COMPLIANCE INFO_2019 - Laserfiche WebLink

Home Browse Search

i AMERICAN VALLEY . ` WASTE OIL, INC. Invoice Number: P.O. Box 340 - Delhi, CA 95315 PH. 1+800;732-4645 • FAX 209-668-3880 EPA#CAL000416714 BILL TO: FLEENOR PAPER CO .JOB SITE: FLEENOR PAPER CO Invoice Date: 4201 E.FREMONT 3T 4201 E.FREMONT ST STOCKTON,CA 95215 STOCKTON,Cid 96216 ."abs Pell P"'%)9-'36 11-8698�Q�E Customer P.O. Terms COD EPA CA!OW31S0V. PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PENCE AMOUNT CODE NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 r- 1 NON-RCRA Waste Liquid Used Antifreeze 133 4� NON-RCRA Waste Liquid Used Oily Water 233 Drained Used Oil Filters Oil.. COLLECTION FEE SAR9 1 U7 — TEf1N1S: Invoice,over 30 Days are subject to a 1.5%service charge. Custarner agr"a to pay all legal foes if court action TOTAL becomes nocessary 10 collar.;thls Invoice. V .1 Flysl6rsinp I 4fby&Alfy Inst I have not mixed any at the waste described ahovo with any other hazardous waste,the total halide content Is LESS than 1,000 ppm,and the waste f105F 11DI,cont;sin any PCBs-I have complied w1111 the reriulraments al the appllcaola California used oil management regulation to determine this is true.I agree to accept She additional atwrges for the dlspossl of this waste if the lnforvaiion i havo provided about this waste is incorrect. tiunarator's Cortlticatlon:fly 5ignlrg I certify that it I am a iarga quantiiy generator,i certlty that I have a program in place to reduce the volume and toxicity of waste generat- ed to the degree I have detarminad to Ira aeono nfoally oflrxdablo and that 1 have aolected The pramicatale 1net1tawl of trestm©nt,slorage,or dlspne+al currently available to me which minimizes the preacni and futura threat to human Ilse and itla environment:or,111 am a small quantity generator,I have made a Good Will effort to minimize my waste generation and geld ti=e waste managantent method that Is avallable to me that I can afford, Anicritxsn Vi111ey.Wan[¢Oil horeby rAvwtr ilw�aimva t,nnerawr Hint 1piri rrwar3 slilf,lnam al used ull may lin trannwnlncl to a tac-ow Ihat 4 Mqulred to comply urlth fecis jai raS7u111600r,app,c+thln•to mariagcmiRnt-pt DMA olf,hui.•tivo is r,nt fectoft-w.i to ce+hilily will,lira n w,-strlrr oh1 requImmolsts+spt7llonh[0 to hazardtrtis waste n11u1agnrnenl locili- llea.04111forilla Inc llitlas thrift hnnellwi drprncens uncal all are I m,,t tr(td to nivaI the§o cadre strinT!nI Il111,4111)011t,and some out-of-slgto InciiI(1"that procesG usod'Ull also meet ihdso riAul cinema.e,tgIno*ll p ceriflentloriy of I a n k Irstapr11y,0rtri ffru-mcial 6-woancos for eloaura and acaitlonw mlea,)es.It Klawful to vend usod all m out of stato facilities Ih+rt,rrmlply only wills ruderal lased all rnarnaquirlLni ntnnrlap 0z nvid not ihoSrs irlme 51rinl'aont factuirol""nTo. 1'Ilis notification Is for infortnatloi ourr4ios only, dy 1115th partes algrlli)g:Ills involco It wili:serve os on agraemenl dual Nnoricarl valk+y Waste 011 will submit confirmation for(certalln waste streams)to thoigenerator that their wusle han been t+„)i�fottaal Su a IIt;ensod trrsalmdat or trannfae'tacllity. GENCRATOR1, DnIVER Atfl'Fidfit�b r SIGNATURE: DATF. SIGNATl1RF.; DATE: Q-f-6P_D5AA . .BE_Q-Y-U1 [.ra_EAQIL'ITY O DK-DIXON O'aSBURY ENVIRONMENTAL O RIVERBANK OIL TRANSFER O CFR O GLOBAL MATERIAL MGMT 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD. 2035 E.15TH ST. 1640 N.BROADWAY DIXON,CA 95620 CERES,CA 95358 RIVERBANK, CA95367 LA,CA 90021 STOCKTON,CA 95205 707-693.8008 707-693.6008 209-863-8181 213-746-0237 818-770-2577 EPAP 0AT080012602 EPA#CAL000393680 EPA#CAL000190816 EPA#CAL000270577 EPA#CAL000417316 --- - - - MPC(7/2016)