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Send Payment to: Invoice No. 47801 <br /> Maximum Oil Service <br /> PO Box 383 Date v <br /> OIL SERVICE , oomis, CA 95650 Arrival <br /> 1-888-609-2629 <br /> G Name Bill to <br /> E ddres Address <br /> N <br /> RCity State CZip-- City State Zip <br /> T Phone � � � Ph f �� � <br /> � <br /> O I , <br /> R Customer EPA#, (, Contact <br /> DESCRIPTION WASTE MANIFEST# QTY RATE AMOUNT <br /> CODE <br /> Non RCRA Hazardous Waste,Liquid CA 221 <br /> Used Oil O Industrial O Lubricalin Q SS JJK S O <br /> Non RCRA Hazardou�teZiquid CA 223 JJK <br /> Oil Water <br /> Non RCRA H ardous Waste,Liquid 'CA 133 2 (. JJK Z� /j "-- <br /> Used Antlfreez <br /> Transportation '-- <br /> Clor-D-Tec-Test <br /> PLEASE PAY FROM THIS INVOICE TERMS: NET 16 DAYS 30p <br /> A service charge of 1.5%per month TOT <br /> shall be chs ed on past due accounts. <br /> Source: O Collection Station ;I Industrial <br /> DAM <br /> Consolidated Manifest O Marine O Agricultural O Govt. <br /> O Some facilities <br /> s y Ci caramlaonfTrm,srar�r13BES EErngraunsraeLLC in <br /> ship oil out state Oeaysdeo311,11C. Ian iQ11�1a1�111�11U�lN�ll����ll �� <br /> 1515 So.Rlver Road 5300 Claus Road 2430 Almond Dr. 210 Encinal Strout W J <br /> W Sn=mmt%CA 95691 Modesto,CA 95357 Saver springs.Nv 89429 Santa Cna.CA 95 S1407988 <br /> CAD 044 003 556 CAL No 190 616 Nvo 992 369 463 CAD Obs WO m 00 � <br /> IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOury vocv vrL. <br /> This shipment of used oil may be transported to a facility that is required to comply with federal regulations applicable to management JJ <br /> of used oil, but that is not required to comply with the more stringent requirements applicable to hazardous waste management facilities. <br /> California facilities that handle o k process it are required to meet those more stringent requirements, and some out of-state <br /> facilities that process used oil also meet thole re ulrements:These Include more stringent leak detection and prevention requirements, <br /> engineering certifications of tank in "dty,a I h I assurances for closure and accidental releases.I�t'ss lawful to send used oil to out-of-state <br /> facilities that comply onlyfederal of anagement standards and not these more strinsentwqulrents. <br /> ml <br /> 4., Generator ifies th9dplabfive nam <br /> t <br /> fed waste stream has not been mixed <br /> with any oth tb. urthermore it has established a program to reduce <br /> f thei me ity of waste generated where economically practicable. <br /> damn <br /> Driver Si re 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#CAL000186867 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 />