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Send Payment to: Invoice No. 2167 <br /> Maximum Oil Selrvice, LLC <br /> ®«• ����I�� 164 Robles Way #207 . <br /> 1.888.700-4629 <br /> Vallejo, CA 94591 Date `�` �C9` tl <br /> CJName tt13ill to <br /> U iJ a U <br /> s Address Address <br /> T <br /> O City" I State Zip City State Zip <br /> Q� <br /> M Phone Fax Phone <br /> E <br /> ustomer EPA# Gontact <br /> DESCRIPTION WASTE MANIFEST# QTY RATE AMOUNT <br /> CODE 4 <br /> Non RCRA Hazardous Waste,Liquid CA 221 JJK � s (�` <br /> Used Oil U Industrial U Lubricating <br /> Non RCRA Hazardous Waste, Liquid CA 223 <br /> Oil and Water JJK <br /> Non RCRA Hazardous Waste, Liquid CA 133 <br /> Used Antifreeze <br /> Transportation <br /> Test Pass ail <br /> Drained Used Oil Filters I <br /> PLEASE PAY FROM THIS INVOICE TERMS: NET 15 DAYS <br /> A service charge of 1.5%per monthTOTAL DUE <br /> • � <br /> i <br /> shall be charged on past due accounts. > /� 1 <br /> Consolidated Manifest Source: U CollectionStation C�,Ytidustrial PO# <br /> U Marine U Agricultural 0 Govt. Check# <br /> TSDF: Some facilities may ship oil out of stale for processing and recycling j <br /> Ramos Environmental Services Riverbank Oil Transfer Evergreen Oil CEMI FRS Inc 1 <br /> 1515 So.River Road 5300 Claus Road 6880 Smith Avenue 2430 Almond or 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. Generator certifies that the above named waste stream has not <br /> 7300 Chevron Way 210 Encinal Street been mixed with any other waste. Furthermore it has established <br /> Dixon,CA 95620 Santa Cruz,CA 95060 a program to reduce the volume a toxicity of waste generated <br /> CAT 080 012 602 CAD 088 838 222 where economically practicable. <br /> Driver Signature ` 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 /> Maximum Oil Service,LLC Fax 707-648-2804 <br /> 1-888-609-2MAX or 1-888-700-4MAX <br />