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g � Send Payment to: Invoice No. <br /> �+ Maximum Oil Service 67,696 <br /> PO Box 383 Date - - -1 C <br /> ®IL SERVICE Loomis, CA 95650 Arrival <br /> 1.888.609-2629 <br /> G Nam ( r r. Bill to <br /> E <br /> Address_ 1 Address <br /> R City r State I Zip City State Zip <br /> TPhone Fax Phone <br /> O <br /> R Customer EPA# i�' �l✓'�� �' ; .,' '�'�; ) Contact <br /> DESCRIPTION WASTE MANIFEST# QTY RATE AMOUNT <br /> CODE <br /> Non RCRA Hazardous Waste,Liquid CA 221 ( -i JJK <br /> Used Oil ❑Industrial ❑Lubricating <br /> Non RCRA Hazardous Waste, Liquid CA 223 JJK <br /> Oil Water <br /> i <br /> Non RCRA Hazardous Waste, Liquid CA 133 JJK <br /> Used Antifreeze <br /> Transportation <br /> Clor-D-Tec-Test <br /> PLEASE PAY FROM THIS INVOICE TERMS: NET 15 DAYS <br /> A service charge of 1.5%per month (�: TOTAL l/ <br /> spall be charged on past due accounts. l®1 1 <br /> Consolidated Manifest Source: '�Collection Station \❑�dustrial PO # <br /> ❑Marine ❑Agricultttr , ❑Govt. Check# <br /> I <br /> TSDF: Some facilities may ship oil out of state for processing and recycling <br /> Ramos Environmental Services ❑California Oil Transfer ❑BEST Environmental.LLC ❑Bayside Od II,Inc. ❑DK DIXON ❑AES-Ceres <br /> 1515 So.River Road 5300 Claus Road 2430 Almond Dr. 210 Enonal Street 7300 Chevron Way 1920 Morgan Rd. <br /> W Sacramento,CA 95691 Modesto,CA 95357 Silver Springs.NV 89429 Santa Cruz.CA 95060 Dixon.CA 95620 Ceres,CA 95307 <br /> CAD 044 003 555 CAL 000 190 816 NVD 982 358 483 CAD 088 838 222 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 /> Cal fornia 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 complly only with federal used oil management standards and not these more stringent requirements <br /> l Generator certifies that the above named waste stream has not been mixed <br /> i f / with any other waste. Furthermore it has established a program to reduce <br /> r\ !^ I the volume-E�loxicity ofiwaste generated where economically practicable. <br /> } <br /> ' DtiveASfgnature' 1: TrbCk#' •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 /> 164 Robles Way,#207,Vallejo,CA 94591 •Off Ice 707.552-8419•Fax 707-648-2804 <br /> 1-888-609-2MAX or 1-888-700-4MAX <br />