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Send Payment To: <br /> 2355 Road 192, Delano CA 93215 <br /> U.1 • , t , � � ® r r © <br /> Ph : 209-863-0888 - Fax : 20g-863-0887 <br /> EPA#CAL000367042 ID#46-0727047 <br /> .lob Site : LIC.AND INSURED TRANSPORTER#3466 MCP# CA 130615 <br /> GENERATOR <br /> Site EPAID# r- ouv '39 Invoice No. Mb t1 ,_- <br /> Contact Person <br /> Company Name f fd— 6, r BIII <br /> Name <br /> Address / Zj Lt z t 8 Address <br /> City, State, Zip J }oLl C%e— <br /> Site Phone 7. m � 7 '51 F •^' 5 City, State,Zip <br /> Date Customer PO Interval Net 30/C.O.D./Cash/Check Drivers Truck/Name <br /> Waste CA Manifest# Quantity Units Price Amount <br /> PRODUCT Code <br /> Non-RCRA Hazardous Waste Liquid(Used Oil) 221 Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gal <br /> Non-RCRA Hazardous Waste Liquid(Used Automotive Anttireeze) 133 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated Drum(s) <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil <br /> Dmm(s) <br /> Drained Used Oil Filter Drum(s) <br /> Each <br /> Empty Drum(s) <br /> Transportation&Truck Time&Washout HR. <br /> Hazardous Testing <br /> We pay❑ Customer Pays <br /> Unlass olhenxise specified on this Co solitlatetl Man'rfesl Recei Invoice)Tenns:Accounts due on the 10th of the month following TOt •►1 I _SL <br /> month of purchase.Past due accounts will be charged a FINA E CHARGE at the PERIODIC RATE of 1.5%per month,which is Ma Y�lY <br /> ANNUALPERCENTAGE RATE OF IB%. <br /> I hereby certify that I have not mixed this wayfe with any other waste that the total halidesare les an 1000 M,and that the waste does not contain <br /> any PCB's.I further gree to accegthhe additional charges for legal disposal If this,waste is ove� 00 PP tat hall contains any PCB's <br /> GENERATOR or l• ! <br /> AUTHORIZED. ^ DRIVER SIGNATURE: <br /> TERMS:INVOICES OVERa AYS ARE SUBJECT TOA 1.6%SERVICE CHARGE CUSTOMER ACiBE TO PAPA AL FEES OF COURT <br /> ACTION BECOMES NECESSA YTO COLLECT THIS INVOICE. <br /> Kem Oil here by advises the abe a Generator that Generators shipment of used oil may be transported to a facility that is required to comply with federal <br /> regulations applicable to management of used oil.But that is not required to comply with the more stringent requirements applicable to hazardous waste <br /> management facilities.Kem Oil Filter Recycling is authorized to file a request for EPA#from DTSC.California facilities that handle or process used oil are <br /> required to meet those more stringent requirements,and some out-of-state facilities that process used oil&also meet those requirements,engineering <br /> sure an accidental releases.It is lawful to send used oil to out-of-state facilities that comply <br /> certifications of tank integrity,and financial assurances for clo <br /> only with federal used oil management standards and not those more stringent requirements By signing the invoice the generator certifies thatthe generator <br /> has established a program to reduce the volume or quantity and toxicity of the hazardous waste to the degree, as determined by generator, to be <br /> economically practicable.By both parties signing this invoice it will serve as an agreement that Kem Oil will submit confirmations for(certain waste streams) <br /> to the generator that their waste has been transported to a licenced�treaatrgent or transfer Gliry. <br /> NAME271)�-/ Nl-t• / / :e+u.;��::/;:{ NAME <br /> Riverbank Oil Transfer � 3/ �� -tI k`f� ADDRESS <br /> 5300 Claus Rd,Bldg 11 ADDRESS ---r <br /> Riverbank,CA 95387 CITY /-� CITY <br /> Ph:209-863-0888 Fax:209-863-0887 STATE,ZIP �^�' GJt'+>a b STATE,ZIP <br /> EPA#CAL000190816 PHONE 1"i ` �- �l.(,/' PHONE <br /> EPAID r �-'1-C4X2 Y�STS— EPAID <br />