Laserfiche WebLink
Nov 251510:09a American Valle, aste0il 20r. _483880 P.5 <br /> AMERICAN VALLEY 119-19 7 9 <br /> WASTE ®IL, INC. Inv ice Number: <br /> P.O.Box 340 • Delhi,CA 95315 <br /> PH.1-800-732-4645 - FAX 209-668-3880 <br /> EPA#CAL000827878 /n <br /> .t TO: MORGAN AUTO REPAIR JOB SITE.- MORGAN AUTOREPAIR l L 3 <br /> 4171 INDUSTRIAL WAY &100 MUURRR YY�DR��S ice Date: <br /> TRACY,CA 95304 1M OIL <br /> Sates MIKEHUB <br /> Phone Customer P.O. Terms EPA <br /> 209-8354909 BILL N�30 Days CALO 52101 <br /> PRODUCT SHIPPING DESCRIPTTON jWASTEMANIFEST QUANTITYPRICE AMOUNT <br /> E <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 75- <br /> ! NON-RCRA Waste Liquid Used Antifreeze 133 <br /> i i <br /> NON-RCRA Waste Liquid Used Oily Water I 223 <br /> j Drained Used Oil Filters <br /> I <br /> SALES TAX- ! '�,s <br /> TERMS: It tees ry toover ca led thisays i foam. 1111.5%service charge. Customer agrees to pay all legal fees l court action <br /> becomes necessary l0 collect this irtuoice. <br /> Sysigning l herbycertifythatl have ncemixed anyafthe waste described abovewith any other hazardous waste,thetotal haridewritentis LESS than 1,000ppm, <br /> and thewastedoesnotconwriany PCBs.I have complledwiththerequirements of theappgcable CalirorNausedoil managementreguiation m determine this is <br /> true.I agree to accept the additional charges For the disposal of this waste lithe information I have provided about this waste is incorrect. <br /> Generator's Certification_8y 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 to'city of waste <br /> generated W the degree l have determined to be economically affordable and that l have selected the Practicable method of treatment,storage,or do osai currently <br /> avallable to me which minimizes the presentand future threat to human life and the environment:or,if l am a small quantity generator,l have made 4 1 goodfalth <br /> effort to minimize my waste generation and select the waste management method than Is avallable to me that I can afford. <br /> ev both parties signing this invoice it wilt serve as an agreement that American Valley Waste Oil will submit confirm adon for(certain waste streams)to the generator <br /> that their waste has been transported to a licensed treatment or transfer facility. <br /> GENERATOW <br /> DRIVER } AUTHORIZED / <br /> SIGNATUR : DATC-� S JJ SIGNATU • � �11 OA f <br /> DISPOSAL/ RE YCLI G FACILITY <br /> DK-DIXON O CFR O UNITED ENTERPRISES CORP <br /> 7300 CHEVRON WAY 2035 E.15M ST- 11190 PENROSE ST. <br /> DIXON,CA 95620 LA,CA 90021 SUN VALLEY,CA 91352 <br /> 707.693-6008 213-7460237 818-787-2649 <br /> EP.AS CAF WGI 2802 EPAA CALDD0270577 EPA#CAL000379059 <br /> MPC(W813) <br />