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10JkL�JMLfJJf _ Send:Payment to: Invoice No. <br /> �+ Maximum Oil Service, LLC 179-73 <br /> 164 Robles Dr.#207 - <br /> ®IL SERVICE Vallejo, CA 94591 Date <br /> 1-888-700-4629 <br /> C arae `` Bill to <br /> SAddress ' Address <br /> t� r <br /> T City SYate Zip City State Zip <br /> O '-) <br /> M Phone Fax Phone <br /> E <br /> R I Customer EPA# Z � Contact <br /> L 0 0) <br /> DESCRIPTION WASTE MANIFEST# QTY RATE AMOUNT <br /> CODE <br /> Non RCRA Hazardous Waste, Liquid CA 221 <br /> (Used Oil) O Industrial 0 Lubricating JJK <br /> Non RCRA Hazardous Waste, Liquid CA 22v223 <br /> (Oil and Water) JJK <br /> Non RCRA Hazardous Waste, Liquid CA 343/135 <br /> (Used Antifreeze) JJK { <br /> Transportation 1 <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 IM <br /> TOTAL DUE <br /> shall be charged on past due accounts. ' e <br /> Source: ❑Collection Station :Industrial PO# <br /> Consolidated Manifest <br /> ❑Marine ❑Agricultural O Govt. Check# <br /> i <br /> TSDF: Some facilities may ship oil out of state for processing and recycling <br /> Ramos Environmental Services Riverbank Oil Transfer Evergreen Oil CEMI FRS Inc <br /> 461}5 ppS��oO River0 W Mont*a Ave <br /> boad CA 95691 River alaus Road 6880 Smith Avenue 2430 nk,CA 95367 Newark,CA 94560 Silver Slprings,NV 89429 Rmond Dr Balto,CA 92316 <br /> CAD OC133 656;,' CAL 000190 816 CAD 980 887 418 NVD 982 358 483 CAD 982 444 481 <br /> DK DIXON Bayside Oil 11,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&toxicity of waste generated <br /> CAT 080 012 602 t CAD 088 838 222 where onomically 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#CAL000 88867 DTSC#3670 CA339919 <br /> Maximum*Service,LLC Fax 707-648-2804 <br /> 1-888=k SV-2MAX or 1-888=700-4MAX <br />