Laserfiche WebLink
WMERICAN VALLEY 0 117195 <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#CAL000827878 <br /> /O 3 <br /> BILL TO: SAN JOAQUIN RTD JOB SITE: Inv ce Date: <br /> COUNTS PAYABLE SAN JOAQUIN REGIONAL TRANSIT IST. <br /> ATTN:ACATTN,MAINTENANCE DEPT <br /> P.O.BOX ACCOUNTS <br /> TfX: <br /> STOCKTON, CA 95201 8TO E.LINDSAY KTnN (`A .gACi9OSa•49R <br /> Sides Ron- <br /> Phone Customer P.O. Terms EPA# <br /> Net 30 Das I CAD981675093 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITYkPRlCEAMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 5 �7 /� L <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Drained Used Oil Filters <br /> Y' <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 I have not mixed any of the waste described above with any other hazardous waste,the total halide content is LESSthan 1,000 ppm, <br /> and the waste does not contain any PCBs.I have complied with the requirements of the applicable California used oil management regulation to determine this is <br /> true.I agree to accept the additional charges for the disposal of this waste if the information I have provided about this waste is incorrect. <br /> Generator's Certification:By signing I certify that if I am a large quantity generator,I certify that I have a program in place to reduce the volume and toxicity of waste <br /> generated to the degree I have determined to be economically affordable and that I have selected the practicable method of treatment,storage,or disposal currently <br /> available to me which minimizes the present and future threat to human life and the environment:Or,if I am a small quantity nerator,I have made a good faith <br /> effort to minimize my waste generation and select the waste management method that is available to me that I Can afford. <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 <br /> that their waste has been transported to a licensed treatment or transfer facility. <br /> GENERATOR/ <br /> SIGNATU ��/DATE: AS <br /> SIGNATURE: / // /1 DATE: <br /> r <br /> OSAL / RECYCLING FACILITY <br /> -DIXON O CFR O UNITED ENTERPRISES CORP <br /> 0 CHEVRON WAY 2035 E. 15TH ST. 11190 PENROSE ST. <br /> ON, CA 95620 LA,CA 90021 SUN VALLEY,CA 91352 <br /> 707-693-6008 213-746-0237 818-787-2649 <br /> EPA#CAT080012602 EPA#CAL000270577 EPA#CAL000379059 <br /> MPC(SM13) <br />