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1013975 <br /> d Payment to: 4 4 3 9 5 1 <br /> Invoice No, ;, -�., <br /> Maximum Oil Service <br /> 0S dt� I <br /> Date <br /> 164 Robles Way #207 l 1 l '�3 ou"ut'eald-<= <br /> Arrival 2s2s Vallejo, CA 94591 $184.25 <br /> Bill to <br /> \ Addres Address <br /> N <br /> E City t Zip City State Zip <br /> R <br /> & -LA t� <br /> TPhoV4ax Phone <br /> O r J <br /> R Customer EPA# Contact ; <br /> WASTE MANIFEST# OTY RAT AMOUNT i <br /> I DESCRIPTION CODE _ <br /> Non RCRA Hazardous Waste, LiquidCA]221 1~ .�JK <br /> Used Oil D Industrial ❑Lubricatin <br /> Non RCRA Hazardous Waste,Liquid C JJK 1 <br /> (Oily Water = <br /> ` Non RCRA Hazardous Waste,Liquid <br /> 1 <br /> CA 1� S J K <br /> �/ <br /> Used Antifreeze <br /> Transportation <br /> _ f { <br /> Clor-D-Tec-Test <br /> I <br /> 1i � Iljs � <br /> PLEASE PAY FROM THIS INVOICE TERMS: NET 15 DAYS <br /> I A service charge of 1.5 per month TOTAL <br /> shall be charged on past due account§. <br /> I Source: ❑Collection Station Industrial PO <br /> onsolidated Manifest ❑Marina Agricul rat t7 Govt. Check# i <br /> TSDF: Some facilities may ship oil out of state for processing and FdcyCling• <br /> iow <br /> ❑Ramos Ermronmental Sorvrces ❑California Oil Transfer ❑BEST Ewronmental,LLC ❑Bayside Oil II,Inc. 7300 Chevron <br /> W "`•�'� � <br /> I 1515 So.River Road 5300 Claus Rodd 2430 Almond Dr. <br /> 210 Enanal Street 7300 Chevron Way 19 re Morgan Rd <br /> I W Sacramento.CA 95691 hWesto,CA 95357 Silver Springs,NV 89429 Santa Cruz,CA 95060 Dixon,CA 95620 Caras,CA 95307 i <br /> CAD!}44 003 56 CAL 000 190 816 NVD 982 358 483 CAD ON 838 222 CAT 080 012 602 CAL 000 393 600 S184.25 <br /> IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR USED OIL <br /> This sh pmen of used oil may be transported to a facility that is required to comply with federal regulations applicable to management i <br /> of used cil, 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 'I 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 the above namecc��wwaste sir a not'been mixed <br /> 1 with any other waste. FuRhermon it hataatablis a pr ram to reduce <br /> the volume 8 toxicity of waste gen r where o o Ica y practicable. <br /> I <br /> X1013975 <br /> Dri r Sign ture 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 1 <br /> Maximum Oil Service,LLC Fax 707-648-2804 <br /> 1-888-609-2MAX or 1-888-700-4MAX AMOUNT <br /> _._-.-- •• $184.25 <br /> PAY One Hundred Eighty Four Dollars And 25 Cents <br /> TO THE Maximum Oil Service <br /> ORDER OF 164 Robles Way #207 A. <br /> Vallejo CA 94591-8039 <br /> A4 <br /> AUTHORIZED SIGNATURE <br /> SECURITY FEATURES INCLUDED.DETAILS ON BACK. 8i <br /> III LOL39 ? 5ll' 1: 12LL3 ? 5221: L8945113 ? ?4811s <br />