Laserfiche WebLink
Jun , 7 . 2019 3APM FERGUSON FARMS No . 8007 P . 2 <br /> AMERICAN VALLEY ; <br /> WASTE OIL , iM Invoice Number : <br /> P. O. Box 340 Delhi , CA 95315 <br /> ISH . 1 -800=732-4645 • FAX 209-868-3880 <br /> EPAt ` CAR00012723132 <br /> %3•r�`��rr ;� <br /> BII:L T0 ; FEROUSON FARMS )OB SITE: FERGueoNk FARms Invoice Date: <br /> 7436 MEADOW, AVE 14333 W. CLIFTON COUNT RD <br /> STOCK ON, CA 95207 X TRACY BLVD, <br /> 8TOCKTON , (A 95207 <br /> Sales Rep helix <br /> Rhbn Customer P. O. Terms EPA# <br /> W00 ©WS PAL000404807 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRiCE AMOUNT <br /> k PtCODE <br /> NONwHCHA Waste Llquid Used Oil/Mixed Oils 221 <br /> NOWACRA Waste Liquid Used Antifreeze 133 <br /> NON=RCRA Waste,. Uquid .Used Oily .Water 233 <br /> 4 ' <br /> Drained Used Oil Filters11P I <br /> pop <br /> I � WNW <br /> NE T <br /> JUN I ,0 Z19 <br /> ENVIRONMENTAL <br /> HEALTH. DEPARTUNiT <br /> Silas Tett <br /> TERMS : ITtvoices ovdr 30. Days .are 'sublept to a 1 5ice% serycharge; :tustdmQr. agreas to pay all legal fees If court 80ti0n TOTAL. <br /> becomes14 ecessary to colleot•thfs' ttvoio9;, i, '„1 : ' <br /> syslgning I herby cartity that t kava not mixed any of the waste desodbod above with any other hazardous waste, the total halide content Is LCIS than 1 ,000 ppm, and the <br /> waste goes not contain any PCBs, i have pompiled with the roquiramonts•of the sppllcable California used oil management regulation to datormine this is true. I agree to <br /> accept the additional chitrges4pr the disposal of this waste if the information I have provided about this waste Is 'Ineorrect. <br /> generator's dertillcatlow By tighing I ,certIN that if I am a large quantity generator, i cortify that I nave a program in place to reduce the volume and toxicity of waste gsnerat- <br /> ed to the degree I have determined to be economically affordable and that I have soleoted the practicable method of treatment, storage, or disposal currently available to me <br /> which rnlitlmIzes the prflsant and future threat W human life and the environment: Or, if I am a small quantity generator, I have made a Goad faith effort to minimize my waste <br /> generation•and'seloct the waste management method that Is available todtre that I can afford. <br /> American Valley Waste Oil hereby advises the above Generator that generators shipment of.used oil may be transported to a faciiRy that Is required to comply with federal <br /> risgutatiotts appeoatil6ito mahagement of deed oil, butihat Is not required to comply with the more stringent requirements appiloable to hazardous waste management facili- <br /> ties, Callfornia holitiea that handle or.process' used qll are required to moot those more stringent requirement, and some out-of-state facilities that process used oil also meet <br /> those requirements, anginaering certifications of tank Integrity, and finivtolal 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 requirements. <br /> TI)Is notification is for Information purposes only, <br /> Byboth partles signing this invoice it wlil.aervg as an agreement that American Valley Waste Oil will submit confirmation for (certain waste arreams) to the generator that their <br /> waste has been iraneporte to a lipensad!treatment or transfer facility. <br /> r''%`..9'� i GENERATOR/ <br /> DRIVER j , AUTHORIZED �� � / <br /> SIGNATURE: �, rsb. DATE: SIGNATURE: r , DATE: ! : f� ” <br /> DISP035AL LI <br /> 0 DK-DiXON ' ASSURY ENVIRONMENTAL Q RIVERBANK OIL TRANSFER 0 OFR �1 ., ' � 0 GLOBAL MATERIAL MGMT <br /> 7300 CHEVRON WAY 1920 MORGAN RD . 9300 CLAUS RD, 2o35 E. 15TH ST. 1640 N . BROADWAY <br /> DIXQN, CA 85820 CERES CA 95358 RIVERBANK, CA95367 LA, CA 90021 STOCKTON , CA 06205 <br /> 707-893-6008 707*693a6008 209-8634181 213.746-0237 818-770-2877 <br /> j EPA# CAT080012602 EPA#CAL000393680 EPA# CAL000190810 EPA# CAL000270677 EPA# CAL000417316 <br /> n1PC t1I2016> <br />