COMPLIANCE INFO_2019 - Laserfiche WebLink

Home Browse Search

AMERICAN VALLEY 16 S 4`. WASTE OIL, INC. Invoice Number: P.O. Box 340 • Delhi, CA 95315 PH. 1-800-732-4645 • FAX 209-668-3880 EPA# CAR000272302 FLEENOR PAPER CO BILL TO: 4201 E. FREMONT ST JOB SITE: FLEE NOR PA PEP 0° Invoice Date: STOCKTON, CA 95216 4201 E. FREMONT ST STOCKTON.CA 96215 Phone 209-361-8698JO5U Customer P.O. Terms COL EPA# CALOOD318085 PRODUCT SHIPPING DESCRIPT104 WASTE MANIFEST OUM 11 r PRICE AMOUNT CODE NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 NON-RCRA Waste Liquid Used Antifreeze 133 NON-RCRA Waste Liquid Used Oily Water 223 l f M0 Drained Used Oil Filters TERMS: Invoices over 30 Days are subjeal to a 1.5%service charge. Customer agrees to pay all legal roes If court action TOTAL becomes necessary to collect this Invoice. sy 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 waste does not contain any PCBs.I have complied with the requirements of the applicable California used oil management regulation to determine this is true.I agree to aeeept the additional charges for the disposal of this waste if the information I have provided about this waste is incorrect. i 3snerator's Cerillfostlon:By slgnlnp l certify that if I am a Imp-quentity generatof,I certlN that 1 hnve a•program in place to reduce the Volume and t6kiclly of waste generat- ed In the dep"1 have daiefminad 10 be economically aN0tdO1118 Anti 1181 I have selected the Wacticable method of trnairrlent,storage,or disposal currently available to me which MIM0 Fins the present and future threat to Ilumbn life and the anvlronment;Of,It I am a small quantlty generator,I have made a Good faith ovort to minimize my waste ganeralton and select the waste maringemenl method that is avallable to me that i can aftord. Amark.an Valley Wants Oil hereby advises the nhove Gorierator that ganaratars a?Ilpment of used oil may be lrwisponed tp a t'faolilly that is requirod io coniply with federal rapulallons 8131310 O to inarlagemehl of tiled oil,btil Ihel fa not mqulted tri comply with the mors sWrigont Ter-wfamenis apnlicnble to bnrerdous wants nianagerrleri(lacti- 1les.California raclIII los chat Rondo or process used oil are requlrod 10 arias[Ihose more 91rtngent requklsment,F,Ind same atd-ol-state lacilitiea that pjOcn-AC Usnd OR also meet those rotluirapne-nts,ang(rlonring certIVrntians of took In leg rlly,ttnd 1lilarmfat assumnces ku cloaure.and nec(dental releases.ft IS lawful to send utind all to out of stale faciitlles thrill comply Doty wilh fedsrnt usnd afl•monngemont stanrinrda 8rwl not lheso more stringent requirements. This notification is for Information purposes only. By both paftios 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 waste hmebesn transported to a llcenaBd treatment or transfer facility. GENERATOR/ f� SIGNATUKEQDRIVER / AUTHORIZED 51GNATLIRI=; DATE:I6 "I - yj SIGNATURE: DA D ISROSAL 1 RECYCLING FAQIL[TM O DK-DIXON O ASBURY ENVIRONMENTAL 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, CA 95367 LA,CA 90021 STOCKTON,CA 95205 707-693-6008 209-541-1825 209-863-8181 213-746-0237 818-770-2577 EPA#CAT080012602- EPA#CAL000393680 EPA#CAL000190816 EPA#CAL000270577 EPA#CAL000417316 MPC(712016)