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3 <br /> - 1 j <br /> OaCD (D (3) <br /> O y 0 <br /> �o fJ4 6. X <br /> Erl <br /> = o CD � � Send Payment TO: � <br /> CID <br /> U) 4 —;00 p `�, 2355 Road 192,Delano CA 93215 <br /> o <br /> d cia :r- Ph:209-863-0888 - Fax:209-863.0887 <br /> EPANCALaGO367642 ID#46-0727047 N <br /> S W iT Job Site .- LIC.AND INSURED TRANSPORTER#3466 <br /> CD �-. O " MCP#CA 130615 3 <br /> aq .s. 3 <br /> CD [GENERATOR <br /> ite'EPA ID# Invoice No.M 3 <br /> " ontact Person <br /> 1� 0 a+, ompany Name r _ BIII Tt} D <br /> o " o c� _ <br /> Fn O t a Address _ !. Name c0 <br /> CD W PCit p <br /> t O �• y,State,Zi Address w <br /> ---- <br /> cor <br /> �. ID Site Phone - i <br /> cT ,_.. ,, — City,State.Zip <br /> O Date CUStGmer PO Interval Net 30lC-O.D.1CashlCt eek Oliver Truck/Name <br /> rA rn 0 <br /> rn [7 O p <br /> Ca O• <br /> "" '� PRODUCT Waste <br /> ly Code CA Manifest# rQuantity Units Puce Amount <br /> rip Non RCRA Hazardous Waste Liquid(Used Oil) 721 Gat <br /> r <br /> o.. o Non-RCRA Hazardous Waste Liquid(flit&Water) 3 <br /> o Non-RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 133 <br /> o Non-RCRA Hazardous Waste Solids ContaminatedCL ? <br /> ;y CL Non-RCRA Hazardous Waste Solids Contaminated wilh Used(M <br /> o P Drained Used Cil Filter Drum(s) si <br /> CD Empty Drum(s) <br /> 00 <br /> Transpoliation&Truck Time&Washout <br /> a ^' Hazardous Testing <br /> C 00 � <br /> -e b � ti We pay❑ Customer Pays <br /> '� 0 Unless otherwise speaLed on Iris ConsoldaW Manifest Receipt(Inrulue)Terms-Accounts due on 6m3 too of it"a nunlh roar-ng Total -. <br /> p month of purcnas Past dua accounts wall to charged a FINANCE C#ARGE at the PERIODIC RATE A 15N per:r.OndL+ha'w is ite <br /> OCT ANNUAL PERCENTAGE RATE OF 18`4, ' <br /> r> �0 �J i hereby certify that I have not mixed this waste with uny other waste that the total halides are less than 1000 PPM-and hof iha waste dons O ear Iain <br /> R. any PCB's.I further agree to accept the additional charges for legal disposal if this,waste is over low PPM,total halroes,w aTnta ns any PC9`s <br /> C to Z GENERATOR or <br /> CD <br /> AUTHORIZED DRIVER SIGNATURE <br /> cr (xt, <br /> C � TERMS:INVOICES OVER 30 DAYS ARE SUBJECT TO A 15%SERVICE CHARGE CUSTOMER AGREED TO PAY ALL LEGAL FEES Of COURT <br /> O• O ACTION BECOMES NECESSARY TO COLLECT THIS 3N4'OIGE 1 with federal <br /> �' Kern Oil here by advises the above Generator that Generators shipment of used wi may de tui 1cre ted to a facility that Is required Iu cvmP Y <br /> i regulations applicable to management of used oil.But that is not required to comply with the more st ngent requirements applicable to process <br /> .7 management facilities.Kern Oil Filter Recycling is authorized to file a request for EPA#from DISC Cabifomla fay Hues that ha eor pro ass s °d era <br /> � h1 ( required to meet those more stringent requirements,and some Gul-of-state facilities that process used olI d awed meet[base rsta se cuter engtemillg <br /> A� certifications of tank integnly,and financial assurances for closure an accidental releases.It s lawlW to salol used d f to Irl-0fisrpfiesld atlteg8nararor <br /> �Or fD s onlywthfederalusedoilmanagementstandardsandnotthoselncrestringentrequirements Bysigning the inveiCOthe generator tthegtobe <br /> ""s has established a program to reduce the volume or quantity and toxicity of the hazardous waste to the degree,as determined by generator <br /> 1 d economically practicable.By both parties signing this invoice it will serve as an agreementthat Kent Oil will subm tconfirmatldns forf�alQwaste strearrw) (D <br /> (D 1 (D t] to the generator that Their waste has been transported to a licencedtreatmentoruansferfacility <br /> . n <br /> NAME 0 <br /> O'`C Riverbank Oil Transfer NAME ADDRESS Q <br /> e-f CD �, ""—'5300 Claus Rd,Bldg 1 t ADDRESS CITY <br /> to '� Riverbank,CA 95367 CITY STATE,ZIP <br /> Ph:2GM63-0688 Fax:209-863-0887 STATE,ZIP PHONE <br /> N C EPA#CAL000190816 <br /> O PHONE —..—..--��.' � <br /> � p �• %d EPA ID <br /> W n; �• A EPA ID .. - p <br /> 0 CD W <br />