|
' AMERICAN VALLEY
<br /> WASTE OIL, INC. hit)s�,c vt11 l-wi
<br /> l 340 , lucolt (�A 9531,
<br /> �I '-90(1 73,2-164'-) O FAX M- c-668 X880
<br /> ll ( Al 0008;)7878
<br /> In voice Ddte
<br /> BILL TO: JOR S1 I h
<br /> lI
<br /> Iv d
<br /> ' Phone Customer P O Payment Terms EPA#
<br /> ' PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT
<br /> _- —— CODE
<br /> USED OIL NON RCRA HAZARDOUS T
<br /> ' WASTE LIQUID _ 221
<br /> USED AUTOMOTIVE ANTIFREEZE, NON
<br /> RCRA HAZARDOUS WASTE LIQUID _ 343
<br /> OILY WATER, NON RCRA HAZARDOUS -
<br /> WASTE LIQUID 221
<br /> TRINITY HEAVY DUTY PREMIX
<br /> ' CYCLED ANTIFREEZE NIA
<br /> N HAZAf�IJOU.`J VVA5 t f
<br /> FROCK TIME- N,n, I
<br /> GREASWELP I l -
<br /> ,
<br /> I hereby certify brat I t,aw nut mixed ku-,waste vith mny '0 wa-te that the total hal€des are less than 1000 P I'M and that
<br /> tiro waste doe not c uniom i€�y f'C B , I ttrrthr r 3drr, 1„ i --ht the idd€tional c barges fo legal d€,posal if ihi wa,tF-€%cave€
<br /> 1000 PPM talar halides r)t tomatoes +try PC' 3 � _ TOTAL
<br /> ' DRIVER - - - 3ENERAI"OR AUTHORIZED - '✓`�� --
<br /> SIGNATURE SIGNATURE -S IGNATURE
<br /> FERMS INVOIGI"S OVER 3O DAYS ARE SiJE JI C, �0 t,, 1 .j)o SEI1ViCE CHAl CUSTOMER AGREES TO PAY ALI_L-CA1 FI l
<br /> ' I COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE
<br /> American Valley Waste Oil hereby advises the above c enerator tlto Generators shipment of used oil may be transported to a fau,l€ty that €5€r clui,od to(,ow4)ly
<br /> with federal regulations applicable to management of Used oil but that rs riot required to comply with the more stringent requirements apl to hazardous
<br /> waste management lacilill California lac,Irt€es that handle or procr-ss used o€I are required to meet those more stringent requirements 'Wd some ort-of
<br /> ' state facilities that peaces-, used oat also meet tlti requ,mments engineering certifications of tank integrity and financial assurance,, `( i closure and
<br /> accidental release It is lawful to send used oil to of it r)f ,t9lc 'nc€hies that comply only with federal used oil rnanagemer€t ,tandarcis nnrl )'tl these more
<br /> stringent requ,rrrrent,
<br /> This notification ,t rcpt €rformat,c,n ,,t,,pose_ r, v
<br /> Driver signed Gats Gencrdtor signed
<br /> Lay signing th€ IndOICE' ,he generato€ 1-E101l€eb €nit tt c g( n, gator nay esta)r,shect a p€og€arn to r,cr,i <, tnr Iii€„n,' 01 civaet,, CJI[ turir III
<br /> este to the degree as determined by the gene€ato, '0 l cr,onomically practicable
<br /> both parties signing this €nvo€ce,t will Serve as an a,jw ment that American Valley will Ub"Al
<br /> t their waste has been transported to t license treatment n c,an;for fac€I€ty
<br /> '
<br /> DISPOSAL / RECYCLING_FACILITY
<br /> O RIVERBANK OIL TRANSFER O RAMOS ENVIRONMENTAI SERVICES
<br /> 5300 CLAUS ROAD- RIVERBANK GA 95367 1515 SOUTH RIVER ROAD•W SACRAMh_N10
<br /> ' f 209 863-6181 • EPA if CAL000190816 916371 5747—EPA 4 CAD044003556
<br /> rn,�i €cr�znt
<br />
|