Laserfiche WebLink
I <br />FR6M :JIM THORPE OIL <br />E <br />BILL TO: <br />Grua 3 5 7 <br />.0 T C PJ5241 <br />FAX NO. :1 209 36e 1651 ul. Oe 2005 11:11AM <br />10 AVALLEY.504.6 ME <br />WASTE OIL, INC. Inv ice Numkr: <br />P. 0. Box 340 - Delhi, CA 95315 <br />PH, 1-800-732-4645 - FAX 209-668-3880 <br />EPA. CAL000827878 <br />JOB SITE: <br />-F&H- i:O�WRUCTION <br />491115 WATER1,00 <br />STOCKrON, CA 95205; <br />ce Date' <br />Phone Customer P.O. Payment Terms �[EPA# <br />CAC002_'� <br />PRODUCT SHIPPING D-ESCRIPTIC)IN WASTE MANIFEST QUANTITY PRIIGE AMOUNT <br />CODE <br />USED OIL NON RCRA.!0AZARDOUS <br />WASTE LIQUID 221 <br />USED AUTOMOTIVE ANTIFREEZE, NON <br />RCRA HAZARDOUS WASTE LIQUID 343 <br />OILY WATER, N-ON'RCRA HAZARDOUS <br />WASTE LIQUID 221 2 <br />TRINITY HEAVY DUTY PREMIX <br />RECYCLED ANTIFREEZE N/A. <br />NON HAZARDOUS WASTE LIQUID <br />TRUCK TIME N/A I <br />GREASWEEP N/A <br />I 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 />the waste does not contain any P.C,B,'S. I turther agree to accept the additional charges for legal disposal If this waste is over , j <br />TQITA� rmOb <br />1000 P.P.M. total halides, Qr contain s any RO.B.'s. <br />V <br />DRIVER GENERATOR/ AUTHORIZED <br />URE GENERATOR/ <br />SIGNATURE <br />SIGNATURE SIGNATURE ;I <br />TERMS: INVOICES OVER 30 DAYS � E SUBJECT TO A 1.5% SERVICE CHARGE. CUSTOMER AGRIEESTOPAY ALL LRGAkFES IF <br />COURT ACTION BECOMES NE,:CESSARY 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 th;Lt is r quired to cc ly <br />with federal regulations applicable to management of <br />used oil, but that is not required to comply with the more stringent requirements t ppricable to he larddus <br />'Il <br />waste management facilities. California facilities that handle or process used oil are required to meet those more stringent requirements, and !sorn , out f• <br />state facilities that process used oil also most those requirements, engineering certifications of tank integrity,! and financial assurances for ;los're and <br />I <br />accidental releases. It is lawful to send used oil to out-of-state facilities that comply only with federal used oil management standards an �A the ie more <br />stringent requirements. <br />This notification is br Info tion purposes only. <br />J��K� Date 7_.TA2!E Generatorsigned ate <br />—_. __ __ I , mo quantity and to icity f the ha'ard6us <br />DrIvor signed —_ - e the 'Olur,�, <br />By signing the invca thegenerator_crriries that the genar7dor has established a program tc <br />Ae, as determined by the generator, to be economically Practicable, <br />waste to the degr Valley will submit confirmations fb:r (certain waste streams to eq nerator <br />By bell) parties signing this invoice it will serve as an agreement that American <br />that their waste has been transported to a license treatment or transfer facility. <br />DISPOSAL RE_Q_y-_,C_L_1NG �FACILITY <br />RIVERBANK OIL TRANSFER 0 RAMOS ENVIRONMENTAL SERVICES <br />5300 CLAUS ROAD-* RIVERBANK, CA <br />95367 1515 SOUTH RIVER ROAD - W. -SACRAMENTO, GA 96691: <br />I ! <br />916 371 - 5747 9 EPA,#: CAbOA4003550 <br />209-863-8181 - EPA 11 CAL000190816 — <br />I ! _[ MPC (10/20, <br />