Laserfiche WebLink
,_6RIUAIN V ALLEY o J G &► <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 />I -t.5 -- <br />Invoice Date: <br />,, IFICTOWING PACIFIC;TOWING <br />1444 EL FINAL DR JOB SITE: 1444 EI PINAL IDR <br />STOCKTCNJ, CA 95205 ONE TANK IN YARD & ONE IN SHOP <br />STOCKTON, CA 95205 <br />2WKANF <br />Safes Rep: <br />b Po' ',` 0'"I = <br />Customer P.O. <br />PayrWtTelfWF <br />EPA#r _ ,'2Cr315 <br />PRODUCT SHIPPING DESCRIPTION <br />WASTE <br />CODE <br />MANIFEST <br />QUANTITY <br />PRICE <br />AMOUNT <br />USED OIL NON RCRA HAZARDOUS <br />WASTE LIQUID <br />221 <br />USED AUTOMOTIVE ANTIFREEZE, NON <br />RCRA HAZARDOUS WASTE LIQUID <br />343 <br />h�t <br />OILY WATER, NON RCRA HAZARDOUS <br />WASTE LIQUID <br />221 <br />TRINITY HEAVY DUTY PREMIX <br />RECYCLED ANTIFREEZE <br />N/A <br />1 <br />0 <br />NON HAZARDOUS WASTE LIQUID <br />TRUCK TIME <br />N/A <br />GREASWEEP <br />N/A <br />1 hereby certify that I have not mixed this waste with any other waste, that the total halides are less than 1000 P.P.M.; and that <br />mu warm dnoa nM ennra,n nnv Pr R 'e 16vfhar.n_. In nr + rho nrlrllllnn.�l ..ho..,ec D., level ilia 1 11 N ;e nnb.:.. <br />1J <br />DRIVER <br />y_ _11-- - <br />GENERATOR/ AUTHORIZED <br />,..,. <br />GENERATOR/AUTHORIZED <br />ECJ <br />JIUIVAI UHt c. -- SIGNATURE/ SIGNATURE <br />TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TO A 13T -SERVICE CHARGE. CUSTOMER AGREES TO PA ALL LEGAL F ES IF <br />COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. <br />American Valley Waste Oil hereby advises the above Generator the Generators shipment of used oil may be transported to a facility that is required to comply <br />with federal regulations applicable to management of used oil, but that is not required to comply with the more stringent requirements applicable to hazardous <br />waste management facilities. California facilities that handle or process used oil are required to meet those more stringent requirements, and some out-of- <br />state facilities that process used oil also meet those requirements, engineering certifications 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 comply only with federal used oil management standards and not these more <br />stringent requirements. <br />This notification is for information purposes only. <br />Driver signed Date Generator signed <br />By signing the invoice the generator certifies that the generator has established a program to reduce the volume orDate <br />waste to the degree, as determined by the generator, to be economically practicable. quantity and toxicity of the hazardous <br />By both parties signing this invoice it will serve as an agreement that American Valley will submit confirmations for (certain waste streams) to the generator <br />that their waste has been transported to a license treatment or transfer facility. <br />DISPOSAL/ RECYCLING FACILITY <br />O RIVERBANK OIL TRANSFER <br />5300 CLAUS ROAD • RIVERBANK, CA 95367 <br />209-863-8181 • EPA H CAL000190816 <br />O RAMOS ENVIRONMENTAL SERVICES <br />1515 SOUTH RIVER ROAD • W. SACRAMENTO, CA 95691 <br />916-371-5747 • EPA N CAD044003556 <br />MPC (1012004) 1 <br />