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Send Payment to: �� t <br /> Maximum Oil Service <br /> 164 Robles Dr. #207 <br /> F= r ;; Vallejo, CA 94591 Date. <br /> 1 (888) 700-4629 <br /> EPA ID NCAL000188867 DTSCM 3670 CA 152513 <br /> NAME BILL TO <br /> CUSTOMER EPA 4 <br /> • Ct. <br /> U ADDRESS r CALL 1-(800)618-6942 <br /> S. ADDRESS CONTACT <br /> T / <br /> O CITY STATE ZIP CITY STATE ZIP <br /> M P.O. « <br /> E CHECK M <br /> R PHONE PHONE <br /> FAX <br /> PLEASE PAY FROM THIS INVOICE TERMS: NET 15 DAYS: A 1.S o late payment will be added to all <br /> balances not paid within 30 days of invoice. <br /> Service Information wOOE MANIFEST N GALLONS RATE AMOUNT <br /> 0 <br /> Used Oil, Non-RC RA Hazardous Waste, Liquid CA 221 <br /> Water 8 Oil Non-RCRA Hazardous Waste Liquid CA 221 <br /> • Used Antifreeze Non-RCRA Hazardous Waste Li uid CA 134 <br /> Trans nation <br /> Test OPass O Fail <br /> OiN, <br /> Fac <br /> OCALOOOI TOTAL DUE <br /> ocn�000teoese ocAooa.wass ocnLoovea3eos ocwseeeeiate <br /> Ian,. m••. Rana•en.•einanI, an...,a rr...,v E—r—d I hanby ndM mat as IN idomulion suemnad n Mu and all allovid di c nanls <br /> saxcr,•w rs,fs a+w ad — .;=Z suo s.a... romanslrwarW acume das,,I d IN w ".AN wavant nldrmahon raysrdtng <br /> ^••^—.�..a,.r ase...e.0 sas•, d••wd c.•.aor CAwW Mann or suadaned na:ardo 8511 nnm IN.nsla has eon dxwsed. <br /> r r <br /> DRIVER SIGNA URE GENERATOR'S SIGNATURE PRINT NAME <br /> Please veep•-Py 0 hua nwca,n•'naasrdous Waste'fib for 3 ya•rs <br />