Laserfiche WebLink
312-312-02-27- <br /> AMERICAN <br /> /Z31202zAMERICAN VALLEY 1881113 <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#CAR000272302 <br /> MANTEGA TIRE MANTECATIRE y <br /> BILL TO: 201 W EDSON AVE JOB SITE: 207 W ECISONAVE Invoice Date: <br /> MANTE CA,CA 9G336 MANTECA,CA 95336 <br /> 4VUK 014 <br /> Phone Customer P.O. Terms ,.. days EPA�kALU4007Q246 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE ^1 <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 227 a5[( 1,�? az 4 Pit I <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Compliant Drained Used Metal Oil Filters <br /> im c� <br /> TERMS: Invoices over 30 Days are subject to a 1.5%service charge. Customer agrees to pay all legal fees if court action TOTAL 1 Q <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 1,000 ppm,and the <br /> waste does not contain any PCBs.I have compiled 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 If the information I have provided about this waste is incorrect. <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 tot 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 small quantity generator,I have made a Good 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 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 tacill- <br /> tias.California facilities that handle or process used oil aro 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 statefacilities <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 co rmat!on for(cert waste ams)to the generator that their <br /> waste has been transported to a licensed treatment or transfer facility. <br /> GENERATOR! (��� <br /> DRIVER AUTHORIZED <br /> SIGNATURE:I <br /> DATE:3� - DATE: 3-"l <br /> SIGNAT <br /> DISPOSAL/RECYCLING FACILITY <br /> 0 DK-DIXON ASBURY ENVIRONMENTAL 0 RIVERBANK OILTRANSFER 0 YUMA YES LLC AMERICAN VALLEY WASTE OIL,INC <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD. 6500 US HWY 95 521 INDUSTRIAL OR STEM <br /> DIXON,CA 95620 CERES.CA 95358 RIVERBANK, CA 95367 YUMA,AZ 85365 LIVINGSTON,CA95334 <br /> 707-693-6008 209-541-1825 209-863-8181 928-344-9828 209-667-8857 <br /> EPA#CAT080012502 EPA#CALOOD393680 EPA#CAL000190816 EPA#AZROOD521148 EPA#CAL000443004 <br /> MPC(7!2018) <br />