Laserfiche WebLink
' R•Phillips Trur-king,llc 200-948-0840 p,7 <br /> AMERICAN VALLEY 121 <br /> WASTE OIL, INC. Invoice Number: <br /> P. O.Sox 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA#CALOOD827878 <br /> ROBERT PHILL-RS?RK <br /> BELL TO: ROBERT P,1-RLLIPS TRK JOB SITE: *10564 E ADA. Invoice Date: <br /> 40564 E.ADA STOCKTON A 95215 <br /> STOCI CA 95215 X RD:TULSA <br /> Snies Rea: Fdu-K <br /> Phone Customer P.O. Terms EPA# <br /> 20g- gr1?8,q <br /> fie 130 Days CAL000266577 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 22300 <br /> Drained Used Oil Filters FEB P, <br /> E TAL Ham" <br /> pEPARrwml <br /> Sales Tax <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 halite con nt is Ly") an•,9 0 ppm <br /> and the waste does not contain any PCBs.I have complied with the requirements of the applicable California used oil management reg lation L5 dEsterfifRSe 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 certifythat 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,:forage,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 quartity generator,I have made a good falth <br /> effort to minimize my waste generation and select the waste management method that is available tc me that I can afford. <br /> By both partles signing this invoice It will serve as an agreement that American Val;ey Waste Oil will submit confirmation for(certain waste streams)to the generator <br /> that their waste has been transported to a I'censed treatmert or transfer facility. <br /> �^ _ GENERATOR! <br /> DRIVER l�9 ' ��r ASI(at fi,f f y%� '� ✓ f 'DATE: ? Z,_A .. <br /> SIGNATURE: r <br /> DATE):-- <br /> t <br /> DISPOSAL / RECYCLING FACILITY <br /> DK-DIXON 0 CFR O UNITED ENTERPRISES CORP <br /> 7300 CHEVRON WAY 2035 E. 15TH ST. 11190 PENROSE ST. <br /> DIXON,CA 95620 LA,CA 90021 SUN VALLEY,CA 91352 <br /> 707-693-6008 213-745-0237 818-787-2649 <br /> EPA#CA7080012602 EPA#CAL000270577 EPA#CAL000379059 <br /> UPC(5!2013) <br />