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4 3 4 0 7 PURCHASE <br /> Send Payment to: Invoice No. i <br /> )a Maximum Oil Service , ORDER <br /> 1 164 Robles Way #207 Date <br /> Arrival <br /> &L SERVICE Vallejo, CA 94591 <br /> t�1••� <br /> 1.888.609.2629 <br /> Bill to ,I <br /> G Name <br /> l �. t snit <br /> E - Addres� Address -.,•�-,- , ,1 <br /> IN w,/ . <br /> �� ` State Zip <br /> E <br /> ZIp City <br /> R Cit <br /> A Phon Fax Phone <br /> T <br /> O - 6 O Contact l _- <br /> R ustomi EPA# �• L <br /> DESCRIPTION WASTE MANIFEST# QTY RATE AMOUNT <br /> CODE �•,, <br /> Non RCRA Hazardous Waste,Liquid CA 221 ©`� (� b� JJK <br /> Used Oil :J Industrial J Lubricatin - --- <br /> Non Fill Hazardous Waste, Liquid CA 223 JJK RICE_ Ar OII <br /> Oil Water <br /> Non RCRA Hazardous Waste, LiquidVVI JJK <br /> Used Antifreeze <br /> Transportation <br /> Clor-D-Tec-Test <br /> PLEASE PAY FROM THIS INVOICFTERMS: NET 15 DAYS�,,•-- - AL its `moi <br /> A service charge of 1.5°'o per month '-y® <br /> s- <br /> shall be char ed on past due accounis. • ®' <br /> Source:-i7 Collection.Station_ lndustrial PO# <br /> Consolidated Manifest - J'Marine ]AgriCultdrai �Govt. Check a <br /> TSDF: Some facilities may shj oil out of state for processing and recycling J DK DIXON .J AES-Ceres <br /> Ramos Environmental services J RiverDenk Od,Transter :.I BEST Environmental.LLC J eoil it.Inc. <br /> p En�i al Street 7300 Chevron way 19201Aorgan Rd <br /> 1,15 So River Road 5300 Claus Road 243(rAImond Dr. CA <br /> W Sacramento.CA 95691 Rlveniank•CA 95367 Silver Springs.NV 89429 Santa Cruz.CA CAD 68 838 222 060 CCIAT 080 09 602 CAL 001393 680 <br /> CAG 043 003 556 CAL`00 190 816 NVD 98-356 483 <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 ail, 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 certifies that thea ve amed waste stream hasggnot been mixed <br /> Ithehglume&'t1oXtctyf w stee�gen ated where a odnorn cafiy pract cabue. <br /> I Truck# Generator Signature Print <br /> Driver Si nature t <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 /> XMaximum Oil Service,LLC Fax 707-648-2804 <br /> 1-888-609-2MAX or 1-888-700-4MAX f <br /> One Hundred Fifty Nine Dollars And 50y <br /> Cents <br /> Maximum Oil Service <br /> }r 164 Robles Way #207 ,1 <br /> Vallejo CA 94591-8039 <br /> .w <br /> B SECURITY FEATURES INCLUDED.DETAILS ON BACK. U AUrNOR11F0 SIGNATURE <br /> II- 10126601111- 1: 12113 ? S221: 1894S87 ?4811° <br />