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ImuAf Send Payment to: Invoice No. <br /> Maximum Oil Service <br /> PO Box 383 Date <br /> OIL SERVICE Loomis, CA 95650 Arrival <br /> 1-888-609-2629 <br /> G Name Bill to <br /> E <br /> N Address Address <br /> E <br /> R City State Zip City State Zip <br /> A <br /> T Phone Fax Phone <br /> O <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 J Industrial J Lubricating JJK <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 1.5%per month � TOTAL <br /> V/SA' <br /> shall be charged on past due accounts. =- . <br /> J Consolidated Manifest Source: O Collection Station J Industrial PO # <br /> J Marine J Agricultural J Govt. Check# <br /> TSDF: Some facilities may ship oil out of state for processing and recycling <br /> J Ramos Environmental Services J California Oil Transfer J BEST Environmental,LLC J Bayside Oil 11,Inc. J 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 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 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.Itis 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 economically practicable. <br /> Driver Signature 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 /> I . <br />