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i` U 4: SeRdr,Payment to: Invoice No. <br /> �► Maximum 0;11 Service, LLC 17413 <br /> 164 Roblesbr.#207 <br /> ®IL, SERVICE Vallejo, CA 94591 Date <br /> 1-888-700-4629 <br /> C Name Bill to <br /> Address Address <br /> S -� <br /> OCitState Zip City State Zip <br /> M .5Z(� <br /> Phone Fax Phone <br /> E olco) � Z <br /> R Customer EPA# 1 Contact <br /> DESCRIPTION WASTE MANIFEST# QTY RATE AMOUNT <br /> CODE <br /> Non RCRA Hazardous Waste, Liquid <br /> (Used Oil) U CA 221 Industrial LI Lubricating <br /> Non RCRA Hazardous Waste,Liquid <br /> (Oil and Water) CA 221/223 JJK <br /> Non RCRA Hazardous Waste,Liquid CA 343/135 <br /> (Used Antifreeze) JJK <br /> Transportation <br /> Test Pass/ ail <br /> Drained Used Oil Filters <br /> PLEASE PAY FROM THIS INVOICE TERMS: NET 15 DAYS r� <br /> A service charge of 1.5%per month VTOTAL DUE <br /> shall be charged on past due accounts. ss / 4 <br /> Consolidated Manifest Source: U Collection Station Industrial PO# I <br /> U Marine I Agricultural U Govt. Check# <br /> TSDF: Some facilities may ship oil out of state for processing and recycling <br /> Ramos Environmental Services Riverbank Oil TransferEvergreen Oil CEMI FRS Inc <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 I <br /> Dixon,CA 95620 Santa Cruz,CA 95060 a program to reduce the volume&toxicity of waste generated i1 <br /> CAT 080 012 602 CAD <br /> D 088 838 222 where ecor, pr cl ble. <br /> Driver Signature Generator Signature OPrint <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 />