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OAX[Pwk Send Payment to: Invoice No. 5125 <br /> I" Maximum Oil Service 1 <br /> PO Box 383 Date -- <br /> OIL SERVICE Loomis, CA 95650 Arrival <br /> 1-888-609.2629 <br /> G Name i — -r / Bill to <br /> N Address 1 Address <br /> R City State Zip t City State Zip <br /> T Phone Fax Phone <br /> O <br /> R Customer EPA# (, �'� ( ,�,�1 ?� ) Contact <br /> DESCRIPTION WASTE MANIFEST# QTY RATE AMOUNT <br /> CODE <br /> Non RCRA Hazardous Waste, Liquid CA 221 c� <br /> Used Oil J Industrial J Lubricating / �, ? 3 2. - JJK <br /> Non RCRA Hazardous Waste,Liquid CA 223 JJK <br /> Oil Water <br /> Non RCRA Hazardous Waste, Liquid ; , I 1 :, 7 <br /> (Used Antifreeze CA 133 JJK a c' <br /> Transportation <br /> Clor-D-Tec-Test <br /> I <br /> PLEASE PAY FROM THIS INVOICE TERMS: NET 15 DAYS <br /> A service charge of 1.59b per month TOTALW. <br /> snall be charged on past due accounts. <br /> J Consolidated Manifest Source: J Collection Station kt Industrial PO# <br /> J Marine J Agricultural J Govt. Check# <br /> --------------- <br /> TSDF: Some facilities may ship oil out of state for processing and recycling <br /> .�Ramos I'nvironmenial Services 0 California Oil Transfer J BEST Environmental,LLC J Bayside Oil II,Inc. J DK DIXON .J AES-Cares <br /> 1515 So River Road 5300 Claus Road 2430 Almond or 210 Encinal Street 7300 Chevron way 1920 Morgan Rd I <br /> V1 Sa-ian,en!o.CA 95691 Modesto.CA 95357 Silver Springs,NV 89429 Santa Cruz,CA 95050 Dixon,CA 95620 Ceres.CA 95307 <br /> CAD,)44 CC3 556 CAL 000 190 816 NVD 982 358 4B3 CAD 088 838 222 CAT 000 012 602 CAL 000 393 680 <br /> IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR USED OIL <br /> Tnis 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 1 <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 /> facilites 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 f <br /> the-vol me 8 toxicity of'waste generated where economically practicable. <br /> fl <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 •Off Ice 707-552-8419•Fax 707-648-2804 <br /> 1-888-609-2MAX or 1-888-700-4MAX <br />