Laserfiche WebLink
AMERICAN VALLEY \ <br /> ;> �1399�� <br /> WASTE OIL, INC. voice Number: <br /> P,.O.Box 340 • Delhi, CA 95315 <br /> PH. 1800-732-4645 • FAX 209-668-3880 <br /> MORGANAUTOREPAiR EPA#CAL000827878 <br /> 4171 INDUSTMAL lit+'AY MORGAN AUTO REPAIR <br /> TRACY,CA _0304 771bMURRAf DR Irl X7'1 <br /> BILL TO: JOB SITE: ST XKTON,Citi %205 voice Date: <br /> 1M i)ii. <br /> Sales Rep MIKE HUSER <br /> 209-$364909':�:L TIr�S. i'a i�snro 'Aa <br /> Phone Customer P.O. Terms EPA#-- <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PR(C 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 223 <br /> Drained Used Oil Filters <br /> iiUE TO THE DRASTiC FALL IN;',RUDE 01 L <br /> F'RICES.YVE RAVE BEEN FORCED TO I <br /> CHANGE PRIC:II+1G FOR WASTE OILAND <br /> f=1LIFn f'u;KE3P. <br /> Sales Tax <br /> TERMS: Invoices over 30 Days are subject to a 1.5°/6 service charge. Customer agrees to pay all legal fees#court action <br /> 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 halide content is LESS I han 1,000 ppm, <br /> and the waste does not contain any PCBs.I have complied with the requirements of the applicable California used oil management regulation todetermine this is <br /> true.I agree to accept the additional charges for the disposal of this waste if the information Ihave provided about this waste is incorrect. <br /> Generators Certification:By signing l certify that if l am a large quantity generator,I certify that l have 4 program in place to reduce the volume an I 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,storage,o 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 quantity generator,I have mE de 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(certain waste stream )tothegenerator <br /> that their waste has been transported to a licensed treatment or transfer facility. <br /> fl <br /> DRIVER "'"^-. GENERATOR( <br /> SIGNATURE: r / AUTHORIZED <br /> I) J1;r7 , <br /> SIGNATURE ,!� ; _.-. ATE to <br /> DISPOSAL I RECYCLING FACILITY <br /> .-0 DK-DIXON O 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 213.746-0237 818-787-2649 <br /> EPA#CAT080012602 EPA#CAL000270577 EPA#CAL000379059 <br /> 1 <br /> ' MPL(6!2013) <br />