Laserfiche WebLink
WASTE ()L. INC.,- hinroice 14-airibei-: <br /> I <br /> V`.C), Box 3;40 0 - 'D e 1 h i, CA 06.315 <br /> PH. 1-800- 32-4645 ° FAX 209-668-3880 <br /> EPAW CAR000272302 V <br /> BILT L 1 Oe (,. t. X 03 SITE- <br /> Invoice Date: <br /> .V-,, 4 , <br /> Phone Customer P.O. <br /> Terms EPA# <br /> PRODUCT SHIPPING DESCRIPTIONWAS T E MANIFEST QUAINT in" PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixled Oils 221 <br /> NON-RCRA Waste Liquid Used Anti-freeze 1336 <br /> NON-RCRA Waste Liquid Used Oily Water .22.3 <br /> Compliant Drained Used Metal Oil Filters <br /> -5 <br /> TERMS: Invoices over 30 Days are subject to a 1.5%service charg_e. 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 PCBs.I have complied with the requirements of the applicable-California used oil managemebt regulation to determine this is true.I agree to <br /> Accept the iddii.lon6l 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 placd'10 reduce the volume and toxicity. of waste generat- <br /> 6 hede degree' 'economically affordable and that I have selected the practicable method of fr6atm6nt,storage,or disposal currently available to me <br /> ed gree have determined to be <br /> which minimizes the present and future threat to human life and the environment:Or,if I am a small qdantlty'generator,I have made a Good faith effort to minimize my waste <br /> gefieration and select the waste management method that Is available to me that I can afford. <br /> Ameriban.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 ts applicable to Hazardous waste management facili- <br /> ties.California:facilities that handle or process used oll are required to meet those more stringent requirement,and some out-of-state facilities that process used oil also meet <br /> those requirements,engineering gertifications of tank integrity,and financial assurances for closure and accidental releases.If is lawful to sena used oil to out of state facilities <br /> that comply only with federal used oil management standards and not these more stringent requirements. <br /> Th Is.notification is for Information purposes only. <br /> By both6arties 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 trhnsf6r facility. <br /> GENERATOR/ <br /> DRIVER 'ALIf HORIZED <br /> "2 _'__SIGNATURE�­41 <br /> DATE., DATE:SIGNATURE.r_ <br /> DISPOS.AL./ RECYCLING FACILITY <br /> 0.-DK-DIXON A.S BURY-ENVIRONM' ENTAL 0 RIVERBANK.OIL TRANSFER '0'YUMAYE S LLC 0 AMERICAN VALLEY WASTE OIL,INC <br /> 7.360 CHEVRON WAY 1920 M.ORGAN RD. 5300 CLAUS RD 6500-US HWY 95 521 INDUSTRIAL DR STE M <br /> DIXON,'CA 95620 CERES,CA 95358 RIVERBANK', CA 95367 YUMA'­AZ 85865 UVINGSTON,CA 95334 <br /> 70.7-693-6008 209-541-1825 209-863-8181 - 928-344-9828 209-66778857 <br /> EPA#CAT0800 12602 EPA#CAI_000393680 EPA#CAL0001 90816 EPAifAZR600521146 EPA#CAL000443004 <br /> MPC(7/2016) <br />