Laserfiche WebLink
Aug 03 17,02:47p p.3 <br /> AMERICAN VALLEY 153558 <br /> WASTE OIL, INC. Invoice Number: <br /> P.O. Box 340• Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA#CAL000416714 <br /> BILL TO: G l/ I 1 7 <br /> JOB SITE: <br /> i-- _ Invoice Date: <br /> r <br /> roc„Cr_�?>�� �'�•L 3/ <br /> Phone Customer P.O. Terms <br /> EPA# <br /> ' .2G e F-OGZ <br /> PRODUCT SHIPPING DESCRIPTION <br /> WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 r <br /> NON-RCRA Waste Liquid Used Oily Water 233 <br /> Drained Used Oil Filters <br /> I <br /> TERNS: tnvolces over 30 Days are subject to a 1.59 oorvice charge. Customer agrees 10 Day all legal fees it court action TOTAL <br /> becomes necessary to collect this invoice. <br /> By sgning I herby mrtty that I have rot Tdxed any of the waste descdbeo above wftrr any other hazardous waste,the total halide content Is LESS roan 1,000 ppm,and the <br /> waste does not contain any PCBs,i have complied with the requirements of the applicable California used oil management regulation to detenrdne INS is true.I agree to <br /> accept the additlonal charges for the choosal of this waists if the information I have provided about this waste Is In:orract. <br /> Generator's Certification:By algning I cartity that if I am a large quantity generator,I certify that 1 have a program in place to reduce the volume and:oudcily o`waste generat- <br /> ed to the degree I have determined to be econemicaN affordable and that I have selecteo the practicable method at <br /> of treatment.stcmd <br /> ao,or isposal cumantiy available to me <br /> which memnats the present and future threat?o human Ile and the environment:Or,it I am a small quahttty gerwrator,I have made a Good Fath effortio mirilmim my waste <br /> Generation and select the waste management:method that le available to me tha:I can afford. <br /> American\'alley Waste Oil hereby advises the above Generator that generators shipment of used oll nay be transported to a facility thtal s required to comply with federal <br /> regulations app(Ieable to management of used oil,but that.a not required to comply with the more strtngent reaquirernertCs applicable-o hazardous Waste managexrent faciii- <br /> des.C tlifomia tacilitiea that handle or process used oIt are equired?o meet those rim stringent regu,rement,and some out-of-state facilities that proceae used ci also mem <br /> those requhemems,enginaerha certifications of tank integrity,and financial acsurancos for closure end accidental release:-It is lewhA to send uses oil ho out of state facilities <br /> that comply only w.th federal used oil management standards and not these more stringent requirements. <br /> This nodfication Is for Information purposes only. <br /> By bath parties Signing this Invoice it will servo as an agreement the:American Valley Waste Oil will submit confirmation for(certain was, reams)to the generator that their <br /> waste has been transported to s.Icersed treatment or transfer facility. <br /> GENERA; <br /> DRIVER AUTHORIZ® <br /> SIGNATURE: GATE: G SIGNATURE. DATE: <br /> DISPOSALLI Y <br /> O DK-DIXON arlZBURY ENVIRONMENTAL RIVERBANK OIL TRANSFER O CFRQ CLOBALMATE RIAL MGHAT <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD. 2035 E.15TH ST. 1640 N.BROADWAY <br /> DIXON.CA 95620 CERES,CA 95358 RIVERBANK, CA95367 LA,CA 90021 STOCKTON,CA 95295 <br /> 707$93-6008 707-693-6008 209.863-8181 213-746-0237 818.770-2577 <br /> EPA#CAT080012602 EPA*CAL000393600 EPA#CAL000190816 EPA#CAL000270577 EPA#CAL000417316 <br /> All'p OR718j <br />