|
AMERICAN VALLEY 179858
<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#CAR000272302
<br /> BILL 1'O: ACME SAW JOB SJIACME SAW
<br /> 1204 E.MA!N Invoice Date:
<br /> STOCKTON,CA 95206 1204 E.MAIN ST
<br /> X AIRPORT
<br /> STOCKTON,CA 96206
<br /> FPhoni Customer .0
<br /> 209-361-1917 Terms
<br /> N*t30DWj CALOOO17&438
<br /> 6_100uu SHIPPING DESCRIPTION
<br /> WASTE MANIFEST 1114 1111 PRICE AMOUNT
<br /> 0
<br /> CODE
<br /> ............. ..............
<br /> .............
<br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221
<br /> -_-..
<br /> ............
<br /> NON-RCRA Waste Liquid Used Antifreeze 133
<br /> ............ ....................
<br /> .........................
<br /> CN-AGRA Waste Liquid Used Oily Water I 223
<br /> ...........
<br /> Compliant Drained Used Metal Oil Filters .
<br /> OIL COLLECTION FEE
<br /> ...........
<br /> .............................. ..........
<br /> ----—---------
<br /> ...........
<br /> ...................
<br /> ...................... ...................
<br /> .............
<br /> —................. .
<br /> TEAV i
<br /> ........... .................
<br /> l"'X, 0 a subject to a 1.5%source ch—argeCustorrier'algreas to pay—all le-gal't..............L
<br /> Invoices 3
<br /> becomes necessary collect this'frivice, Des if Court action TOTAL
<br /> BY�'9-11119 I helbY cartlfY',he-I hii,an,tml.od any of tha,,,
<br /> waste d�Ogs—1 Contain any PCBs.I he"cc plied with In a$10 dertSCeil)ad arinVe With any Other hazardous Waste,the Intel halide COMWIt is LESS they,1,00()ppm.and tate I
<br /> accept the aciditional chargies "i'squirOmwnsOf the aPplicabW California used oil management ra�.jujation to determine this is true.I agnes to i
<br /> .for the d'spoeiii of this waste I the'llio"ation f have provided about this waste is incorrect.
<br /> Gonemtcr`4 Codification:By signing I certify that if 1 am a large quiintiN
<br /> (I to be ecommi ),generator,I certify That I have a program,n Place to reduce Me,volume OW toxicity of was
<br /> which minimizes the Present and future L�hraat to h tgenorat- I
<br /> ed to I've degree I have determine cally affordab e and I)el 1'lave selected the DractiCabilt mathorl of treatment.Storage,of disposal currently"aita"ble to
<br /> fier—aWn mid select the,,s,,,n.,,am,,,n,,, �nljfaand em"n"IT"o"t'Or,if I arra A snail quantity gonerato,'.I have made a Good forth effort to minimize my me
<br /> nod tnat is avaiiabie that I can afford.
<br /> waste
<br /> kmenCall Valley Waste()it floreby aawses the above Generator That gorierstore shiptnent of used Oil may be transported to a facility that Is required to,comply with &I
<br /> ;o9uWt.cn.,8PPIicebIo'c management of used ofl,but that is not required to compiywith the more,tr: en u s federal
<br /> ".a fort
<br /> C.Inor �gilioa that handle or process u g I eq i',emonl applicable to hazardous,warito management raoill-
<br /> hit.ii,equir�ne,,la,it, used oil am required to 1—t those more stringent loquiremwit,and some cut-of-state factittea that process
<br /> engineering certitc.U.ns.;ak Integrity,and financial assurances I am used oil also meet
<br /> y vil oil management Sandamts and not ttiogn more stringent closure and accidental releases.it�s lawful to and used 61 to out of state frill
<br /> This Mtftallorl is for information purpcasz�only. tringent requirements. a fac
<br /> thab,cot?"payrt,mes signing This'n"O.Cc It wN sme as an ag
<br /> wants has beer,transp .roomrmt that America,,Valley yjast"0€jwjjj�qu, a ipm for fcorlafn waste jQ'Ine qweratar that if
<br /> ored to 8 ficOnsod�,'odtlnelt oi'1(.nsrw facarly. .pit confirm t
<br /> DRIVER GENERATOR"
<br /> SIG..N....A...T...L..R...
<br /> E.
<br /> AUTHORIZED X.. ..... .SIGNATURE:
<br /> - DAI E.O
<br /> ........
<br /> ....
<br /> DISP-SALIBE=LIN(3,.FAC-ILLT-Y
<br /> 0 DK-DIXON �)ASBURY ENVIRONMENTAL 0 RIVERBANK OIL TRANSFER 0 YUMA YES LLC 0 AWAICm VALLEY WIA�STE 0n.,INC
<br /> 7300 CHEVRON WAY
<br /> 1920 MORGAN RE), 5300 CLAUS RD. E
<br /> DIXON,CA 95620 CERES,CA 95,358 RIVERBANK, CA 6500 LIS HWY 95 521 INDUSTRIAL DR STE M
<br /> 1 707-693-6008 200-541-1825 YUMA.AZ 85365 LIVINGSTON,CA 95334
<br /> P09.863-8181 928.344-9828 209-667-8057
<br /> i EFA#CAT080012602 EPA#CAL000393680 EPA#GAI-000 190816 EPAOAZROD0521146 EPA#CALM0443004
<br /> .................... ...............................
<br /> mric("*(noi
<br /> ............
<br />
|