Laserfiche WebLink
P.O. <br /> Box 11520 - Fresno Invoice 33021 <br /> For se,,,,, Ca jj 'ncA 93773 <br /> TransfiDrteru390q (559)2�' 7 <br /> roto EPA IDaCAR000187586 MCP#CA187102 U'S ool1�O9 00031 <br /> NAME <br /> e sposal con7 wwtvall102 <br /> r,.� prom <br /> • ADDRESSr NAME <br /> ' CITY C DDRESS <br /> DATE <br /> (..i•t�S� w`t � A <br /> PO# <br /> CITY <br /> PHONE Q '-1 7 �,� MANIFEST+#c <br /> 2Gl• J� I PHONE <br /> EPA ID# <br /> PLEASE PAY F TRUC#L� 29�Sr6 <br /> ROM THIS INVOICE - DUE UPON RECEIPT 20/� <br /> Used Oi /Oily Water • <br /> • <br /> Tes ee-"Pas /Fail -1 <br /> Used Oil Filters <br /> iAnti-Freeze <br /> Enerl Fuel <br /> Manifest <br /> Trans ortation <br /> Drum Cleanin <br /> The Generator hereby acknowledges that it has the exclusive,legal responsibiltiy to both identify the chemical composition 1 l� <br /> Of all waste and to clearly label each container of waste to be transported. A#valley Disposal,Inc.is not competent to test the !�l <br /> waste tendered for transport and relies exclusively on the representations of the Generator as to the identity of all waste material. IfI hereby certify that I have read and agree to the above <br /> waste matedaf is rejected by the disposal sde because the chemical contents have been incorrectly of inadequately identified,the law understand the obligations of the Generator expressed herein,and <br /> requires that it be disposed of according to State and Federal regulations. Any transportation and disposal costs associated with the expressed and implied authority to enter into this agreement or <br /> rejected waste material by the disposal site shall be the responsfbil[y of Generator and payment shall be due and owing for such Generator.I certify the above amounts and information to be cot <br /> transportation and dfsposaf upon demand by A#Valley Disposal,Inc. The prevailing parry shall be entitled to reasonable attorney fees charge of 1 112%per month(18%per year)will be charged to ac <br /> and costs(/nc/tiding without fimilation expert witness fees)in the event ofany litigation that may arises in relation to this agreementpast due. <br /> Consolidated Manifesting Treatment Agreement Signing this invoice will Important Notice Regarding the Disposal of Your Used Oil Generator acknowledges that it was informed by All Va1V <br /> serve as an agreement between Generator and al valley Disposal,Inc. Thal some or all oil is transferred outside of the Slate of California for recycling.The facilities responsible for recycling are <br /> Confirming that the hazardous waste is transported to an authorized treatment slate in which the recycling occurs, <br /> or transfer facility <br /> Crosby 8 Overton,Inc. <br /> 1016 West 171h Street DeMenno I Kenioon <br /> Long Beach,CA 90813 2000 N.Alameda <br /> CAD044003556 Compton,CA 90222 <br /> EPA#CAT080013352 <br /> EPA#CAD028409019 <br /> SA Recycling Veolia ES Technical Solutions LLC Print Name&Title Signature <br /> 2035 E.15th SL 1704 W.1st Street <br /> Los Angeles,CA 90 1 Azusa CA 91702 <br /> EPA#CAL0003 28 EPA#CAL000209381 <br /> Evoqua Water Technologies Chemical Waste Managmenl <br /> 5375 S.Boyle Ave 35251 Old Skyline Rd. Drivers Signature <br /> Los Angeles.CA 90058 Kedleman City,CA 93239 <br /> EPA#CAD097030993 EPA#CAL0001900816 <br /> World Oil-San Joaquin C Mc nck Waste Landfill WELCOMECREDIT CARDS MASTERCARD <br /> 14287E.Manning Av. 56533 Highway 58 West Card# Name Expiration C <br /> Parlier,CA 9364 McKilldck,CA 93251 <br /> pA#CAL0002 631 <br /> _...r r•A/1TtJ n A Pfc1 COMPLETE <br /> 2 <br />