Laserfiche WebLink
Jan 2413 10:19a American Valley Ste Oil 2*68-3880 p.1 <br /> AMERICAN VALLEY 98587 <br /> WASTE OIL, INC.. Invoice Number: <br /> r� <br /> P.O. Box 340 • Delhi, CA 95315 <br /> PH.1-800-732-4545 0 FAX 209-668-3880 <br /> CAL000827878 <br /> O <br /> BILL TO: JOB SITE: In Ciel Date: <br /> SODEXO SODEXO <br /> 7679 S.LONGE 7679 S.LONGE <br /> STOCKTON,CA 95205 STOCKTON,CA 95205 <br /> Phone Customer P.O. Terms EPA# <br /> 209-456-6541 SHEIKH I I Net 30 Dal Ali <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oii/Mixed Oilsf223 <br /> S75 <br /> NON-RCRA Waste Liquid Used Antifreeze <br /> NON-RCRA Waste Liquid Used Oily Water <br /> NON Hazardous Waste Liquid <br /> Trinity Heavy Duty premixed Antifreeze <br /> Trinity Extended Life premixed Antifreeze <br /> Trinity Case Goods, <br /> Trude Wash Out <br /> Truck Time <br /> TERMS: Invoices over30 Daysare subject to a 1.5%service charge. Customer agrees to pay all legal tees i1 court action TOTAL <br /> becomes necessary to Collect this irlvoice. <br /> By signing I herby cert ly that I have not mixed this waste with any other waste,that the total halides are less than 1000 RPM:and tha the waste does not <br /> ,."lain any P.C.B's. I further agree to accept the additional charges for legal disposal 6 the waste Is over 1000 P.P.M.total halides,or contains any P.C.B's <br /> Generator's Certification: By signing I certify that I have a program in place to reduce the volume and toxicity of hazardous waste generated to the oeg'as I <br /> have determined to be economically practicable. <br /> By both parties signing this involve It will serve as an agreement that American Valley Waste Oil witl submit confirmation for(certain waste streams; to the <br /> generator that their waste has been transported to a licensed treatment or transfer facility <br /> American Valley Waste Oil hereby advises the above Generator the Generators shipment of used oil may be transported taa facility,that is required to comply <br /> with tedera regulations applicable to managgement of used oil,but that is rx#required to comply Wllh the more strirs. I requlremerps applica and <br /> to hazardous <br /> waste management lacirlies.Calrbrnla feclli6es that hantlle or process used oil ora reeqquired td meet those roore.,stringerrt rlal as ur n assurances <br /> and some out and <br /> state facilities that process used oil also nu:et those requkemeMs, engineering certinlvatfore of to lnteg'I end hrtarlt s assurances nor closure and <br /> accidental releases.It Is lawful to send used oii to out•of-state tadlklea that comply only with fe re�u�ed�I management standards and not these more <br /> stringent,requiremenls. f <br /> This"vli�iratlon is for information purposes only r' <br /> GENERATOPo <br /> DRIVER :AUTHORIZtD <br /> SIGNATOR DATE' 51GNA1URE: ° ' I <br /> O NAME: DISPOSAL / RECYCLING FACILITY <br /> ADDRESS: DK-DIXON . O RAMOS ENVIRONMENTAL SERVICE <br /> cirrsr, 7300 CHEVRON WAY 1515 SOUTH RIVER ROAD <br /> DIXON,.CA 95620 W.SACRAMENTO, CA 95691 <br /> PHONE: 707.693.6006 i 916.371.5747 <br /> . EPA 9 CATOODDIP02 EPA a CAD044003556 <br /> EPAC <br /> MPC(4201 e) <br />