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V> Send Payment to: Invoice No. 5 1059 <br /> Cat ` w ` uift"Oil Service <br /> PO Box 383 Date 1 /,5'X tatl <br /> OIL SERVICE Loomis, CA 95650 Arrival <br /> 1-88"09-2629 <br /> G Name „, i Bill to <br /> E <br /> N �� �Addr ' . � Address <br /> R City _— State Zip City State Zip <br /> A ockfznYI <br /> T Phone Fax-,:. Phone <br /> O <br /> R Customer EPA# Contact <br /> DESCRIPTION WASTE MANIFEST# (QTY RATE AMOUNT <br /> CODE <br /> Non R RA Hazardous Waste, Liquid <br /> Used 011 (3 Industrial ❑Lubricating CA 221 U 1 3 f 6q 3 -, JJK <br /> Non RCRA Hazardous Waste, Liquid CA 223 <br /> Oil Water JJK <br /> (UsedCRA <br /> Antifreeze)Hazardous Waste, Liquid CA 133 l Vel (J �A 3 JJK <br /> Transportation <br /> Clor-D-Tec-Test <br /> e <br /> PLEASE PAY FROM THIS INVOICE TERMS: NET 15 DAYS ' <br /> A service charge of 1.5%per month ifs TOTAL <br /> VISA <br /> shall be charged on past due accounts. , 1 <br /> Consolidated Manifest Source: ❑Collection Station Jdlndustrial PO# <br /> ❑Marine ❑Agricultural ❑Govt. Check# <br /> TSDF: Some facilities may ship oil out of state for processing and recycling <br /> 2 Ramos Environmental Services ❑California Oil Transfer ❑BEST Environmerital,LLC ❑Bayside OIl II,Inc. ❑OK DIXON ❑AES-Ceras ; <br /> 1515 So.River Road 5300 Claus Road 2430 Almond Or. 210 Endnal street 7300 Chevron Way 1920 Morgan pd. <br /> W Sacramento,CA 95691 Modesto,CA 95357 Silver Springs,NV 89429 Santa Cruz,CA 95090 Dixon,CA 95620 Coron,CA_ 95307 <br /> CAD 044 003 556 CAL 000 190 816 NVD 992 358 493 CAD 088 an 222 CAT 080 012 602 CAL 000 393 680 <br /> IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR USED OIL <br /> This shipment of used all 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-state <br /> facilities that comply only with federal used oil management standards and not these more stringent requirements. <br /> Generator certlifes that the above named waste stream has not been mixed <br /> with any other waste. Funhermor ll-has established a program to reduce <br /> I the volume&;toxicity of waste g�rated�where economically practicable. <br /> Dri 06hirator Signatuie ” 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 /> 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 />