Laserfiche WebLink
AMERICAN VALLEY <br /> WASTE OIL, INC. 1788 0 <br /> P.O. Box 340 • Delhi, CA 95315 Invoice Number: <br /> PH. 1-800-732-4645 - FAX 209-668-3880 <br /> EPA#CAR000272302 <br /> BILL TO: <br /> Po"'*RJOB SITE J/ <br /> r`I`Tl PAl AUTO REPAIR Invoice Date: <br /> rCA 95--.330 <br /> MOFFETT <br /> NIXV7ECA, <br /> Phone <br /> X09-325. 0,8 Customer P.O. Terms <br /> .� EPA# Alk <br /> PRODUCT SKIPPING DESCRIPTION '*`"qt <br /> °Days f:.mAL000168 73 <br /> WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils <br /> 221 <br /> NON-RCRA Waste Liquid Used Antifreeze <br /> 9 33 <br /> NON-RCRA Waste Liquid Used Oily Water <br /> 223 <br /> Compliant Drained Used Metal Oil Filters <br /> OIL COLLEC'I'jo FEE <br /> TERMS: Invoicesover 30 Days are subject to 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 mixed any of the waste described above with any other hazardous waste,the total halide content is LESS than 1,000n s <br /> waste does not contain any PCBs.I have complied with the requirements of the applicable California used oil management regulation to determine this is true. <br /> accept the additional charges for the disposal of this waste if the information I have provided about this waste is incorrect. ppm,and I agree to the <br /> Generator's certification:By signing I certify that if I am a large quantity generator,I certify that I have a program in place to reduce the volume and toxicity of waste generat- <br /> ed to the degree I have determined to be economically affordable and that I have selected the practicable method of treatment,storage,or disposal currently available to me <br /> which minimizes the present and future threat to human life and the environment:Or,if I am a smalluanti <br /> generation and select the waste management method that is available to me that I can afford. q tY generator,I have made a Good faith effort to minimize my waste <br /> American Valley Waste Oil hereby advises the above Generator that generators shipment of used oil may be transported to a facility that is required to comply with federal <br /> regulations applicable to management of used oil,but that is not required to comply with the more stringent requirements applicable to hazardous waste management facili- <br /> ties.California facilities that handle or process used oil are required to meet those more stringent requirement,and some out-of-state facilities that process used oil also meet <br /> 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 <br /> that comply only with federal used oil management standards and not these more stringent requirements. <br /> This notification is for information purposes only. <br /> By both parties signing this invoice it will serve as an agreement that American Valley Waste Oil will submit confirmation f <br /> waste has been transported to a licensed treatment or transfer facility. <br /> ('8ertain waste streams)to the generator that their <br /> a <br /> DRIVER GENERATOR/ <br /> SIGNATURE: ry+'" AUTHORIZED <br /> DATE: �G 4 GNATURE: <br /> -!� <br /> DISPOSAL I RECYCLING FACILITY DATE/r4, <br /> O DK-7300 CHEVRON <br /> �y ENVIRONMENTAL O RIVERBANK OIL TRANSFER <br /> 7300 CHEVRON WAY 1920 MORGAN RD. O PUMA YES LLC O AMERICAN VALLEY WASTE OIL,INC <br /> DIXON,CA 95620 CERES,CA 95358 5300 CLAUS RD. 6500 US HWY 95 521 INDUSTRIAL DR STEM <br /> 707 693-6008 209-541-CA RIVERBANK, CA 95367 YUMA,AZ 85365 LIVINGSTON,CA 95334 <br /> EPA#CA6080012602 EPA#CA1825 3680 209-863-8181 928-344-9828 209-667-8857 <br /> EPA#CAL000190816 EPA#AZR000521146 EPA#CAL000443004 <br /> MPC(7{2016) <br />