Laserfiche WebLink
AMERICAN VALLEY <br /> WASTE SIL, INC. 181612 <br /> Invoice Number: <br /> P0. Box 340 - Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA#CAR000272302 <br /> BILL TO: JR`SIMPLOT <br /> ATTN;RYAN 11 ]OB SITE: JR SI MP LOT <br /> 18777 HOALAND RE) 10777 HOVVLAND RD Invoice Date: <br /> LATHRO ,CA +95330 LATHROP,CA $SM <br /> Phone 20"58-2811 Customer P.D. <br /> Terms <br /> Net30 Dors EPAd9848148D13 <br /> PRODUCT SHIPPING DESCRIPTION <br /> WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils <br /> 221 <br /> NDN-RCRA Waste Liquid Used Antifreeze 133 <br /> "NON-RCRA Waste Liquid Used Oily Water 223 a .4 <br /> Compliant Drained Used Metal Oil Filters <br /> OIL COLLECTION FEE <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 <br /> becomes necessary to collect this invoice. <br /> By signing I herby certify that 1 have not mixed any of the waste described above with any other hazardous wears,the total horde content is LESS than T,OvO �y <br /> waste does not contain any PCBs.l have comprod with the requirements of the applicable California used oil management accept the additional charges for the disposalg regulation to determine this is true 1 agree ttothe <br /> of this waste if the information I have provided about this waste is incorrect. <br /> Generators Certification By signing 1 certify that if I am a large uanti <br /> ed to the degree 1 have determined t be econamtcalfy affordable and that I rhave otor,selectedJ r ithat I havea Program in abl hod piece to reduce the volume or die and toxicity of waste general- <br /> which minimizes the present and futto me <br /> ure threat to human f fe and the environment: if I t a small quantityof <br /> generation and select the waste management method that is available to me that I can afford. 4 y generator,l have made a Good faith t emilnimize my waste <br /> American Valley Waste ail hereby advises the alcove Generator that generators shipment of used oil may be transported to a facility that Is required to camply 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 faolll- <br /> ties.California facilities that handle or process used oil are required to meet those more stringent requirement,and some out-ef-state facilities that process used oii 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 for{certain waste streamS)to the generator that their <br /> waste has been transported to a licensed treatment or transfer facility, <br /> DRIVER GENERATOW <br /> SIGNATURE. - AUTHORIZED <br /> OAT � �SIGNATURE: <br /> DAT <br /> D! P SAL 1 R CY F ILITY <br /> D DK-DIXON ASBURY ENVIRONMENTAL Q RIVERBANK OIL TRANSFER Q YUMA Y S LLC 0 AMERICAN VAL[FzY WASTE OIL,WC <br /> 73D0 CHEVRON WAY 1926 MORGAN RD. <br /> 7300DIXON, E ON V CERES,CA 55358 5300 CLAUS RD. 6500 Us HWY 95 521 INDUSTRIAL DR 5TE M <br /> 707-693-6008 RIVERBANK, GA 95367 YUMA,AZ$5365 LIVING570N,CA 95334 <br /> EPA#CAT080012602 EPA#CAL000393680 2Dg$63 8181 <br /> 528.344.9828 209-657.8857 <br /> EPA#CAL000190816 EPA#AZR000521146 EPA#CAL00044.3004 <br />