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N <br /> O <br /> QWawn' Send Payment to: 1941 <br /> Maximum Oil Service <br /> I o4 nouies Ur. dfPUI C <br /> Vallejo, CA 94591 Date: <br /> ' 1 {888} 700-4629 EPA ID pCAL000168867 OTSCp 3670 CA 152513 <br /> NAME BILL TO CUSTOMER EPA p <br /> V I CALL 148161 M942 <br /> ADDRESS , ADDRESS CONTACT <br /> j S <br /> T (' <br /> C - 0 CITY STATE ZIP CITY STATE ZIP P.O.# <br /> M _ <br /> i� "i. <br /> CHECK x _ <br /> R PHONE PHONE FAX <br /> F <br /> v PLEASE PAY FROM THIS INVOICE TERMS: NET 15 DAYS: A 1.5%late Paymeal will be added to all <br /> balances not paid within 30 days of Invoice. <br /> Service Information <br /> w"p'sI MANIFEST 8 GALLONS RATE AMOUNT <br /> Used Oil, Non- A Hazardous Waste7 <br /> a r,muner o uwrr lm , Liquid CA 221 4 Z. 'J,,,( I -,j <br /> m Water 9.Oil Nan-RCRA Hazardous Waste Liquid CA 221 <br /> Used Antifreeze Non•RCRAHazardous Waste L uid CA 134 <br /> Trans nation - - <br /> o i <br /> Test- J 10ass O Fail <br /> N Cmu <br /> Facility TOTAL DUE <br /> pca00011roe1a oc�ow�oalse 17CAL0142ueos OCAD*esme <br /> op sr:.n.kar�.r. wwe...n..� +...l.une=..o r+w.eor 1lrsrsb/rarefy 1N1 J1M eepmulCn suMMIeE in M n0 sll anecMU Qacimenls <br /> p '. INQaM 15acrv:�prQ Iia LgY+d. NpS r.M Wnaiis fiusuMsuunle d3Gn <br /> pionsd Cre wills.NrNeraMFhrmsTgn <br /> r rw.rs,ossa wamw�unnr c.w.us.mr wr..tuww brain arsupesle0 neurtl asloeshC Mtlr wewule wa DNnObtbfeQfeW�q <br /> m <br /> �� <br /> GENERATOR'S SIGNATURE PRINT NAIVE <br /> DRIVER SIGNR URE P4wkxA��P/ales Fwwv rl�'Haurtlous WeYs'Ikfz Syesn <br /> 0 1 <br /> N S. <br /> r!r <br /> O <br /> H <br />