Laserfiche WebLink
I AMERICAN 'VALLEY <br /> RECYCLE WASTE OIL, INC. Invoice Number <br /> IP O Box 340 • Delhi, CA 95315 <br /> . PH 1-800-732-4645 • FAX 209-668-3880 <br /> EPA CAL000827878 <br /> Invoice Date <br /> BILL TO: JOB SITE: ` <br /> i <br />' Phone Customer PO Payment Terms EPA# <br /> L' <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br />' USED OIL NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br /> USED AUTOMOTIVE ANTIFREEZE, NON <br /> IRCRA HAZARDOUS WASTE LIQUID 343 <br /> OILY WATER, NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br />' NITY HEAVY DUTY 50/50 <br /> YCLED ANTIFREEZE N/A <br /> NON HAZARDOUS WASTE LIQUID n ,; T _,� �;, a r 4 ;� 'D <br />' TRUCK TIME NIA <br />' GREASWEEP N/A <br /> I <br /> TERMS INVOICES OVER 30 DAYS ARE SUBJECT TO A 1 5% SERVICE CHARGE CUSTOMER AGREES <br /> TO PAY ALL LEGAL FEES IF COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE TOTAL <br /> I f s s <br /> DRIVER G'E14ERATOR <br /> SIGNATURE SIGNATURE <br /> t w <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 acci- <br /> dental 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 stnn- <br /> gent requirements <br /> This notification is for informatiourposes only f � 'ir a' € J` "IN <br /> Driver signed ` Date Generatorrigned= t'i W .i. ti: ~% Date <br /> By signing the invoice the gerferator certifies that the generator has established a program to reduce he volume or quantity and toxicity of the hazardous <br /> waste to the degree,as determined by the generator,to be economically practicable <br /> 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 /> their waste has been transported to a license treatment or transfer facility <br /> DISPOSAL/ RECYCLING FACILITY <br /> O RIVERBANK OILTRANSFER O RAMOS ENVIRONMENTAL SERVICES <br /> 5300 CLAUS ROAD• RIVERBANK, CA 95367 1515 SOUTH RIVER ROAD•W SACRAMENTO, CA' <br /> 209-863-8181 • EPA#CAL000190816 916-371-5747• EPA#CAD044003556 <br />