Laserfiche WebLink
AMERICAN VALLEY 211886 <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: JOB SITE: L•EL i I FA .hdgt3 �O)Ie Y OI- `"tflvoi ec Da et <br /> 5 U.1E YEii�4;:f r.rl P 5t5it l'.tirLEMAIr <br /> Phone Customer P.O. Terms -' <br /> ztt nM Net 15 Eo <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 /> Compliant Drained Used Metal Oil Filters <br /> Z HAZ'.YASTEPICKUP- AMMONIAVIL <br /> 2 55 GAL UITOP U N CERT STEEL RE 2 <br /> FACILITY FUELSURCHARGE <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 /> Sy allying I herby certify that I have not mixed any of the waste described above with army other hazardous waste,the total halide content Is LESS Man 1.000 ppm,and the <br /> waste does not contain any PCBs.I have complied with the requirements of the applicable California used dl management reputation to determine this is true.I agree to <br /> accept the additional charges for the disposal of this waste If the information I have omitted About this waste is Incorrect. <br /> Generator's Certification:By signing I certify that if I am a large quantity Ifforetoo I deify Nat 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 practessuble method of treatment,storage,or disposal currentty available to me <br /> Which minimizes the present and future threat to human life and the environment:On If I am a small quantity genemtoc 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 011 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 she more stringent requirements applicable to hazardous west.management facili- <br /> ties.California facilities that handle or process used oil are required to meet those more stringent requirement,and some out-of-state fadlittes that process used All alsomeat <br /> those requirements,enginaedng certifications W tank int.grity,and financial assurances for closure and Occidental releases.It is lawful to send used oil to out of state facilities <br /> that comply only with fademl used oil management standards and rim these more Stringent requirements. <br /> Thus notification Is for Information purposes AOI,. <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 /> GENERATOR/ <br /> DRIVER - AUTHORIZED /' (J <br /> SIGNATURE. DATE: '/ SIGNATURE: DATE:" �. ! —/ <br /> DISPOSAL/ RECYCLING FACILITY <br /> O DK-DIXON O ASBURY ENVIRONMENTAL O RIVERBANK OIL TRANSFER O YUMAYES LLC O AMERICAN VALLEY <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD. 6500 US HWY 95 WASTE OIL,INC. <br /> DIXON,CA 95620 CERES,CA 95368 RIVERBANK, CA95367 YUMA,AZ 85365 97674TH ST.#13 <br /> 707-693-6008 209-541-1825 209-863-8181 928-344-9828 DELHI,CA 95315 <br /> EPA#CAT080012602 EPA#CAL000393680 EPA#CAL000190816 EPA#AZR000521146 209-667-8857 <br /> EPA#CA000469438 <br />