Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
AMERICAN VALLEY 181204 <br /> WASTE OIL, INC. Invoice Number: <br />r <br /> P.O. Box 340 - Delhi, CA 95315 <br /> PH. 1-800-732-4645 - FAX 209-668-3880 <br /> EPA# CAR000272302 <br /> 71 C-) <br /> BILL T®: JOB SITE: AFF C-P0ABLIF ALIT01 REPAepi ., <br /> ,,-Invoice Date: <br /> 12.19 VAL S 04,I W A Y <br /> STOC 1 ON,CO. 9520 <br /> STOC-li CA 4-5206 <br /> J <br /> Phone Customer P.O. Terms EPA# <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> 'CA <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Compliant Drained Used Metal Oil Filters <br /> 01L,COL1.EC'11 ON FEE <br /> TERMS: Invoices over 30 Days are subject to a 1.5%service charge. Customer agrees to pay all legal fees if court action 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 than 1,000 ppm,and the <br /> waste does not contain any i I have compiled with the requirements of the applicable California used oil management regulation to determine this is true.I agree to <br /> accept the additional charges for the disposal Of this waste if the information I have provided about this waste is incorrect. <br /> Generator's certification:By 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 toxicity of waste generat- <br /> ed <br /> oneraiied to the degree I have determined to be economically affordable and that I have selected the practicable method of treatment,storage,or disposal currently available to me <br /> which minimizes the present and future threat to human life and the environment:Or,if I am a small quantity generator,I have made a Good faith effort to minimize my waste <br /> generation and select the waste management method that is available to me that I can afford. <br /> American Valley Waste Oil hereby advises the above Generator that generators shipment of used oil may be transported to a facility that is required to comply with federal <br /> regulations applicable to management of used oil,but that is not required to comply with the more stringent requirements applicable to hazardous waste management facili- <br /> ties.California facilities that handle or process used oil are required to meet those more stringent requirement,and some out-of-state facilities that process used oil also meet <br /> those requirements,engineering certifications of tank integrity,and financial assurances for closure and accidental releases.It is lawful to send used oil to out of state facilities <br /> that comply only with federal used oil management standards and not these more stringent recuirements. <br /> This notification is for information purposes only. <br /> By both parties signing this invoice It will serve as an agreement that American Valley Waste Oil will submit confirmation for(certain waste streams)to the generator that their <br /> waste has been transported to a licensed treatment or transfer facility. <br /> GENERATOR/ <br /> DRIVERAUTHORIZED <br /> SIGNATURE: DATE: SIGNATURE' <br /> DATE: <br /> L <br /> DISPOSAL / RECYCLING FACILITY <br /> 0 DK-DIXON 0 ASBURY ENVIRONMENTAL 0 RIVERBANK OIL TRANSFER 0 YiUMAYES Ll 0 Al VAU-I WASTE OIL,INC <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD. 6500 US HWY 95 521 INDUSTRIAL DR STEM <br /> DIXON,CA 95620 CERES,CA 95358 RIVERBANK, CA 95367 YUMA.AZ 85365 LIVINGSTON,CA 95334 <br /> 707-693-6008 209-541-1825 209-863-8181 928-344-9828 209-667-8857 <br /> EPA#,CAT080012602 El CAL000393680 El CALOOO 190816 Ei AZR000521146 El CAL000443004 <br /> MPC(7/2016) <br />