Laserfiche WebLink
,. , ERICAN VALLEY 170953 <br /> WASTE ® IL, INC . Invoice Number; <br /> y / z 0 <br /> (� f o A U t e CPH. 1P. . Box 340 • Delhi , CA 95315 <br /> /1 -8O0 EPA# CAR0002768-3880 <br /> 2302 <br /> Q Z EAST BAY CLARKLIFT-CHM EAST BAY CLARKLIFT �� <br /> BILI, TO: <br /> 4701 OAKPOR7 ST JOB SITE: MAN MOFAFT 963D36 Invoice Date; <br /> OAKLAND, CA 946014946 <br /> 1 sties Rep ; <br /> — _-- m — - - _ ms CALOD0394327 <br /> Phone , �• ustomer P,O. <br /> E <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON -BORA Waste Liquid Used Oil/Mixed Oils � 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 I <br /> NON- RCRA Waste Liquid Used Oily Water 223 <br /> Drained Used Oil Filters <br /> i <br /> E <br /> i <br /> _ .. SALES TAX - <br /> _ — - -- <br /> TERMS: Invoices over 30 Days are subject to a 1 .5% service charge, Customer agrees to pay all legal fees K avert action TOTALr �' <br /> Yecomes In to eolfact this invatce. <br /> By sign(ng i trarby certify that t have not mixed any of the waste dascAbed above with any other hazardous waste, the total halide content is LESS Ihan 1 ,000 ppm, and the <br /> oasts dose not contain any PCBs. I have complied with the requlrementa o the app kabfe Californ a used ell management regulation to determine this is We. I agree to <br /> accept the additbnal charges for the disposal of Ws waste if ttw mfarmatkn I have provided about IN waste is incorrect. <br /> Generetor s Certficatlon: By s lining I ce lily the If I am a largo quantity generator I certify that 1 have a program In place to reduce the volume and toxicity of waste general• <br /> ed to the degree I he <br /> determined to be econcxnicelly agorclabte end that 1 have selected the practkable method of treatment, storage, or disposal currently available to me <br /> which minimizes the present and future threat to human fife and iIta environment: Or, it I am a email quantity generator, I have made a Good faith effort to minimize my waste <br /> genaration and select the waste management method that is avaHab!e to me that I can afford. <br /> n Valley Waste Oil hereby advises the above Generator that generators shipment of used oil may be transported to o facility that is required to comply with federal <br /> regulations applicable to management of used ail, but that is nor required to comply with the more stringent requirements applicable to hazardous waste managamant facfil- <br /> "es. California facilities that handle or process used oil are required to meet those more stringent requirement, and some out-of•stale facfiitiss es that proceused ell also meat <br /> lank integrity, and financial assurances for closure and accidental releases. It Is lawful to send used dl to out of state facilities <br /> those regvxoments, engineering certificetans of <br /> that comply oniywith federal used oil management standards and not these more stringent requirements. <br /> This notification is for information purposes only. <br /> By both parties signing this invoice 11 will serve as an agreement that American Valley Waste Oil will submit confirmation f�v::lcertain waste streams) to the genaratorthat their <br /> waste has been transported to a licensed treatment or transfer facility. <br /> GENERATOR/ <br /> DRIVER / <br /> AUTHORIZED <br /> SIGNATURE. ✓" DATE: y 951GNATURE _ DATE: / / Yf <br /> DISPOSAL I BE T <br /> 0 DK-DIXON ASBURY ENVIRONMENTAL O RIVERBANK OILTRANSFER O CFR Q GLOBAL MATERIAL MGMT <br /> 7300 CHEVRON WAY 1920 MORGAN RD, 5300 CLAUS RD. 2035 E. 16TH ST, 1640 N. BROADWAY <br /> DIXON, CA 95620 CERES, CA 95358 RIVERBANK, CA 95367 LA, CA 90021 STOCKTON, CA 95205 <br /> 707.693008 209-541 -1625 209.863-8181 213-748.0237 816770.2577 <br /> EPA# CAT080012602 EPA# CAL000393660 EPA# CAL00019D816 EPA# CAL000270577 EPA$ CAL000417316 <br /> _—.--.. MPC (7@af B) <br />`t <br />