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Send Payment to: <br /> "IMUM y Invdice No. 49317 <br /> Maximum Oil Service <br /> PO Box 383 Date ►�� (_cl' <br /> OIt�sSIERVsCE Loomis, CA 95650 Arrival t3r`i <br /> G Name Bill to <br /> E -'7 / Add r<ess G� Address <br /> -"11 <br /> R city Stale���.r...�. Sta a Zip � � City State Zip <br /> A <br /> T Phon Fax Phone <br /> 0 �� tly aZ� <br /> R Customer EPA r� 7 !� Contact <br /> DESCRIPTION WASTE MANIFEST# QTY RATE AMOUNT <br /> CODE <br /> Non RCRA Hazardous Waste,Liquid o <br /> Used Oil t]Industrial O Lubricating CA 221JJK65 <br /> l <br /> Non RCRA Hazardous Waste,Liquid C <br /> Oil Water A 223 JJK <br /> Non RCRA Hazardous Waste,Liquid CA 133 JJK <br /> Used Antifreeze <br /> Transportation <br /> Clor-D-Tec-Test <br /> PLEASE PAY FROM THIS INVOICE TERMS: NET 15 DAYS <br /> A service charge of 1.596 per month � TOTAL <br /> shall be charged on past due accounts. �® <br /> Consolidated Manifest Source: 13 Collection Station ndustrial PO# <br /> ❑Marine 3 Agricultural ❑Govt. Check# <br /> DF: Some facilities may ship oil out of state for processing and recycling <br /> ❑Ramos Environmental Services O California Oil Transfer 0 BEST Environmental,LLC ❑Bayside Oil II,Inc. 13 DK DIXON ❑AES-Cares <br /> 1515 So.River Roar! 5300 Claus Road 2430 Almond Dr. 210 Encinal Streel 7300 Chevron Way 1920 Morgan Rd. <br /> W Sacramento,CA 95691 Modesto,CA 95357 Silvor Springs,NV 89429 Santa Cruz,CA 95060 Dixon,CA 95620 Ceres,CA 95307 <br /> CAD 044 003 556 CAL 000 190 816 NVD 982 358 483 CAD 088 838 222 CAT 080 012 602 CAL 009 393 680 <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 <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 or process used oil 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 tank integrity,and financial assurances for closure and accidental releases.It is lawful to send used oil 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 economicafly practicable. <br /> Driver Sig ature 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 />