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1 <br /> AXIMUAf Send Payment to: Invoice No. 4680904, <br /> o+ Maximum Oil Service <br /> �"� PO Box 383 Date <br /> OIL. SERVICI~ Loomis, GA 95650 Arrival <br /> 1.888-609-2629 <br /> E Name e1 Bill to <br /> dress <br /> N �3 <br /> �qa* St-384353 <br /> RCity State zip City <br /> T Phone Fax Phone <br /> . � <br /> O <br /> R Customer EPA# ]6.-LV51mi Contact <br /> DESCRIPTION WASTE MANIFEST# OTY RATE AMOUNT <br /> CODE _ _ <br /> Non RCRA Hazardous Waste, Liquid to 221 S/ 4. <br /> ~» _ <br /> Used Oil ❑Industrial O Lubricatila (� 2 JJK S <br /> Non RCRA Hazardous Waste, Liquid <br /> (Oily Water CA 223 JJK y <br /> Non RCRA Hazardous Waste, Liqutld C po K C. <br /> Used Antifreeze c <br /> Transportation <br /> Clor-D-Tec-Test *L1 <br /> N� At IS ���-ft, ,PLEASE PAY FROMTHIS INVOICE ; ttAMS- N A service charge of 1.5%per month : t -- <br /> shall be chs ed on past due accounts <br /> Consolidated Manifest Source: O Collection Station '3 Industrial PO # t <br /> D Marine O Agricultural O Govt. Check # <br /> TSDF: Some facilities may ship oil out of state-for processing and recycling, •-�-' '''-' �'"""`""•" <br /> ❑Ramos Environmental Services CI California Oil Transfer Q BEST En ironmental,LLC Q Bayside Oa II,Inc. ❑DK DIXON (]AES-Cores <br /> 1515 So.River Road 5300 Claus Road 2430 Almond Dr. 210 Encinal Street 7300 Chevron Way 1920 Morgan Rd <br /> W Sacramento,CA 95691 Modesto,CA 95357 Silver Springs,NV 69429 Santa Cruz.CA 95060 Dixon,CA 95620 Ceres.CA 95307 <br /> CAD 044 003 556 CAL Otb 190 616 NVD 962 358 483 CAD 088 636 222 CAT 060 012 602 CAL 000 393 680 <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 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.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 the above named was Cream has not been mixed <br /> with any other.Waste. Furthermore it haseSWAhed a program to reduce <br /> the volume&.lox• it,of waste generate h economically practicabte' <br /> y <br /> Driver Ignature Truck# Generator Signature Print <br /> Please keep a copy of this invoice in a"Hazardous W2fste°file for three (3) years as required by State law. <br /> EPA#CAL000188867 DTSC#3670 CA339919 <br /> 164 Robles Way,#207,Vallejo,CA 94591 •Off Ice 707-552-8419• Fax 707-648-2804 <br /> /� 1-888-609-2MAX or 1-888-700-4MAX <br />