Laserfiche WebLink
AMERICAN VALLEY 49362 <br /> WASTE OIL, INC. Invoice Number <br /> P O Box 340 • Delhi, CA 95315 <br /> PH 1-800-732-4645 • FAX 209-668-3880 <br /> EPA CAL000827878 <br /> r <br /> Invoice Date <br /> IBILL TO. JOB SITE: <br /> AWxtrHCEII 3E0 <br /> 8 37 ',;t f AW UP 1 i i. s s `I'U t3 F I ti t I f 14s %�I <br /> 3rl0(" .T014, 1_.#A t?rrr• I r� fs't'{ + '? <br /> Phone Customer PO Payment Terms 'l _EI'A# <br /> 265--4t,2, 'IJ ^ 'i 5 I+ ! s <br /> \� � .. � l L! <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 /> IOILY WATER, NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br /> TRINITY HEAVY DUTY PREMIX <br /> CYCLED ANTIFREEZE NIA <br /> +N HAZARDOUS WASTE LIQUID - Or <br />' TRUCK TIME NIA <br /> GREASWEEP N/A <br /> 1 <br />' I hereby 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 1 <br /> the waste does not contain any PC B s I further agree to accept the additional charges for legal disposal if this waste is over TOTAL <br /> 1000 PPM total halides, or conta ines any PC B's <br />' DRIVER GENERATOR AUTHORIZED <br /> SIGNATURE , "}" SIGNATURE / SIGNATURE <br /> TERMS INVOICES OVER 30 DAYS ARE SUBJECT TO A 1 5%SERVICE CHARGE CUSTOMER AGREES TO PAY ALL LEGAL FEES=IF <br />' COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE <br /> American Valley Waste Oil hereby advises the above Generator the Generators shipment of used oil may be transported to a 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 meet those more stringent requirements and some out of <br /> state facilities that process used oft 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 1 ' �_ <br /> Driver signed rl Dated r Generatorsigned ��-'I� y,' ,�`rf-�' Dated <br />' By signing the invoice the generator certifies that the generator has established a program to reduce the volume or quantity and toxicity of the hazardous <br /> ,Wastto the degree, as determined by the generator,to be economically practicable <br /> bath parties signing this invoice it will serve as an agreement that American Valley will submit confirmations for(certain waste streams)to the generator <br />' at 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• RIVERBANK, CA 95367 1515 SOUTH RIVER ROAD•W SACRAMENTO CA 95691 <br /> 209 863-8181 • EPA# CAL000190816 916 371-5747• EPA# CAD044003556 <br /> MPC{10/20C <br />