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I <br /> lend Payineht to: Invoice No. 70AX <br /> �1 <br /> Maximum Oil Service <br /> 4rJ PO Box 383 Date I d o zA v <br /> OIL SERVICE Loomis, CA 95650 Arrival <br /> t-888.609.2629 .�„ <br /> E NmeQ` ` / Bill to <br /> ll� G V <br /> N 0 Ad cess Address <br /> Ot <br /> A C <br /> State Zip ,. � ` city State zip <br /> A VCU + <br /> T PffoniFFax Phone <br /> O _ <br /> �O <br /> R Customer EPA# � S�� Contact <br /> DESCRIPTION WASTE MANIFEST# OTY RATE AMOUNT <br /> CODE _ <br /> Non RCRA Hazardous Waste,Liquid CA 221 Ot r� j -� <br /> Used Oil O Industrial O Lubricalin JJK <br /> Non RCRA Hazardous Waste,Liquid CA 223 <br /> (Oily Water - <br /> Non RCRA Hazardous Waste,Liquid CA 133 ' <br /> Transportation i IINIl���Il�l�l��i1I�I��IOIIII��flt���l�lll�l���� • <br /> Clor-D-Tec-Test SI.420650 <br /> � <br /> PLEASE PAY FROM THIS INVOICE TERMS: NET 15 DAYS f <br /> A service charge of 1.50A per month TOTAL {` <br /> shall be charged on past due accounts. 4 0 J <br /> .4Consolidated Manifest $411 : Rection Station ustr PO# <br /> O Marine O Agricultural O Govt. I Check# <br /> TSDF: Some facilities may ship oil out of state for processing and recyci <br /> 0 Remus Emirw mental Servicos O caufamla OA Trarafor 0 BEST Emirowwa,LLC Bayside On II,Inc. 0 OK OIXON 0 AES-CAMS <br /> 1515 So.Riwr Road 5900 Claus Road 2430 Almond Dr. 210 Endnal Strout 7300 Ctmm way 1920 Morgan Rd. <br /> W Saaen+eftt%CA 95891 Modesto,CA 95357 Snwr Sydrip,NV 89429 Saida Cruz,CA 95060 Dkm.CA 95620 Ceras.CA 95307 .� <br /> CAD 044 003 556 CAL 000100 816 NVD 982 358 483 CAD 088 839 222 CAT 080 012 602 CAL 000 383 880 <br /> IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR USED OIL <br /> This shipment of used oil may be transported to a facility that is required to comply with federal regulations applicable to management 1 <br /> of used oil, but that Is not required to comply with the more stringent requirements applicable to hazardous waste management facilities. l <br /> California facilities that handle or process used all are required to meet those more stringent requirements, and some out-of state ' <br /> facilities that process used oil also meet those requirements. These include more stringent leak detection and prevention requirements,` <br /> engineering certifications of lank integrity,and financial assurances for closure and ac cidentatireteases.It is lawful to send used all to out-of-state <br /> facilities that comply only with federal used oil management standards and not these more stringent requirements. <br /> Generator certifies that the above named waste stream has not been mixed <br /> with any other waste. Furthermore it has established a program to reduce <br /> the volume&toxicity of waste generated where economically practicable. <br /> Driver Sig ture Truck 0 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 DISC#3670 CA339919 <br /> 164 Robles Way,#207,Vallejo,CA 94591 •Office 707-552.8419•Fax 707.648.2804 <br /> 1-868.609.2MAX or 1-888-700-4MAX <br />