> Sakes Rap <br /> Phon1209-944.550013RANDON jCustorneTRO. Term%i30Days EPAOCALOW2564oB <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTrrY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used OivMixed Oils 221 <br /> NDN-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Drained Used Oil Filters <br /> QIL MEEECT1019 FEE q,5 co <br /> SnIfta Toy <br /> TERMS:Irrvoleea aver 30 Days ora Subiec!to a 1,540 servlca darpo.Customer agrees fo past ab foga!feta K court action TOTAL <br /> becomes necessary to antlecl anis imofoe. <br /> By signing iherby cart f Irwn I havencl mixed any of Hie waste daeorfbed above with arty carer hesardam waafe.the total halide portent to LESS than 1x00 ppm,and the <br /> waste does not contain ars PCBs.I have axnpk d with the requknmentsof the apprtcable CaFronM used o4 management ro9Neflan todaloalke this istnre.I agm to <br /> accW She addltoml clwgea far the cimpo"of this waste If the Worrnatlon i have provided about thio waste 4 kworrecl. <br /> Gonerofor's Certiflcatkn:By alghing I certify that e f am a w"quja ft generale.I comity that f have a program tri piece to reduce the wrume and Wxkky of waste perwat- <br /> ad to the degree I have detemnlned to be economlraty affordable and that i have saleetod the praetkable method of IreaWtenL storage,or disposal curraltlyavaeeblo to me <br /> wtkh mk*nlm the present and ktum Caeat to hmpm We and the emkonmenC Or,H I am it and quanley generator.F have made■Good With effort to miMaltta my waste <br /> generation arld select the waste management method that is evapahie to me thal I can afford <br /> American Valley Waste Qd hmahy adwee the above Generator Stmt Werataa shlbrml ol uaad all may be trarnparted 10 a tWity that Is required to ramgaiy vnth federal <br /> rep Asbo as applicable to rnsnagwwa of wed oe,but that 0 not required to coapts wHh the more sb*gW reaAremerta aNlIcable to hexardow waste marraga ortt tadl- <br /> tke.CAlternla fecaeles Ihat hafdk of process Mod G7 ere required to meet Thom more suirob t rowaf nC and morm out-et-state teat""that proceea used aI also meal <br /> Moa&reM*ernerlte,engkleertng cml cations of tank irlsegdty,and Ifrtnr4ol assuraraaes for closure and ecddental releases.it Is lvw 1b send used oil to out of state W10as <br /> that comply orty with#Idem!wed W mmiagemomt stao""and rot theca mac etrkhgent requirements. <br /> This notilkalioe H for Wornmko purpoese ony. <br /> By both par#a3 aigft this kwofce It wA servo as an agreement that Anheecan Vshay vylsou oo via subm"Conikmaum for[certain waste sitcoms]to the ganarwor that their <br /> waste hes been transported to a scansed tresanart or transfer tatiity. <br /> GENERA <br /> DRIVER AUTHORIZED <br /> s GNATURE: DATE: SIeNAi URE: DATE: <br /> ❑DK-DIXON BY ENVIRONMENTAL O RIVERBANK OIL TRANSFER Q CFR 0 GLOBAL MATERIAL MGMT <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLANS RD, 2435 E.15TH ST. 1648 N.BROADWAY <br /> DIXON.CA 95520 CERES,CA 95358 RIVERBANK,CA95367 LA,CA f1D021 STOCKTON.CA 95205 <br /> 707-693.6006 209541-1825 209-863-8181 213-746-6237 818.770.2577 <br /> EPA#CAT080012602 EPA#CAL0003936M EPA#CAL080190816 EPAP CAL000270577 EPA#CAL000417316 <br /> UPC rfrmlal <br /> j <br />