Laserfiche WebLink
A mERTCAN VALLEY 179877 <br /> WASTE ® IL, INC . Invoice Number: <br /> P.O . Box 340 • Delhi , CA 95315 <br /> PH . 1 -8004324645 t FAX 209-668-3880 <br /> EPA# CAR000272302 <br /> BILL TO : EAST DAY CLARKLIFT-CHM JOB SITE: EAST BAY CLARKUFT a Invoice Date: <br /> 4701 OAKPORT ST 1813 MOFFAT BLVD <br /> OAKLAND, CA 9460149M MANTECA, CA 95938 <br /> i Phoneeggs 8887 ,y�1 Customer P.O. Terms EPA# <br /> 060tow CAL000 M27 <br /> i PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST r_ jANT(TY PRICE AMOUNT <br /> CODE - <br /> NON RCRA Waste Liquid Used Oil/Mixed Oils 221 _ <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON -RCRA Waste Liquid Used Oily Water 223 <br /> Compliant Drained Used Metal Oil Filters <br /> t , <br /> OIL COLLECTION FEE <br /> I <br /> i <br /> 6 <br /> TERMS : Invoices over 30 Days are subJact to a 1 .5% service charge. Customer agrees to pay all legal fees it court action TOTAL <br /> becomes necessary to collect this invoice. f f . 2 S <br /> i By signing t herby certify that I hays not mixed any of the waste described above with any other hazardous waste, the total halide content Is LESS than 1 ,000 ppm, and the <br /> 4 waste does not contain any PCBs. I have complied with the requirements of the applicable California used oil management regulation to determine this Is true. I agree to <br /> (€ accept the additional charges for the disposal of this waste If the Information I have provided about this waste Is Incorrect, <br /> Goneratoes Certification: By signing I certify that N I am a large quantity generator, I certify that I have o program In dace to reduce the volume and toxicity of waste genemt- <br /> ed to the degree I have determined to be economically affordable and that 1 have selected the practicable method of treatment, storage, or disposal currently available to me <br /> which minimizes the present and future threat to human Ile and the environment: Or, if I am a small quantify generaim,, I have made a Good faith effort to minimize my waste <br /> generation and select the waste management method that is available to me that I can afford. <br /> American Valley Waste Oil hereby advisas the above Generator that generators shipment of used oil may be transported to a facility that Is required to comply with fodarat <br /> regulations applicable to management of used oil, but that Is rot required to comply with the more stringent requirements applicable to hazardous waste management facill- <br /> Pies California facilities that handle or process used oil are required to meet those more stringent requirement, and soma out-of-state facilities that process used oil also meet <br /> those requirements, engineering certifications of tank integrity, and financial assurances for closure and accidental releases, It Is lawful to send used oil to out of state facilities <br /> that comply only with federal used oil management standards and not these more stringent requlroments. <br /> This notification is for information purposes only. <br /> By both parties signing this Invoice ii will serve as an agreement that American Valley Waste Olt will submit confirmation for (certain waste streams) to the generator that their <br /> waste has been transported to a licensed treatment ortransfer facility. <br /> GENERATOR! <br /> OniV"cR ; AUTHORIZE <br /> Cw 11 <br /> DATle a SIGNAj ' DATE 3 <br /> DISPOSAL / RECYCLING FACILITY <br /> O DK-DIXON (3kASBURYENVIRONMENTAL O RIVERBANK OIL TRANSFER 0 YUMA YES LLC p AM5RICANVALLEYWA8TF0iL. INC <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD. 6500 US HWY 95 521 INDUSTRIAL DR STEM <br /> DIXON, CA 95620 CERES, CA 95358 RIVERBANK, CA 95367 YUMA, AZ 85365 LIVINGSTON, CA 95334 <br /> 707.693.6008 209.541 -1825 209.863.8181 928.344.9828 209-667-8857 <br /> EPA# CATOBOO12602 EPA# CALOD0393680 EPA# CAL000190816 EPA# AZR000521146 EPA# CAL000443004 <br /> MPG (712016) <br /> I <br /> i <br /> I <br />