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AXIMU <br /> Send Payment to: Invoice No. 4 7 9 7 2 <br /> Maximum Oil Service I4�. <br /> "2�`�%'a Box 383 DatePO®ILr SRYGE Arrival <br /> Loomis, CA 95650 <br /> 1-888-609-2629 <br /> ONam21:'f-Au� <br /> Bill to <br /> NAddress Address <br /> E <br /> R City S a Zip City State Zip <br /> A A- <br /> T Phone Fax Phone <br /> O <br /> R Customer EPA 7 (� Contact <br /> DESCRIPTION WASTE MANIFEST # QTY RATE AMOUNT <br /> CODE s <br /> Non RCRA Hazardous Waste, Liquid CA 221 JJK <br /> Used Oil ❑ Industrial ❑ Lubricating <br /> Non RCRA Hazardous Waste, Liquid CA 223 JJK <br /> (Oily Water <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 <br /> shall be charged on past due accounts. 100 VI <br /> Consolidated Manifest Source/S Collection Station ❑ Industrial PO # <br /> ❑ Marine ❑Agricultural ❑Govt. Check# <br /> DF: Some facilities may ship oil out of state for processing and recycling <br /> ❑Ramos Environmental Services Cl California Oil Transfer ❑BEST Environmental,LLC ❑Bayside Oil Il,Inc. ❑DK DIXON ❑AES-Ceres <br /> 1515 So.River Road 5300 Claus Road 2430 Almond Dr. 210 Encinal Street 7300 Chevron Way 1920 Morgan <br /> W Sacramento,CA 95691 Modesto,CA 95357 Silver Springs,NV 89429 Santa Cruz,CA 95060 Dixon,CA 95620 Ceres,CA 9: <br /> CAD 044 003 556 CAL 000 190 816 NVD 982 358 483 CAD 088 838 222 CAT 080 012 602 CAL 000 393 <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 managerr <br /> of used oil, but that is not required to comply with the more stringent requirements applicable to hazardous waste management facilil <br /> California facilities that handle or process used oil are required to meet those more stringent requirements, and some out-of-s <br /> facilities that process used oil also meet those requirements. These include more stringent leak detection and prevention requireme <br /> engineering certifications of tank integrity,and financial assurances for closure and accidental releases.It is lawful to send used oil to out-of <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 m <br /> with any other waste. Furthermore it has established a program to redu <br /> the volume&toxicity of waste generated where economically practicabl <br /> Driver Signat e Truck # Generator Signature Print <br /> Please keep a copy of this invoice in a "Hazardous Waste"file for three (3) years as I-equireci by Stale laW. <br /> EPA # CAL000188867 DTSC # 3670 CA339919 <br /> ! 164 Robles Way, #207,Vallejo, CA 94591 • Off ice 707-552-8419 • Fax 707-648-2804 a <br /> 1-888.609-2MAX or 1-888-700-4MAX <br />