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- - - Seng Payment to: Invoice No. <br /> Maximum Oil Service <br /> PO <br /> Box 383 Date <br /> OIL SERVICE Loomis, CA 95653 Arrival <br /> #-88S-fi09-269 � <br /> Bill to <br /> Name �. <br /> E Address <br /> FN Addres <br /> E State Zi <br /> City State ZIP � -0 city P <br /> A <br /> Phone <br /> Fax Phone <br /> T � , <br /> O Contact a-- <br /> R Customer EPA # <br /> i <br /> WASTE MANIFEST # QTY RATE AMOUNT <br /> DESCRIPTION CODE <br /> ` Non RCRA Hazardous Waste, L+ yid CA 221 JJK t 7-1 <br /> Used Oil ❑ industrial ❑ Lubricating <br /> Non RCRA Hazardous Waste, Liquid CA 223 JJK AOU <br /> Qily Water � �CAa <br /> Non RCRA Hazardous Waste, Liquid CA 133 ' — JJ K . <br /> Used Antifreeze <br /> Transportation <br /> Clor-D-Tec-Test <br /> PLEASE PAY FROM THIS INVOICE TERMS: NET 15 DAYS TOTAL 'lz� --- <br /> A service charge of 1 .5% per month NILy== <br /> shall be charged on ast due accounts. PQ # <br /> Source: ❑ Collection Station -O industrial <br /> "Unconsolidated Manifest ❑ Marine ❑ Agricultural ❑ Govt. Check # . <br /> s r- <br /> 1 TSDF_ Some facilities may ship oil out of state for processing and recycling AEs_Ceres <br /> ❑ Ramos Environmental Services 0 Calitornia Oil Transfer ❑ BEST I=nvironmental.LLC Q Bayside oil II, Inc. ❑Dti 0 Chevron <br /> i 920 Mo an Rd. <br /> 5300 Claus Road 2430 Almond Dr, 210 Encinal Street Dixon,Chevron Way A 95307 <br /> 1515 50-River Road Modesto, CA 9535 silver springs, NV 89429 Santa Cruz,CA 95080 DixoCA 95620 CAI_Doo 393 680 <br /> W Sacramento,CA 95691 GAL e0Q CA 53 NVa 982 358 483 CAD 088 838 222 CAT 080 012 602 <br /> CAD 044 003 556 <br /> 16 <br /> IMPORTANT NOTICE REGARDING THE DISPOSITION�Oh YOUR al USED <br /> DatiOI applicable to management es <br /> TI This shipment of used oil may be transported to a facility that is required to comply Ilcable to hazardous waste management facilities. ks�o7 <br /> of of used oil, but that is not required to comply with the more stringent requirements app <br /> M sarJ <br /> C< California facilities that handie or process used oil are required <br /> toincl meet <br /> those <br /> hose stringent re stringent <br /> leak detection andrequirementspreventian requiremen, and some ts. <br /> fac facilities that process used oil also meet those requirement meat <br /> en engineering certiftcations of tank integrity,and financial assurances stands dslandre and not releases. it <br /> send used oil topuha -sae lfttes. <br /> IDr <br /> facilities that comply only with federal used oil management <br /> Generator certifies that the above named waste stream hasnot been mixed state�s <br /> tilewith <br /> olume&tox Ci y of waste generait ted wheereieconda prornically prat ab m to ere tate <br /> iced <br /> :e <br /> Driver Signature Truck <br /> 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 /> Plea p <br /> EPA # CAL000188867 DTS <br /> Ice <br /> # �Q70552 8 19 9 Fax 747-648-2804 <br /> 164 Robles Way, #2070 1 888 6092MAX orO 888 -700-4MAX <br />