Laserfiche WebLink
AMERICAN VALLE1 <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 /> CAL000827878 <br /> BILL TO JOB SITE: Invoice Date: <br /> CASTLE AUC*AOT11)-., CASTLE AUTOMOTIVE <br /> 2315 N E1. DORADO 315 N,EL DORADO <br /> STC KT*:NI CA <br /> Phone Customer P.O. Terms EPA# <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used it/Mixed Oils 221 <br /> NON-RCRA Waste Liquid Used A r <br /> tifreeze 133 <br /> NON-RCRA Waste Liquid Used Ciily Water 223 <br /> NON Hazardous Waste Liquid <br /> Trinity Heavy Duty premixed Antifr eze <br /> Trinity Extended Life premixed Anti reeze <br /> Trinity Case Goods <br /> Truck Wash Out <br /> Truck Time <br /> TERMS: Invoices over 30 Days are subject t a 1.5%service charge. Customer agrees to pay all legal fees if court action TOTAL <br /> becomes necessary to collect this invoice. <br /> By signing I herby certify that I have not mix d this waste with any other waste,that the total halides are less than 1000 RRM;and that the waste does not <br /> contain any RC.B's. I further agree to accept the additional charges for legal disposal if the waste is over 1000 P.P.M.total halides,or contains any PC.B's <br /> Generator's Certification: By signing I certiN that I have a program in place to reduce the volume and toxicity of hazardous waste generated to the degree I <br /> have determined to be economically practicable. <br /> By both parties signing this invoice it will seive as an agreement that American Valley Waste Oil will submit confirmation for(certain waste streams)to the <br /> generator that their waste has been transported to a licensed treatment or transfer facility. <br /> American Valley Waste Oil hereby advises th a above Generator the Generators shipment of used oil may be transported to a facility that is required to comply <br /> with federal regulations applicable to management of used oil,but that is not required to comply with the more stringent requirements applicable to hazardous <br /> waste management facilities.California facili ies that handle or process used oil are required to meet those more stringent requirements, and some out-of- <br /> state facilities that process used oil also m et those requirements, engineering certifications of tank integrity, and financial assurances for closure and <br /> accidental releases. It is lawful to send usec oil to out-of-state facilities that comply only with federal used oil management standards and not these more <br /> stringent requirements. <br /> This notification is for information purposes nly. <br /> GENERATOR/ <br /> DRIVER AUTHORIZED <br /> SIGNATURE: DATE: SIGNATURE: DATE: <br /> O NAME: DISPOSAL / RECYCLING FACILITY <br /> ADDRESS: O DK-DIXON <br /> O RAMOS ENVIRONMENTAL SERVICE <br /> CITY/ST: 7300 CHEVRON WAY 1515 SOUTH RIVER ROAD <br /> DIXON, CA 95620 W.SACRAMENTO, CA 95691 <br /> PHONE: 707-693-6008 <br /> 916-371-5747 <br /> EPA : EPA#CAT080012602 EPA#CAD044003556 <br /> MPC(4/2010) <br />