Laserfiche WebLink
a ley AMERICAN VALLEY 194881 <br /> VA-Pen WASTE OIL, INC. Invoice Number: <br /> P.Q. Box 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645• FAX 209-668-3880 <br /> EPA#CARO002723O2 <br /> BILL TO: J�?.GIMPLOT JOB SITE: <br /> ATTM RYAN&#--)CK 1P Si L�i Invoice ate: <br /> 18777 HOVLA.ND RD 1 tiTr'�-Ir3viL u t•.�5 RE <br /> iATHROP,CA 9533i�] L.ATHR�P. CA 5S33C1 <br /> Phone Customer P.O. Terms EPA# <br /> tiv�d�a-��11 <br /> 1 lots C'aYS LAI 8Ua1 aGG <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY; PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 2�719F `Lb w ) . <br /> NON-RCRA Waste Liquid Used Antifreeze 133 U <br /> I <br /> NOW RCRA Waste Liquid Used Oily Water 223 <br /> i <br /> Compliant Drained Used Metal Oil Filters <br /> OIL COLLECTION FEE <br /> TERMS: Invoices over 30 pays are subjectto a 1-5%service charge. Customer agrees to pay all legal fees if court action TOTAL i <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 hazanieus waste.the total halide oontenl is LESS Than 1 AKM ppm•and the <br /> Waste does not contain any PCBs.I nave complied with the requirements of the applicable Calffornia used vii management regulation to determine this Is trua,I agree to <br /> accept the additional charges for trio d sposal of this waste ll the information I have provided about th s waste is incorrect. <br /> Generator's Certificatiom By signing I certify that if I am a large quantity generator•f certify that I have a program in place to reduce the volume arld toxicity❑f waste generat- <br /> ad 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 envlronment;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 martagomeru method that is available to me that I can afford. <br /> American Valley Waste Oil hereby advises the above Generator[hut yerierators slnpment of used oil Iay fie(rarisported to a faciIlly!ha[is required to comply with federal <br /> regulations applicable to management of used oil•but than is not requved to comply with the mare stringent requirements appllcahfe to hazardous waste management facili- <br /> ties.California facilities that handle at process used oil are requtred to meet those more stringent requirement,and some out-of-state facilities that process used oil also meet <br /> those requirements,engineering ce riFloatlons of tank integrity.and financial assurances for closure and accidental releases.It is lawful tv send used oil to out of state facilities <br /> that comply only with federal used all managemanr 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]14 the generator that their <br /> waste has been tramp ed tc a Iicens treatment or transfer facility. <br /> DRIVER GENERA R; _ <br /> AUTHORI <br /> NATU r <br /> 51GNATURE '��� DATE, _f•► SIGNATURE, 6ATEIf <br /> DISPOSAL/ RECYW 13 FACILITi' <br /> Q DK-DIXON AS13URY ENVIRONMENTAL 0 RIVERBANK OIL TRANSFER Q YUMA YES LLC 0 AMER[CAN VALLEY WASTE UIL•INC <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD, 6500 US HWY 95 521 INDUSTRIAL OR STEM <br /> DIXON.CA 85620 CERES,CA 95358 RIVERBANK, CAS5367 YUMA,A2 85365 LIVINGSTON,CA 95334 <br /> 707-693.5008 209-541-1825 209-863-8181 928-344-9828 209-667-8857 <br /> EPA#CAT080012802 EPA#CAL000393680 EPA##CAL000190816 EPA#A7R000521146 EPA#CAL000443004 <br /> MPC(7!261 61 <br />