Laserfiche WebLink
OCT-21-2014 13:00 FROM: T11:12094683433 P.111 <br /> A ~rEFf j,a t �AMEwAN VALLEY 128944 <br /> s WASTE OIL, INC, Invoice Number: <br /> R 0.Box 340 - Delhi, CA 95315 <br /> PH. 1-800.732.4645 a FAX 209.668.3880 <br /> 6-ol'01 EPA#CAL000827878 <br /> BILI TO: 1MARO <br /> 2185WEMONT TOB SITE: 2Ap aO <br /> STOCCTON,CA 95206 1855FRM0� /y v cDate: <br /> STOCKTON,CA 95205 <br /> PhoneSaba Rep American Valley <br /> 209.647-17009HINq Customer P.O. Terms EPA# <br /> C.O.p, CAL000979401 <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 el <br /> Drained Used 011 Filters y/ <br /> ENVI NNIE(y i L H <br /> Tak <br /> TERMS: Invoices tivar 30 Days are subject to a 1.5%service charge. Customer sgroes to pas all�lega sea If court splen <br /> becomes necessaryto collect this Invoice. TOTAL IZri <br /> By signing I herby certify Chet I nave not mixed any of the waste described above with any other haardous waste,the total halide Can Is Lh35 roan 1,OOp <br /> and the waste does not contain any PCBs.I have complied with the requirements of the apollwble California used on management regulation to determine thisis <br /> trge_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 Cerdfieatten: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 this degree I have determined to be economically affordable and that I have selected the practicable method of treatment,storage,or disposal currently i <br /> available to me which minimizes the present and future threat to human life and the environment:Or,If I am a small quantity generator,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 Icerteln waste streams)to the generator <br /> that their waste has been transported to a licensed treatment or transferfecility. <br /> DRIVER / � Aget)ATAUTAOGENERAT0NSIGNATU <br /> DATE: ASIGNATURE7 <br /> SIGNATUREr _ DATE;�G <br /> D P A I RECYCLINA FA . ILITY / <br /> OK•pIxON O CFR 0 UNITED ENTERPRISES CORP <br /> 7300 CHEVRON WAY 2035 S.15TH ST. 11100 PENROSE ST. <br /> DIXON,CA 955020 LA,CA 80021 SUN VALLEY,CA 91352 <br /> 707.693.8008 213.746-0237 810.787.2649 <br /> EPA#CATOB0012602 GPA#CAL000270M EPA#CALW0379058 <br /> ��. MPC(dais) <br />