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jM uJif Send Payment to: Invoice No. 4 608 5 <br /> Maximum Oil Service <br /> PO Box 383 Date C� t 9 2d1 <br /> ®IL SERVICE `' Loomis, CA 95650 Arrival <br /> 1-eea609-2629 <br /> G Nam ` Bill to <br /> E Address , t Address <br /> E `.d O/-T— W <br /> R City 1 ` ^ state Zip � City State Zip <br /> Tat L..�j 1 f"1 r <br /> A P ne Fax Phone <br /> T t•. <br /> O "(o�� <br /> R Customer EPA# L CD qc=� Contact ids <br /> DESCRIPTION WASTE MANIFEST# OTY RATE AMOUNT <br /> 1. CODE <br /> Non RCRA Hazardous WAste,Liquid CA 221 <br /> Used Oil 0 Industrial 63 Lubricating <br /> Non RCRA Hazardous Waste, Liquid A 223 JJK <br /> Oil Water f, <br /> Non RCRA Hazardousaste, i i <br /> Used Antifreeze e V C CA 133 5 po a JJK <br /> Transportation I D <br /> Clor-D-Tec-Te i A _ 1/V0 <br /> r <br /> ISIS c�, t <br /> PLEASE PAY FROM 7HS INVOICE TE S: NET 15 DAYS <br /> A service charge of 1.5%p&r month TOTAL l <br /> shall be charged on past d e accounts.— <br /> dted {fest ource: O Collection Station Industrial PO# <br /> Cons <br /> O Marine O Agricul�l D Govt. Check# <br /> TSDF: Some facilities may ship oil out ot`t.?j�; lit <br /> z's ar`e�br�i=sit1Vt11CJ rbecltn • •mss*-•y w,,...ra y,f.a�,.,,•� <br /> O Ramos EnvimnitieMol Services O Citoornia OB Transfer 0 BEST Emirowwrilal.LLC BaysWe 01 11.Inc. 0 DK DIXON O AES-Ceres <br /> 1515 So.River Road 5300 Claus Road 2439 Almond or. 210 Encina!sheet 7300 Chevron Way .1920 Morgan Rd. <br /> W Sacramento,CA 95691 Modesto.CA 95357 Silver Springs,NV 89429 Saida Cao.CA 95060 Dbm,CA 95620 Ceres,CA 95307 <br /> CAD 044 003 556 CAL 000 190 816 NVD 082 358 463 CAD 088 838 222 _ _CAT 080 012 602 CAL'090 393 660 <br /> IMPORTANT NOTICE REGARDING THE DISPOc" _ - <br /> This shipment of used oil may be transported to a facility that is req►' licable to management <br /> of used oil, but that is not required to comply with the more stringent i management facilities <br /> California facilities that handle or process used oil are required to l l` ` 11 j1pipipand <br /> some out-of-state <br /> facilities that process used oil also meet those requirements. These ir. 111111111 trevention requirements, <br /> engineering certifications of tank integrity,and financial assurances for cloy id used oil to out-of-state <br /> facilities that comply only with federal used oil management standards ant $1•374738 <br /> Generator --dam has not been mixed <br /> with any o ,,o it nas establised a program to reduce <br /> the volume...v^cry of Waite generated where economically practicable. <br /> s <br /> Driver Sigripture Truck# Generator Signature Print <br /> Please keep a copy of this invoice In a"Hazardous Waste"file for three(3)years as required by State law. <br /> EPA#CAL000188867 DTSC#3670 CA339919 <br /> 164 Robles Way,#207,Vallejo,CA 94591 •Office 707.552.8419•Fax 707.648.2804 <br /> 1.888.609.2MAX or 1.888-700.4MAX <br />