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MUM <br /> p' i0 <br /> 1 ment to; Invoice No. �, <br /> )rl Service <br /> 'ce <br /> / <br /> M t 383 Date >� 1 <br /> 1 01L, SIERVICE .A 95650 Arrival 1 <br /> 1-888-509-2629 <br /> V '-r <br /> G Name _ Bill to <br /> E Addras <br /> N L <br /> ECity tale ip , C,� llli� �tll��lllllll�lllllllltl�,l�lt�l, <br /> R _ 111tl�llllll� <br /> ' 4 <br /> TPhone Fak Ph 51438272 - <br /> R Customer EPA # ,� Contact <br /> DESCRIPTION WASTE MANIFEST # QTY RATE AMOUNT <br /> CODE <br /> Non RCRA Hazardous Waste, Liquid CA 221 3 e(A' JJK 0 <br /> Used Oil a Industrial '-:l Lubricatin <br /> Non RCRA Hazardous Waste, Liquid1 <br /> ❑il Water) CA 223 JJK <br /> Non RCRA Hazardous Waste, Liquid CA 33 JJK <br /> (Used Antifreeze <br /> TransportationI <br /> r <br /> Clor-D-Tec-Test <br /> PLEASE PAY FROM THIS INVOICE TERMS: NET 15 DAYS ttl <br /> A service charge of 1.511°per month TOTAL <br /> VISA' .10 '+• <br /> shall be charged on fiast due accounts. <br /> Vonsolidated Manifest Source., D Collection Station Industrial PO # <br /> Z)Marine 0 Agricultural ❑Govt. Check # � <br /> TSDF: Some facilities may ship oil Out of SU11V for processing and recycling <br /> Ramos Environmental Services U California Oil Transfer ]©E=ST Envimnmonlal,LLC E7 Dayside Cil 11,Inc. U DK DIXON ❑AES-Ceres <br /> 1515 So-Rivor Road 5300 Claus Rotrd 2,130 Almond Dr. 210 Enclnal Slreel 7300 Chovfon Way 1920 Morgan Rd. <br /> W Sacrarrnnto,CA 95691 Modesio.CA 95357 Siler Springs,NV 69429 Sanla Cruz,CA 95060 D,ron,CA 95620 Ceres,CA 95307 <br /> CAD 044 003 556 CAL 070 190 9 16 NVD 982 358 483 CAD OBB 838 222 CAT 08o 017 Ola2 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 j <br /> California facilities that handle or process used oil are required to meet those more stringent requirements, and some out-of-state <br /> laciHies 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 /> facilites that comply only with federal used oil management•�'tandards-and not these more stringent requirements- <br /> Generato certifies that the above named waste stream has not been mixed <br /> with an their waste, Furthermore it has established a program to reduce <br /> the volu e&taxiC�f of waste generated where econoically practicable. <br /> r - <br /> Drl>rer Signature Truck l! Ge ator Signature Print <br /> Please.keep a copy of this invoice in a"Hazy doLA Waste"�ile for three (3) years as required by State faw. <br /> EPA # CAt.-000188867.`DTSe # 3670 CA339919 <br /> 164 Robles Way,#207,Vallejo, CA 94591 - Office 707-552-8419 - Fax 707-648-2804 <br /> 1-888-609.2MAX or 1-888-700-4MAX t <br />