Laserfiche WebLink
May 2411 '2:24p Julie Huber 2C' '"W r,4 <br /> u <br /> AMERICAN VALLEY~ 86330 <br /> WASTE OIL, INC. Invoice Number: <br /> P. O. Box 340 - Delhi, CA 96315 <br /> PH. 1-800-732-4645 - FAX 209-66?-aa60 <br /> EPA. CA6000327M <br /> Tri Date: <br /> BILL TO: JOB SITE: �o1w / <br /> 21� ( Ly cA <br /> Qs <br /> I PhoneCustolrer P Payment Terms EPAk <br /> 24D <br /> I PRODUCT SHIPPIN3DESCRIPTION WASE MANIFEST QUANTITY � PRICE AMOUNT <br /> CCD <br /> I;rS_D OIL NO RCRA HAZARDOUS I <br /> 221Zi I t <br /> If c LIQUIt` cr <br /> -D AUTOMOTIVE ANTIFREEZE, NON <br /> 'PC?A HAZARCOUS WASTE LlGUIC 343 <br /> OILY WATER. NCN RCRA.HA.2ARDOUS <br /> *WASTE LIQUID <br /> i '221 <br /> jTRINTY HEAVY DUTY PREMIX <br /> PI .cCY�LEDANT!�REEZE I NlA <br /> I� —i <br /> NON HAZARDCUS`HASTE 0OU L) <br /> I <br /> `TRUCKTiME N/A i <br /> GRZASWEEP NIA t1 <br /> II1 T —1 <br /> 1 Me' racy c�n;'y that 1:nave not m:zBe this wase with any etnar waste,the the total ba;dw are less t.-.1000 ,and tl <br /> tine waste does not mn:ar.any P,C.ii I futwragree to accept the adctil charges ter egeidI it <br /> I= aie peer IOTA � a <br /> t =PF.V.Total�eiides menta= s ?.C.B's. <br /> i DRiVeF GENERATOR AUTHOK <br /> SIGNATURE SIGNATURE/SIGNATOR <br /> I TERUS::NVOIC= OVER 0 AYS ARP SUBJECT TO A 1.5%SERVICE CHARG.E',CUSt0M REE O ' ECA EES IF <br /> COURT. ACTION BECOMES 14ECESSARV TO COT I FCTTHIS INVOICE. <br /> American:'aECy i.Nasia Oii hereey eovisas the above(3errleralor the Gararatars shipnlBnt of d1 may ba tr�.nsponed b a lagliry tltat is required to convey <br /> wilt:tecemi ragulsacr:s ePpl'aeda to r..anngamert 7f use^_oil,but diet is n0f 'ad to wi ha mere aaPgerd raquirerrshts applicaple to haza•mus <br /> I Naha meregement 1BCIY:ea.c;ai.fom�5 tacit t;elft lwil ar process UeB I of ate r 1 rad tV nhep Ose mor tyrrant'Al and soma=of- <br /> state 4cillses that Process Used Oil also meat 1I1Ce6 roqui:art..., snginaenng Ga IA,� s et tarda ipgrny d firtanclal aasyssnas 1cr rxpsure and <br /> , aeckBn.zi rWeasa ;is laedul erhd used it tv out•cf•staie face lfisa 6t:=Ply 4.ly V1 sdera - plI ari ameri standards anE not tins"more <br /> Stllllgpnt le<IJIi P: <br /> -his notfitar;cr.a io !r to, urpoyes orry" _� f7 <br /> i Orne•sy�^.aa Oats/ GBneratcr sign Dae �O v <br /> By slgn;ng the it th rera'pr cartifea that ire generator hl estatrishatl s program o r ting me a quantity tutu tcz:;t of the hazardous <br /> waste to shed ree,zs d rm;neo by'he genera%r,to to eccrcmicalh•practicade. <br /> Ey for parties Siyning the inm i0a it w:l serve as in agreement the!Ampricon Vailigilr7Ad ns'for foertaln wa�^�tO st' 13�`,ytoo Ill Tan to <br /> *.hat thBlr was.o nae 0een trans tined io a 4unse lretinent of transw fzdi:iq. ([-�,,�� U" J / Lady <br /> CDiSESAL! RECYCLING FACILITY � �7q$j�'Q/Z <br /> RVERSANK OiL"R-Mill Gr� ENVIRONNE'�TAL SERVIC'eS . <br /> 63X CLAUS ROAD•ANEREANK,CA £5367 1515 SOUTH RIVER ROAD•W.SACRAMeNTC,CA e5691 <br /> L _ 2oa-863"ales• EPA B CAL003+91 916-1,71-5747•EPAN CAD044CC3656 <br /> Ll 'd ILhE 'IN UiVdSIO WbWOl 1101 '8 '°"f <br />