Laserfiche WebLink
AMERICAN VALLEY 197300 <br /> WASTE OIL, INC. Invoice Number: <br /> P.O.Box 340•Delhi,CA 95315 <br /> PH. 1-800-732-4645•FAX 20M68-3880 <br /> EPA#CAR000272302 <br /> NPIELLA FARM$IN: JOB SITE: RELLA FARMO INC. Invoice Date: <br /> BILL TO: 9261 $$WOLFE RD 9?51 S WOLFE RD <br /> FRENCHCAMP,C.A 955231 FRENGHGAMP,C.A 6a:31 <br /> b Terms EPA# <br /> Phone _ ?1- 1351,i.� ?i4 Customer P.O. C C O GALOQL".0093 <br /> PRODUCT SHIPPING DESCRIPTION MANIFEST QUANTITY PRICE AMOUNT <br /> WASTE <br /> CODE i cox <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 �x�1>y�6' {I6 ,'S J <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 /> OIL COLLECTION FEE e4s.00 <br /> TERMS: Invoices over 30 Days are subject to a 1.501.service charge. Customer agrees to pay all legal fees if court action TOTAL / <br /> becomes necessary to collect this invoice. yLESS oao m,and the <br /> By signing I herby certify that I have not mixed any of the waste described above With an other hazardous waste,the total halide content et determine <br /> than is .I <br /> waste does not contain any PCBs.I have compiled with the requirements of the applicable GatHor t t 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 Cerfficatiom By signing I certify that H I am a large quantity generator,I certiN that I have a program in place to reduce the volume and toxicity of waste le to me <br /> I have <br /> racticable method of <br /> wh ch the <br /> minmzes i have the present and future threat t humlan Jibe and affordable <br /> the environment:or,i selected am the <br /> a small quantity generator,treatment,av made a Good or dfaith effort to minimize my waste <br /> generation and select the waste management method that Is available to me that I can afford. <br /> Am * Iley Waste Oil hereby advises the above Generator that generators shipment of used oil may be transported to a aclIfty tto hazardhat is ous waste management f clill- <br /> rag applicable to management of used oil,but that Is not required to comply with the more stringent requirements applicable <br /> ties.Dallfornia facilities that handle or process used oil are 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 sand used ail 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 /> GENERATOR/ <br /> AUTl10RIZED /L ATE. R1 <br /> RIVER DATE.3-I'�9SIGNATURE: <br /> rS)IGGNATURE. <br /> SAL/RECYC NG FACIL 7Y AMERICAN VALLEY WASTE OIL INC <br /> DIXON SBURY ENVIRONMENTAL O RIVERBANK OILTRANSFER O 6500YUM US S LLG 521 INDUSTRIAL DR STEM <br /> 5300 CLAUS RD. 6500 US HWY 95 <br /> 7300 CHEVRON WAY 1920 MORGAN RD. RIVERBANK CA95367 YUMA:AZ 85365 LIVINGSTON,CA 95334 <br /> , <br /> DIXON.CA 95620 CERES,CA 95358 928.344-9828 209-667•a857 <br /> 707-693-6008 209-541-1825 209-863-8181 EPA#CAL000443004 <br /> EPA#CAT080012602 EPA#CAL000393680 EPA#GAL000190816 <br /> EPA#AZR000521146 <br />