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<br /> BuIIDog Oil of California, LLC
<br /> IL
<br /> Mailing:P.O.Box 730,Riverbank,CA 95367
<br /> 5300 Claus Rd,Bldg
<br /> 1.1;Modesto,CA 95355
<br /> Phone:(209)863-0888 Fax:(209)863-8171
<br /> 1�� . - : EPA#CAL000336673
<br /> CA Transporter_#571.t
<br /> CA License#376150
<br /> Job Site:
<br /> Invoice:
<br /> GENERATOR:
<br /> -Site EPA ID#
<br /> ;.teF=7 4w'1,YY.l iti h#:id:�eRyRYR'd,✓<•
<br /> Contact Person:
<br /> Bill To:
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<br /> 5" i.' ,h Qa17 "` 1 Name: .1.. ..�
<br /> Address:
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<br /> City,.state, Zip
<br /> Site Phone: . Gity,'State,Zip
<br /> Date /{�1 Customer P.O. Net 101/C.O.Q./Cash I Check' Drivers Truck i_p
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<br /> PRODUCT' codtee. CA Manifest# Quantity Units Price Arrtaiit„
<br /> IRA-
<br /> Gal
<br /> a3 n;
<br /> ft';f .� � y^� -.Gal c ''�y ty ' S rti4 -
<br /> Nan RCRA Haiardous Waste Liquid(Used Dil}:Lubr}caling 221 r
<br /> i{t' f '. �.✓ ' i �/ Y• m
<br /> ^`' Nbri RCRA Hazardous Wastetigwd(Used Oil)andustriat 221; Galc. tyyyrt
<br /> Non RCRA Hazardous Waste 046id(Used Automotive Anti-freeze) 134r Ga{ i �t i k111222` 't�
<br /> k
<br /> .�..4 ,4,. iN1E!
<br /> e , >Non RCRA Hazardous Waste Liquid(Oil'&Water) 221 6" Gal ' ° '
<br /> :t Non•RCRA-Hazardous Waste Solids Contaminated with Used Oil Drum(sj .t r7�f, : ...:;w
<br /> —r' rfi -. ;
<br /> 1�'Mori- nm
<br /> RazardausWasteSoiidsCenfaminated ',-�".','tl::}?,„i;,�,�.a'�
<br /> aril ed Used Oil Filter Drum(s)
<br /> Drums) 7 , i4 'f` - {
<br /> . h 6 _ •'i9w ��.Fi G.-TSS>P i-d',N, -
<br /> ,Nf�(;; .Erripty`famm{s) Each ',rrt�..:�r�2,t;�,,
<br /> H{. Transportation&Truck Time
<br /> .r 1 Hazardous Test 1 Profiling
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<br /> 'Customer Pay's❑ y BuIIDog Pays❑
<br /> Unless otherwise specified on this Consolidated Manifesi Receipil(Ini�oice)Terms:Accounts due on the 10th'of the month folleming month of purchase. '_ T a [
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<br /> Past Due Accounts will he charged a FINANCE CHARGE at(lie PERIODIC RATE of 1-112%per moetn,which is the ANNUAL PERCENTAGE RATE of 18%, Total, -*
<br /> I hereby'certity that I have not mixed this waste with any other waste,that the total halides are less than 1000 PPM,and that the wasteidoes not contain-.,,>
<br /> arty PCB's.]further agree to accept the additional charges for legal disposal if this,waste is over 1000 PPM,total halides, or contains,.or.contains any
<br /> PCB's ,r s
<br /> GENER&OR oPf
<br /> AUTHORIZED: % ”" -s :: DRIVER SIGNATURE: f
<br /> TERMS:INVOICES OVER 1e DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE.CUSTOMER AGREES TO PAY ALL LEGAL FEES IF COURT ACTION BECOMES
<br /> NECESSARY TO COLLECT THIS INVOICE.
<br /> BuIIDog Oil hereby advises the above Generator the Generators shipment of used oil may he transported to a facility that is required to comply with federal regulations
<br /> applicable to management of used oil,but that is not required to comply with the more stringent requirements applicable to hazardous waste management facilities.BuIIDog Oil
<br /> is authorized to fill out an appfication for DISC#.California facilities that handle or process used oil are required to meet those more stringent requirements,and some out-of-
<br /> state facilities that.process used ail also meet those requirements,engineering certifications of tank integrity,and financial assurances for closure an accidental releases.It is
<br /> 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.By signing the invoice
<br /> the genarator'certifies that the generator has established a program to reduce the volume or quantity and taxicity'of the hazardous waste to the degree,as determined by
<br /> generator, to be economically practicable. Qy bath parties signing this invoieeat will serve;as;an agreement that BuIIDog Oil will submit confirmations for(certain waste
<br /> streams)to the generator that their waste has been transported to a license treatment o'r{ransfer facility.,,.
<br /> DISPOSAL i,RECXCIL'ING�;EACILITX.
<br /> .� 5300 CLAUS ROAD Bid.r q,, RIVERBANK OIL
<br /> 11 ❑ 1515 SOUTH S ENV RIVEN ROADNM
<br /> r ❑ ADDRESS:
<br /> RIVERBANK,CA 95367 W.SACRAMENTO;"CA !35691 CITY:
<br /> (209)863-8181 (916)37.1-5747 STATE;ZIP:
<br /> ERA#CAL000190816 ERA#CAD044003556 PHONE:
<br /> EPA ID:
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