Laserfiche WebLink
y�i!NIIERICtkN VALLEY <br /> 149848 <br /> ()IL, INC. Invoice Number: <br /> P.O. Box 340- Delhi, CA 95315 <br /> PH. 1-800-732-4645 - FAX 209-668-3880 <br /> EPA#CAL000416714 <br /> GOLDEN STATE AUTO REPAIR <br /> GOLDEN STATE AUTO REPAIR <br /> BILL TO- 1587 FRENCH CAMP RD YOB SITE: <br /> 1687 FRENCH CAMP RD enN11101ce I)ate: <br /> STOCKTON,CA 96206X:TURNPIKE 6 STOCKTON,CA 96206 <br /> Sales Rep., <br /> FP—hone -6 7UWC�M-9—rp.0. <br /> 09-948,3053 <br /> CAL000383667 <br /> PRODUCT SHIPPING DESCRIPTIONWASTE MANIFEST <br /> PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> 3 <br /> . 3 <br /> NON-RCRA Waste Licluld Used Antifreeze <br /> 133 <br /> NON-RCRA Waste Uquid Used Oily Water 233 1 <br /> Drained Used Oil Filters <br /> OIL COLLECTION FEE <br /> ......... <br /> fc- <br /> kiNg—. Inv"oice-s over 30 36-0—aysare subject to a 1.51j�a ser%rice charge. Customer agrees to pay all legal fees if court action <br /> becomes necessary to coilect this invoice. TOTAL <br /> 1PI-11 tit) <br /> BY Signing I herby certify that I have not mixed any of the waste d=dbed above with aily olharhamzirdous we-!zle,the total IlRlidii Content is LESS than 1,000 ppm,and the <br /> waste doos riot contain ally PCW_I llikwo compiled with the requirements,of the Apl)ficcblr.-CaRlornin used oil management regulation to dotermine this is t . g <br /> acFePl the additional charges for the disposal of this:wasteif the infornialion I hnve prov!ided abWt 0113'iVaStO is incorrect. rue.I a ree to <br /> Generator's Gertjf-,'rati,,-,n:By signing I certify that it I am a large quantilly generator,I on.l-fify that i have,pr,9r,,t in place to reduce the vo!uma and toxicity of waste general- <br /> ed to the degree,I have determined to be ecollumi!ally afloittabir and t1rit I have sofecled the practicable method of licrizzment.storage,or disposal currently available to me <br /> which minimizes the present and future threat to human life and the environment:or,if I am a small qusitit,%,,generator,I hairs made a Good faith effort to minimize my waste <br /> generation and select the waste management method that Is availawe to me that I can afford. <br /> American Valley'Alasto(_,it hereby adviw,s the aLove Generator that generators shipment of used oil bray tin transported to a Jecility Hiat is required to comply with federal <br /> utations appik.'Oble to 1112nagernellf,of 0!+ed oil.bill that is not required to comply frith the inora strin&� m <br /> nt requmenis applicable to hazardous waste management facili- <br /> "i"Os.California fac,litias that hanme or process tined oil are required to lineal those more stringent requirement,and some cut-of-state facilities that process us-ed oil also meet <br /> those requirements,onginnering certiricationn of tank into9ray.and financial aSSUM nacis for cinsuie and accidental releases.ft,is lawful to send used tA to out of state racithies <br /> tiliat comply only vith fociewl used oil niRrinqenient standards and not thase more stringent remliremerim. <br /> This notification is to,,Information purpcses only. <br /> By both parflessigning thin invoice it will wrie as all agreement A I e t <br /> that Americrin Vu1joy kt.,aste oil will submil conlimintion for(certain wwrie streams]to the generator that their <br /> waste has Inc[)transported to a licensed fiv.-atincrit or itanstor rariiity. <br /> GENERATOPI/ <br /> AUTHORvEr, <br /> LS'[G"�VEA" RE: DATE-/6 SIGNATURE <br /> QISPQ'.-3AL I RECYCLING FAQILIT�Y <br /> 0 DK-DIXON 3'ASBURYENVIRONMENTAL 0 RIVERBANK OILTRANSFER 0 CFR 0 GLOBAL MATERIAL MGMT <br /> 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD. 2035 E.15TH ST. 1640 N.BROADWAY <br /> DIXON,CA 11620 CERES,CA 95358 RIVERBANK, CA 95367 LA,CA 90021 <br /> 707-693-6008 707-6.q3-6008 213-746-02237 STOCKTON,CA 95205 <br /> EPAe,CAT080012602 818-770-2577 <br /> EPAO CALOOD303680 EPA#CAL000I90816 EPA*CAL000270577 EPA#CAL000417316 <br /> MPC(74018) <br />