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A�4-_m A-r1 n <br /> Send Payment to: Invoice No. 43753 PURCHASE <br /> Maximum Oil Service L� t <br /> 164 Robles Way #207 Date I ORDER <br /> ICE Vallejo, CA 94591 Arrival !! 5,;09-2629 <br /> JAC , Bill to r irtl MALS <br /> Address -n Address <br /> L r � qa._ <br /> RCity ` St t Zip;- . ) City State Zip - <br /> " <br /> TPho ax Phone jy <br /> O ON— <br /> R <br /> —R Customer EPA# / Contact 1 <br /> DESCRIPTION WASTE MANIFEST# OTY RATE AMOUNT <br /> CODE <br /> NonRCRA <br /> Oil) <br /> Ja ndudoual Waste,Lur ctaUnd CA 22.1 b`j-7 vCl� JdK <br /> Non RCRA Hazardous Waste,Liquid CA 22314 <br /> Oil Water) K PFICE AMOUNT <br /> Non RCRA Hazardous Waste, Liquid —�JK —, <br /> Used Antifreeze S e/ <br /> Transportation <br /> Clor-D-Tec-Test _ <br /> PLEASE PAY FROM THIS INVOICE TERMS: 5 DAYS,, <br /> A service charge of 1.5°o per month -TOTALshall be charged on past due accounts. L®_I <br /> Consolidated Manifest Source: J Colle tion Station)OIndustrial . PO# <br /> ❑M rin U Aricultural O Govt. Check# <br /> TSDF: Some facilities may ship oil out of state <br /> tond recycling <br /> J Ramos Environmental Services U Riverbank Oil Transfeonmental,LLC .O Bayside Oil Il,Inc. O DK DIXON 0 ACS-Ceres <br /> 1515 So.River Road 5300 Claus Roadd Dc 210 Enanal SVoal 7300 Chevron Way 1920 Morgan Rd <br /> W Sacramento,CA 95691 Riverbank,CA 95367s,NV 89429 Santa C(uz,CA 95060 Dixcn,CA 95620 Ceres.CA 95307 <br /> CAD 044 003 556 CAL 000 190 8168 483 CAD 088 SM 222 CAT 080 012 602 CAL 000 393 680 <br /> I <br /> IMPORTANT NOTICG 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 /> 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.Itis lawful to send used oil to out-of-state <br /> I ctlities/at 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 mixed <br /> with any,q)her waste. Furthermore it has established a program to reduce <br /> jthe volur)►e&toxicity of waste generated where economically practicable. <br /> Driver Signature Truck# - 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 /> Maximum Oil Service,LLC Fax 707-648-2804Iv <br /> --� <br /> 1-888-609-2MAX or 1-888-700-4MAX <br /> PAY One Hundred Fifty Seven Dollars And 00 Cents <br /> .o,H� Maximum Oil Service i <br /> ORDER OF 164 Robles Way #207 <br /> Vallejo CA 94591-8039 <br /> AP <br /> AUINORIEEO SIGNATURE <br /> W SECURRY FEATURES INCLUDED.DETAILS ON BACK. 8 <br /> Rs LOI340811' 1: 1211375221: 113945877-4130 <br />