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� r <br /> BuIIDog Oil of California, LLC <br /> Mailing:P.O.Box 730, Riverbank,CA 95367 <br /> .l � t 5300 Claus Rd.Bldg 11,Modesto,CA 95355 <br /> J� <br /> t Phone:(209)863-0888 Fax:(209)863-8171 <br /> EPA#CAL000338673 <br /> CA Transporter#5711 <br /> CA License#376150 <br /> Job Site: r <br /> Invoice: <br /> GENERATOR: <br /> Site EPA ID#: <br /> Contact Person: <br /> Bill To: <br /> Name: Name: <br /> Address: <br /> City,State,Zip: Address: <br /> Site Phone: City,State,Zip: <br /> Date Customer P.O. Net 10/C.O.D./Cash/Check Driver/Truck# <br /> PRODUCT Codee CA Manifest# Quantity Units Price Amount <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 ! Gal <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Industrial 221 Gal <br /> Non-RCRA Hazardous Waste Liquid(Used Automotive Anti-freeze) 134 Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 w v V Drum(s) <br /> Non-Hazardous Waste Solids Contaminated <br /> Drained Used Oil Filter Drum(s) Drum(s) <br /> Empty Drum(s) Each <br /> Transportation&Truck Time HR. <br /> Hazardous Test/Profiling <br /> Customer Pay's❑ BuIIDog Pay's❑ <br /> a Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Terms:Accounts due on the 10th of the month following month of purchase. <br /> Past Due Accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-112%per month,which is the ANNUAL PERCENTAGE RATE of 18%. Total <br /> I hereby certify that I have not mixed this waste with any other waste,that the total halides are less than 1000 PPM,and that the waste does not contain <br /> any PCB's. I 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 <br /> GENERATOR or <br /> AUTHORIZED: DRIVER SIGNATURE: <br /> TERMS:INVOICES OVER 10 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 be 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 application for DTSC#.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 oil 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 generator certifies that the generator has established a program to reduce the volume or quantity and toxicity of the hazardous waste to the degree,as determined by <br /> generator, to be economically practicable. By both parties signing this invoice it 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 or transfer facility. <br /> DISPOSAL/RECYCLING FACILITY <br /> ❑ RIVERBANK OIL TRANSFER RAMOS ENVIRONMENTAL SERVICES NAME: <br /> 5300 CLAUS ROAD Bld.# 11 1515 SOUTH RIVER ROAD ADDRESS: <br /> RIVERBANK,CA 95367 W.SACRAMENTO,CA 95691 CITY: <br /> (209)863-8181 (916)371-5747 STATE,ZIP: <br /> EPA#CAL000190816 EPA#CAD044003556 PHONE: <br /> EPA ID: <br />