Laserfiche WebLink
AMERICAN VALLEY 186435 <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 /> BILL TO: MANTECA VVEDISON AVE MANrECA LIRE 16 -'a3" <br /> JOB SITE: 201 W EDISON AVE Invoice Date: <br /> MANTECA,CA 95336 MANTECA,CA 95336 <br /> 4WKOIL <br /> Phone Customer P.O. <br /> Terms Not 30 Days EPAtAL000010248 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 �(�� �I_7��pY �,� ,-1O 3 ,cc <br /> NON-RCRA Waste Liquid Used Antifreeze 133 �F <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Compliant Drained Used Metal Oil Filters <br /> 6111-COLLECTION FEE <br /> Z TERMS: Invoices over 30 Days are subject to a 1.5%service charge. Customer agrees to pay all legal fees if court action7ae,p <br /> es necessary to collect this invoice. <br /> ning 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 /> does not contain any PCBs.I have complied with the requirements of the applicable California used oil management regulation to determine this Is true. agree d <br /> t the additional charges for the disposed of this waste if the information I have provided about this waste is Incorrect. <br /> to <br /> ator's Certlficatlow By signing I certify that it 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 /> he 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 /> 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 /> tion 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 mare stringent requirements applicable to hazardous waste management facill- <br /> tused oil also meet <br /> ies.California faclllties that handle or process used oil ere required to meet those more stringent requirement,and some out-of-state facilities that process <br /> those requirements,engineering certifications of tank integrity,and financial assurances for closure and accidental releases.It is lawful to send used all to out a state laoilfties <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 is invoice it will serve as an agreement that American Valley Waste Oil will submit confi at for rtain streams)to the generator that their <br /> waste has b transp ed to a li ed treatment or transfer facility. <br /> DRIVER GENERATORI <br /> AUTHORIZEp �t <br /> SIGNATUR ATE SIGNATURE: DATEV <br /> le <br /> DISPOSAL,/ CY G FA ILITY <br /> 0 DK-DIXON ASBURY ENVIRONMENTAL 0 RIVERBANK OILTRANSFER 0 YUMA YES LLC 0 AMERICAN VALLEY WASTE OIL,INC <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD, 6500 US HWY 95 521 INDUSTRIAL DR STE M <br /> DIXON,CA 95620 CERES,CA 95358 RIVERBANK, CA95367 YUMA,AZ 85365 LIVINGSTON,CA 95334 <br /> 707.693-6008 209-541-1825 209-863-8181 928-344-9828 209-667-8857 <br /> EPA#CAT080012602 EPA#CAL0003936BO EPA#CAL000190816 EPA#AZR000521146 EPA#CAL000443004 <br /> MPc(72016) <br />