Laserfiche WebLink
AMERICAN VALLEY <br /> WASTE OIL, INC. Invoice Number: <br /> ,7 <br /> P-0. Box 340 - Delhi, CA 95315 <br /> PH. 1-800-732-4645 - FAX 209-668-3880 <br /> EPA# CAR000272302 <br /> BILL"TO: . <br /> JOB SITE: <br /> Invoice Date: <br /> Phone Customer P.O_ Terms <br /> E PA#: <br /> MAI\ <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANlIFEST QUANTITY PACE AMOUNT— <br /> T <br /> CODE <br /> NON-RCCA 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 /> Compliant Drained Used Metal Oil Filters <br /> TERMS; invoices <br /> over 30 Days are subject to a 1.5%service charge. Customer a; r o 7' <br /> becomes _g pe -t, -all,legal fees if court action <br /> necessary to collect this invoice. TOTAL <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 i LE than 1,o pp <br /> waste does not contain any Pces.I have complied with the requirements of the applicable California used oil management regulation t e t s SS ha 00 rn and the <br /> -Is incorrect. <br /> agree to <br /> accept the additional charges for the disposal Of this waste if the information I have provided about this waste Q determine this is true.I <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 to the degree I have determined to be economically affordable and that I have' <br /> which minimizes the present and future threat to human life and the environment:selected the practicable method of treatment,storage,or disposal currently available to me <br /> 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 facill- <br /> Lies.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 requirements. <br /> This only. <br /> By bath 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-lipansed-Creit;�ant or transfer facility. <br /> 9ATOR/ <br /> DRIVER aENE <br /> AIJTHO�rz-ED, <br /> SIGNATUR <br /> E: DATE: <br /> DATE: <br /> Q1aF0SAL / RE1_ CL1i�JC FACILITY <br /> 0 DK-DIXON 0 ASBURY ENVIRONMENTAL 0 RIVERBANK OIL TRANSFER 0 YUMAYES LLC &AMERICAN VALLEY WASTE OIL.INC <br /> 7300 CHEVB�DN WAY 1920 MORGAN RD. 5300 CLAUS RD. 6500 US HWY 95 5�2_11LNDUSTRIAIL DR STE M <br /> DIXON,CA 95620 CERES,CA 95358 RIVERBANK, CA95367 PUMA,AZ 85365 LIVINGSTON,CA 9.5334 <br /> 707-693-6008 209-541-1825 209-863-8181 928-344-9828 209-667-8857 <br /> EPA#CAT080012602 EPA#CAL000393680 EPA#CAL0001 90816 EPA#AZR000521148 EPA#CAL000443004 <br /> MFC(71201 6) <br />