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10AXpRiumSertd�Paymehtlo: Invoice No. <br /> 6" Maximum Oil Service, LLC 2 4 3 '' 5 <br /> 164 Robles Way #207 <br /> ®IL SERVICE Vallejo, CA 94591 Date .2 -.? 7- /4? <br /> 1-888-700,4629 <br /> C ame Bill to <br /> U ' <br /> S Address Address <br /> -1033 1-7-L -ItAA4 <br /> T City State 4 Zip City State Zip <br /> O site i ter <br /> M Phone Fax Phone <br /> E _ <br /> R Customer EPA# Contact <br /> D <br /> DESCRIPTION WASTE MANIFEST# QTY RATE AMOUNT <br /> CODE <br /> Non RCRA Hazardous Waste,Liquid CA 221 <br /> Used Oil O Industrial O Lubricating49 JJK <br /> Non RCRA Hazardous Waste, Liquid CA 223 <br /> Oil and Water JJK <br /> Non RCRA Hazardous Waste,Liquid CA 133 <br /> Used Antifreeze JJK <br /> Transportation <br /> Test Pass/Fail <br /> Drained Used Oil Filters <br /> PLEASE PAY FROM THIS INVOICE TERMS: NET 15 DAYS <br /> A service charge of 1.5%per month ) TOTAL DUE <br /> shall be charged on past due accounts. Y/SA <br /> Consolidated Manifest Source: J Collection Station 0 Industrial PO# <br /> O Marine O Agricultural O Govt. Check# <br /> TSDF: Some facilities may ship oil out of slate for processing and recycling <br /> Ramos Environmental Services Riverbank Oil Transfer Evergreen Oil CEMI FRS Inc <br /> 1515 So.River Road 5300 Claus Road 6880 Smith Avenue 2430 Almond Dr 180 W Monte Ave <br /> W Sacramento.CA 95691 Riverbank,CA 95367 Newark,CA 94560 Silver Springs,NV 89429 Rialto,CA 92316 <br /> CAD 044 003 556 CAL 000 190 816 CAD 980 887 418 NVD 982 358 483 CAD 982 444 481 <br /> DK DIXON Bayside Oil II,Inc. Thermo Fluids Generator certifies that the above named waste <br /> 7300 Chevron Way 210 Encinal Street 655 So.Stanford Way stream has not been mixed with any other waste. <br /> Dixon,CA 95620 Santa Cruz,CA 95060 Sparks,NV 89431 Furthermore it has established a program to reduce <br /> CAT 080 012 602 CAD 088 838 222 NVD 982 510 711 the volume 8 toxicity of waste generated where <br /> economically practicable. <br /> Driver Signature Goner atol 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 /> Maximum Oil Service,LLC Fax 707-648-2804 <br /> 1-888-609-2MAX or 1-888-7004MAX <br />