COMPLIANCE INFO_2020 - Laserfiche WebLink

Home Browse Search

AMERICAN VALLEY 168389 WASTE OIL, INC . Invoice Number: P. O. Box 340 • Delhi, CA 95315 PH . 1 -800-732-4645 • FAX 209-668-3880 EPA# CAR000272302 �� TO: EAST BAY CLARKLIFT-CHM T�6 EAST BAY cLARF t 4701 OAKPORT ST Icu1813 MOFFAT BLVD Invoice Date: OAKLAND, CA 94601 MANTECA, CA 96335 I I .s �' J Phone 209-465M87JEN1 tst�er PCO, " I" ms C, O.D. EPA# CALOOD394327 PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT CODE NO.N- RCRA Waste Liquid Used Oil/Mixed Oils 221 NON- RCRA Waste Liquid Used Antifreeze 133 NON- RCRA Waste Liquid Used Oily Water 223 Drained Used Oil Filters I i TERMS: invoices over 30 Days are subject to a 1 .5°! service charge. Customer agrees to pay all legal fees if court action TOTAL ! i7 I becomes necessary to collect this invoice. o By eigning I herby ccrthy that I have not mixed any of the waste described above with any other hazardous waste, the total halide content 1s LESS than 1 ,000 ppm, and the waste does not contain any PCBs, I have complied with the requirements of the applicable Calilomia used oil management regulation to determine this Is true. I agree to aWpt the additional charges for the disposal of this waste if the information I have provided about this waste is Incorrect. 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 gennmt- ed to the degree 1 have determined to be economically affordable and that I have selected the practicable method of treatment, storage, or disposal currently 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 effort to minimize my waste generation and select the waste management method that is avellahia to ma that I can afford. American Valley Waste Oil hereby advises the above Generator that generators shipment of used oil may be transported to a facilfl y that Is requked to comply with federal regulations applicable to management of used o0, but that is not required to comply with the more stringent requirements applicable to hazardous waste management faclil- ties. California facilities that handle or process used oil are required to meet those more stringent requirement, and some otn-of-state facilities that process used oil also m5et '..' those requirements, engineering cemifiucatlons of tank Integrity, and financial assurances for closure and accidental releases. " Is lawful to send used dl to out of state facilities that comply only with federal used all management standards and not these more stringent requirements. = This notification Is for Information purposes only. By both parties sighing this invoice It will serve as an agreement that American Valiay Waste Oil will submit contirmatlon for (certain waste streams) W the generator that their waste has been transported to a licensed treatment or transfer facility. GENERATOR/ -- DRIVER I 1 AUTHORIZED .. � f3.SIGNATOR 7 �SIGNATORLDATE j DA / DISPOSAL I BECYG FACILITY ' O DK-DIXON eASBURYENVIRONMENTAL O RIVERBANK OIL TRANSFER O CFR O GLOBAL MATERIAL MGMT 7300 CHEVRON WAY 1920 MORGAN RD. 6300 CLAUS RD, 2035 E. 15TH ST. 1640 N. BROADWAY DIXON, CA 95620 CERES, CA 95358 RIVERBANK, CASS367 LA, CA 80021 STOCKTON, CA 95205 ! 707-693w6008 209-541 -1825 209.863-8181 213.746.0237 818-770.2577 EPA# CATOB0012602 EPA# CAL000393680 EPA# CAL000190B16 EPA# CAL000270577 EPA# CAL000417316 MPC (72016)