Laserfiche WebLink
7". <br /> ERICAN 1 <br /> VAI,LEY 0 <br /> CEIVE&AMWASTE OIL, (N 1. <br /> Invoice Number: <br /> .f. <br /> APR 15 2014 P. 0. Box 340 a Delhi, CA 95315 <br /> PK 1-800-732-4645 * FAX 20 3-668-3880 <br /> ENVIRONMENTAL HEALTH CAL00082787/8 i -41 <br /> BILL'CO: DEPARTMENT JOB, ,F• <br /> Invoice Date: <br /> VNIAt ER Loo S HE1.L <br /> 43 1 AS AIAT ER L 00 15 WA I UR UX) <br /> STOCKTON,CA q,6206I�X,?iTON, GA �',4620b <br /> 7% <br /> 'J" <br /> Phone Customer P.O. , Terms EPA# <br /> 4 <br /> 20i4-931-3W4 AHMEL) <br /> PRODUCT SHIPPING DESCRIPTION WA MA NIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 33 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> -7- <br /> NON Hazardous Waste Liquid <br /> Trinity Heavy Duty premixed Antifreeze <br /> ——-—--------------------------- <br /> Trinity Extended Life premixed Antifreeze <br /> Trinity Case Goods <br /> Truck Wash Out <br /> Truck Time <br /> TERMS: Invoices over 30 Days are subject to a 1.5°%'.service charge. Customer agrees to f ay al!legal fees f court action TOTAL <br /> becomes necessary to collect this invoice. <br /> By ng I herby certify that I have not-mixed this waste with any other waste,that the to at halides are less than 1000 RRM:and that the waste does not <br /> contain any P.C.B's. I further agree to accept the additional charges for legal disposal if thit waste is over 1000 P.P.M.total halides,or contains any PCHS <br /> Generator's Certification: By sinning I certify that I have a program in pace to reduce tine,olume and toxicity of hazardous waste generated to the degree I <br /> have determined to be economically practicable. <br /> By both-parties signing this invoice it will serve as an agreement that American Valley Wa ate Of will submit confirmation for(certain waste streams) to-the <br /> generator that their waste has been transported to a licensed treatment cr transfer facility. <br /> American Valley Waste Oil hereby advises the above Generator the Generators shipment o! used oil may be trarspor*,ed to a facility that is required to comply <br /> with federal regulations applicable to management of used oil,but that if,not required to cor iply with the more sVingent requirements applicable to hazardous <br /> waste management facilities.California facilities that handle or process used oil are requo ad to meet those more stringent requirements,and some out-of- <br /> state facilities that process used oil also meet those requirements, engineering certifica ions of tank integrity, and financial assurances for closure and <br /> accidental releases. it is lawful to send used oil to out-of-state facilities that o�)rriply Only,v;th federal used oil management standards and not these more <br /> stringent requirements. <br /> This notification is far information Purposes only. <br /> GENERATOa�, <br /> DRIVER AUTHORIZED <br /> SIGNATURE:,'* DATE:l SIGNATURE DATE: <br /> 0 NAME: DISPOSAL 1F ECYCLING FACILITY <br /> ADDRESS: 0 DK-01)ON 0 RAMOS ENVIRONMENTAL SERVICE <br /> CITY/ST 7300 C HEVRON WAY 1515 SOUTH RIVER ROAD <br /> DIXON, CA 95620 W.SACRAMENTO,CA 95691 <br /> PHONE: 707-6S 3-6008 916.371-5747 <br /> EPA#: EPA 4 �AT`080012602 EPA# CAD044003556 <br /> MPC(4rW) <br />