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Seritl Payment to Invoice No. 49880 <br /> •- :Maximum <br /> Oil Service -� <br /> PO Box 383 Date �- 7 u — 1 t a <br /> OIL SERVICE Loomis, CA 95650 Arrival :Ll", <br /> 1.888.609-2629 <br /> G Name I •) <br /> Etv6 Q, �'�,,. �� r Bill to <br /> N r `�V n ,i d-t—s-� ck Address <br /> R City State Zip _ City State Zip <br /> A fill <br /> T Phone .,-, Fax Phone <br /> R Customer EPA#0L CSL) 0 26 4-(D I Contact i <br /> DESCRIPTION WASTE MANIFEST# OTY RATE AMOUNT <br /> CODE <br /> Non RCRA Hazardous Waste,Liquid CA 221 �� ,?�" ��l Lc7-1 JJK <br /> Used Oil) O Industrial ❑Lubricating <br /> Non RCRA Hazardous Waste,Liquid CA 223 JJK <br /> Oil Water <br /> Non RCRA Hazardous Waste,Liquid <br /> Used Antifreeze CA 133 JJK <br /> Transportation <br /> Clor-D-Tec-Test <br /> i <br /> i <br /> PLEASE PAY FROM THIS INVOICE TERMS: NET 15 DAYS <br /> A service charge of 1.5%per month TOTAL <br /> shall be charged on past due accounts. <br /> LSI Consolidated Manifest Source: J Collection Station V Industrial PO# <br /> ❑Marine ❑Agricultural 0 Govt. Check# <br /> TSDF: Some facilities may ship oil out of state for processing and recycling <br /> J Ramos Environmental Services O California Oil Transfer 0 BEST Environmental,LLC 0 Bayside Oil II,Inc. 0 DK DIXON 0 AES-Cores <br /> 1515 So.River Road 5300 Claus Road 2430 Almond Dr. 210 Encinal Street 7300 Chevron Way 1920 Morgan Rd. j <br /> W Sacramento,CA 95691 Modesto.CA 95357 Silver Springs,NV 89429 Santa Cruz,CA 05060 Dixon,CA 95620 Cores,CA 05307 <br /> CAD 044 003 556 CAL 000190 816 NVD 982 358 483 CAD 008 838 222 CAT 080 012 602 CAL 000 393 680 <br /> IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR USED OIL <br /> This 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. <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-stale <br /> facilities 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 <br /> the volume&toxicity of waste generated where economically practicable. <br /> Driver Jign Lure 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#CAL000180867 DTSC#3670 CA339919 <br /> 164 Robles Way,#207,Vallejo,CA 94591 •Office 707-552.8419•Fax 707-648.2804 <br /> 1-888-609-2MAX or 1-888-700-4MAX <br />