COMPLIANCE INFO_2019 - Laserfiche WebLink

Home Browse Search

AMERICAN VALLEY 176158 WASTE OIL, INC. Invoice Number: P.O. Box 340 • Delhi, CA 95315 PH. 1-800-732-4645 • FAX 209-668-3880 EPA#CAR000272302 I ;ARALE FARA15 SAPA LE FARMS y � BILL TO: Jrn�,.NIRALY13LVL) JOB SITE: 15bou Iff.JNC,( Invoice Date: I HA Ge,LA 'sb315 '+. I MAG Y bLVL- SI!Jc,1=1'_x:'1,�_4 9Sd16 Phone _.- � ; e Customer P.O. Terms EPA# ,uw'.I . rtv GEkU -e PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT CODE NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 NON-RCRA Waste Liquid Used Antifreeze r223 NON-RCRA Waste Liquid Used Oily Water Compliant Drained Used Metal Oil Filters HAL WA,,I L,H Lib OF AgyitHULN I S MlU ldt f bALtSIA••- TERMS: Invoices over 30 Days are subjectto a 1.5%service charge. Customer agrees to pay all legal fees it court action TOTAL becomes necessary to collect this invoice. By signing I herby certity that I have 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 waste does not contain any PCBs.I have complletl with the requirements of the applicable California used oil management regulation to determine this is true.I agree to accept the makohonal charges for the disposal of this waste if the'nformation I have provided about this waste is Incorrect. Generators certification:By signing I certity that if I am a lame quantity generator,I certity that I have a program in place to reduce the volume and toxicity of waste ganeret- etl to the degree I have detearmed to be economically affordable and that I have selected the practicable method of treatment,storage,or da,sesal currently available to me which minimizes the present and future threat to human life and the envirenment ON it I am a small quantity genemtor,I have made a Good faith effort to minimize my wane generation and select the waste management method that is available to me that I can afford. American Valley Waste Oil hereby advises the above Generator that generators shipment of used oil may be transported to a facility that is requiretl to comply with fetleral regulations applicable to management of used oil,but that is not required to comply with the more stringent requirements applicable to hazardous waste management RAN- ties.California facilities that handle or process used oil are requiretl to meet those more stringent requirement,and some out-of-state facilities that process used oil also meet 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 that comply only with fach rel used oil management standards and not these more stringent requirements. This notification is for information purposes only. By both parties signing this inyetce it will carve as an agreement that American Valley Waste Oil will submit confirmation for(certain waste streams)to the generator that their waste has been transpor�od to a licensed treatment or transfer facility. RIVER7 f GENERATOR/D AUTHORIZED C SIGNATURE: -- DATE: K u 0 SIGNATURE: - DATE: DISPOSAL/ RECYCLING FACILITY 0 DKDIXONO ASBURY ENVIRONMENTAL O RIVERBANK OIL TRANSFER O/YUMA YES LLC Q aMealcae VALLEY WASTE oil,INC 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD. 6500 US HWY 95 521 INDUSTRIAL DR STEM DIXON,CA 95620 CERES,CA 95358 RIVERBANK, CA95367 YUMA,AZ 85365 LIVINGSTON,CA 95334 707-693-6008 209-541-1825 209-863-8181 928-344-9828 209-667-8857 EPA#CAT080012602 EPA#CALOW393680 EPA#CAL000190816 EPA#AZR000521146 EPA#CALaD0443004 MPC(]..'s