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I Send Payment to: <br /> Y <br /> exin m 01I Service Invoice No. 49016 <br /> PO Box 383 Date t , <br /> ®IL:_SERVICK., Loomis, CA 95650 Arrival <br /> -sse-sOs2s2s <br /> G Na Bill to <br /> E �, t_ DSTS_\C I-.t.•1L,---- <br /> N , —,Address r Address <br /> E (,} i <br /> R City State Zip City State Zip <br /> civ C:L. 6�� <br /> T Phone Fax Phone <br /> 0 <br /> R Customer EPA# C C.')� 2"1 L Contact <br /> DESCRIPTION WASTE MANIFEST# QTY RATE AMOUNT <br /> CODE <br /> Non RCRA Hazardous Waste,Liquid S l <br /> Used Oil O Industrial O Lubricatin CA 221 (� )U JJK `11�� SS`s Z 1 / <br /> Non RCRA Hazardous Waste,Liquid CA 223 <br /> Oil Water JJK - <br /> Non RCRA Hazardous Waste, Liquid <br /> Used Antifreeze CA 133 JJK i <br /> Transportation ; <br /> - <br /> Clor-D-Tec-Test <br /> PLEASE,PAY FROMTHIS INVOICE TERMS: NET 15 DAYS t <br /> A service charge of 1.5%per month AJJkJk tray® TOTAL 4—N <br /> shall be charged on past due accounts. <br /> OfConsolidated Manifest Source;,Collection Stati& �- PO# <br /> i O Marine ❑Agricultural O Govt. Check# <br /> 'TSDF: Some facilities may ship oil out of state for processing and recycling <br /> ❑Ramos Environmental Services l7 Caldomia Oil Transfer ❑BEST Environmental,LLC 0 Baysido Oil 11.Inc. -EI'DK DIXON ❑AES-Ceres <br /> 1515 So.River Road 5300 Claus Road 2430 Almond Dr. 210 Encinal Street 7300 Chevron Way 1920 Morgan Rd. <br /> W Sacramento,CA 95691 Modesto,CA 95357 SMr Springs,NV 89429 , Santa Cruz,CA 95060 Dixon,CA 95620 Ceres,CA 95307 <br /> CAD 044 003 556 CAL 000 190 816 NVD 982 3%483 CAD 088 838 222 CAT 080 012 602 CAL 000 393 680 <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 8 toxicity of waste generated where economically practicable. <br /> Driver Signature Truck# Generator Signature Pript' <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 j 1 <br /> 164 Robles Way,#207,Vallejo,CA 94591 •Off ice 707-552-8419•Fax 707-608=2804 ' <br /> ,, 1-888-609-2MAX or 1-888-700-4MAX <br />