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_Jck- M U)tf Send Payment to: Invoice No. �'•.� �° `' "� <br /> n Maximum Oil Service <br /> Box 383 Date - L ' <br /> OIL SERVICE Loomis, CA 95650 Arrival I i _ 46893 <br /> 1-888.609.2629 <br /> G Namef Bill to ' G7 <br /> ,o t� <br /> 74-NIT U t I 1 P� <br /> E Addre Address -- -- <br /> RCity `r, State Zip City State Zip <br /> i4Phone <br /> T Phone Fax <br /> 0 — Zip <br /> R Customer EPA # (_� -7 -� < <:. ontact <br /> DESCRIPTION WASTE MANIFEST# QTY RATE AMOUNT <br /> CODE <br /> Non RCRA Hazardous Waste,Liquid CA 221 n E "3 `7 �ol� JJK -, O <br /> Used Oil J Industrial J Lubricatingi _ <br /> Non RCRA Hazardous Waste, Liquid CA 223 JJK = AMOUNT <br /> (Oily Water <br /> Non RCRA Hazardous Waste,Liquid CA 133 JJK <br /> Used Antifreeze <br /> Transportation <br /> Clor-D-Tec-Test <br /> 44 <br /> PLEASE PAY FROM THIS INVOICE TERMS: NET 15 DAYS <br /> A service charge of 1.5%per month ( TOTAL !` f <br /> shall be charged on past due accounts. hal <br /> Source: U Collection Station ±y��Industrial PO# <br /> Consolidated Manifest J Marine J Agricultural U Govt. Check# 77 <br /> TSDF: Some facilities may ship oil out of state for processing and recycling <br /> Ramos Environmental Services O Cat,farnia Oil Transfer 0 BEST Environmental,LLC 0 Bayside Oil II,Inc. 0 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 Silver Springs,NV 89429 Santa Cruz,CA 95060 Dixon,CA 95620 Cares,CA 95307 <br /> CAD 0,14 003 556 CAL 000190 816 NVD 982 358 483 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 ]AES-Ceres <br /> of used oil, but that is not required to comply with the more stringent requirements applicable to hazardous waste management facilities. 1920 Morgan Rd. <br /> California facilities that handle or process used oil are required to meet those more stringent requirements, and some out-of-state Ceres,CA 95307 <br /> facilities that process used oil also meet those requirements. These include more stringent leak detection and prevention requirements, CAL 000 393 680 <br /> engineering certifications of tank integrity,and financial assurances for closure and accidental releases.It is lawful to send used oil to out-of-slate <br /> facilities that comply only with federal used oil managemenp5tandards•and not these more stringent requirements. 'o management <br /> ! Generatol certifies that the above named waste stream has not been mixed sment facilities. <br /> with anyppther wa&&te. Furthermore it has established a program to reduce ne out-of-state <br /> ity <br /> the volume&toxicof waste generated where economically practicable. 1 requirements, <br /> / it to out-of-state <br /> N(Ci a <br /> �_)�'t rot been tied <br /> Driver Signature Truck# Gel ator Signature Print am to reduce <br /> Please keep a copy of this invoice in a"HazaPdoys Waste"rjife for three(3)years as required by State law. practicable. <br /> EPA#CAL000188867-_ DISC#3670 CA339919 <br /> 164 Robles Way,#207,Vallejo,CA 94591 •Off Ice 707-552-8419•Fax 707-648-2804 <br /> 1-888-609-2MAX or 1-888-700-4MAX <br /> R law. <br /> oGn 1 9 3670 CA339919 <br /> 54 Robles'Way,#20.7y VlAlleft,N 94591 -Office 707-552=8419•Fax 70t'-548-2804 <br /> ill=08-2MAX or 1-88840- 0-0MAX <br />