COMPLIANCE INFO_2019 - Laserfiche WebLink

Home Browse Search

AMERICAN 'VALLEY170721 WASTE OIL, INC. Invoice Number: P.O. Box 340 • Delhi, CA 95315 PH. 1-800-732-4645 - FAX 209-668-3880 EPA# CAR000272302 FL.EENOR PAPER Co FLEENQR PAPER CO r BILL TO: 4201 E.FREMONT ST OB SITE: 4201 E.FREW)NT ST STOCKTON,CA 95215 J STOCKTON, CA 95215 117V61ce Date: btr4l/ � Sales Rep. Phone Customer P.O. '� Terms C OD EPA# CAL40D318085 PRODUCT-SHIPPING DESCRIPTION WASTE MANIFEST QUAN 111 Y 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 Drained Used Oil Filters I L J5.44/� 4yk SA 5 I Ax- TERMS: Involaes over 30 Days are subject to a 1.5%service charge. Customer agrees to pay all legal fees if court action TOTAL becomes necessary to collect this invoice. 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. n th 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' accept the additional charges for the disposal of this waste If the information I have provided about this waste is incorrect. Genet'ator's Canification:6y signing I cmtiry that if I am a large quantity gerwamr,I certify that I have a program in place to reduce the volume and toxicity of waste garintat- ed to the degree I nava determined to be economically affordable and that I have selFwInd the practicable method of treatment,storage,or disposal currently avallable tome 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 generation and select the waste management method that is available to me that I can afford. American Valley Waste Oil herelay advises the above Generator that ganarstora shipment of used oil may be transported to s facility that is required to comply with federal regulations appffcabte to+nanagement of used oil,but that Is not required to.comply with the mom slringero requiremants applicable to hazardous waste"timem[at:IIi- tles,California fac111110S That handle or process used o8 are required to meet those more atringrtnt requirement,and%orna aui-of•slala facilities ilia[process need 01181en meet 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 that comply only with federal used oil management standards and not these more stringent requirements. This notification Is for information purposes only. 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 wasfo has been I octad to a licensed treatment or transfer facility. GENERATORI OMV AUTHORIZED 54I 3103 TUftE GATE: / SIGNATURE: itATE: Y O DK-DIXON O ASBURY ENVIRONMENTAL O RIVERBANK OIL TRANSFER O CFR Q 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 y MPC(7/2016)