Laserfiche WebLink
AMERICAN VALLEY 173063 <br /> WASTE DILA INC. Invoice Number: <br /> P.O.Box 340•Delhi,CA 95315 <br /> PH. 1-800-732-4645•FAX 209-668-3880 <br /> EPA#CAR000272302 <br /> EAST BAY CLARKLIFT-CHM OB SITE: EAST SAY AT 13L LIFT <br /> BILL TO: <br /> 4701 OAIQ'ORT ST l 1843 MC9FFT SWD Invoice Date: <br /> OAKLAND,CA 9460149 MANTECA,CA 95336 <br /> G <br /> Phone Customer P.O. Terms A# <br /> 209-465-&987 J ENIF <br /> Sal as lie—P <br /> C.O.D, C4LOOD394327 <br /> PRODUCT SHIPPING DESCRIPTION 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 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Drained Used Oil Filters r� <br /> TERMS:Invoices over 30 Days are subject to a 1.5%service charge. Customer ag regal 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 hazaidare waste,the total halide content is LESS than 1,000 ppm,and the <br /> waste does not contain any PC8s.I have complied with the requirements of the applicable California used oil management regulation to determine this is true.I agree to <br /> accept the additional charges for the disposal of this waste t the information I have provided about this waste is incwrecl. <br /> Generator's Certification:By signing I certify that t 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 eveURIA to me <br /> which minimizes the present and future threat to human Ile 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 select the waste management method that is available to me that I can afford. <br /> American Valley Waste 011 hereby advises the above Generator that generators shipment of used oil may be transported to a facility that is required to comply whh faders! <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 faotl- <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 aocldemal releases.it is lawful to send used oil to out of state facilities <br /> that comply only with federal used Of 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 for(certain waste streams)to the generator that their <br /> waste has been tran G a licensed treatment or transfer facility. O �/ J <br /> GENERATOR! y�/J <br /> DRIVE <br /> SIG URE: DATE DATE: <br /> P FAQIM _ AMERICAN VALLEY WASTE OIL,INC <br /> O DK-DIXON o ASBURY ENVIRONMENTAL Q RIVERBANK OIL TRANSFER 521 INDUSTRIAL DR#M SALMATERIALMGMT <br /> 7300 CHEVRON AY 1920 MORGAN RD. 53DO CLAUS RD. UVINGSTON,CA95334 N.BROADWAY <br /> DIXON,CA 95620 CERES,CA 95358 RIVERBANK, CA95367 - 9.667.8857 )KTON,CA 85205 <br /> 707-693-8008 209-541-1625 209-863-6181 CAL000443004 70-2577 <br /> EPA#CATOBOD12602 EPA#CAL000393680 EPA#CAL000190Bi6 CAL000417316 <br /> MPC(7,20161 <br />