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vA fz_ <br /> (D o CD o, C/) <br /> X, SendPayment To: <br /> Mo N2355 Road 192,Delano CA 93215 m <br /> Ph:209-863-0888 <br /> - Fax:209-8613-0887 < <br /> C7 0 m <br /> �. EPAA CAL000367042 ID#46-0727047 <br /> CD s p 10 C Job Site : LIC.AND 7I <br /> a o GENERATOR MCP#CA 130615 m <br /> `= 0 <br /> � ° Site EPA ID# , <br /> c�D h� <br /> oo Contact Person ` _— Invoice PIo.M m <br /> O =S R Company Name BIN TO: o <br /> '-'t Ln sy tT — <br /> ° N .+ o Address .-- <br /> o Vie' °' to Name 0 <br /> x. C'- -4City,State,Zip D <br /> --- -�---____ Address co <br /> Site Phone City,State,Zip Cn <br /> cn <br /> G Date ClJstamer PO Interval Net 301C.O D.1CashlCheck Driver3 Trucklrtame <br /> w s" <br /> n Waste <br /> Ln o 0 0. PRODUCT Corte CA Manifest# Quantity Units Puce Amount <br /> n Non-RCRA Hazardous Waste Liquid(Used Oily 221 <br /> V3 -Non•RCRA Hazardous Waste liquid(Oil&Water) 223 <br /> ° <br /> f4 Non-RCR,A HazardousWasleL.trd(Used Automotive Anbfreeze' 133 E 11381 <br /> N ° Non-RCRA Hazardous Waste Solids Contaminated - <br /> w n <br /> ° Nor!-RCRA Hazardous Waste Solids Contaminated wtiith Used Ob <br /> o a (DLn <br /> a <br /> �. Drained Used Oil Filter Drum(s) �? <br /> CD C° <br /> in `°°. Empty Drum{sJ <br /> Transportation&Truck Time&Washout <br /> �Cl\° o C HazardousTestln <br /> -5 _ ] <br /> rTa rn Q p, <br /> nn o0 0 We pay 0 Customer Pays <br /> �Tot <br /> Unle s ulna w se specified on this Co 5ali,iated Manifest Recspl(nvok�)Terms A uta is due on riw 1t4h cR he,rwN fi!can nng <br /> month of pureh.isa Past due accounts wi0 lx charged:+FINANCE CHARGE at the PERIODIC RATE or 1�5%Per nth*h �iha <br /> pp ANNUP.i PERCENTAGE RATE Or 16 <br /> MW <br /> Ga > I hereby certify that I have nut Mixed this waste with any other waste that the total halides are less than 1000 Pr'M,and ttrel the waste n oLa'ilOt s <br /> o any PCB's.I further agree to accept the additional charges for legal disposal if this,waste s Over 1000 P1'M ptatal halides or�nlams any <br /> LA rn GENERATOR or DRIVER SIGNATURE: F <br /> .may 177 AUTHORIZED <br /> Cr C ro TERMS:INVOICES OVER 30 DAYS ARE SUBJECT TO A 1,5%SERVICE CHARGE CUSTOMER AGREED TO PAYAtL LEGAL FEES OF COURT <br /> O ACTION BECOMES NECESSARY'ro COLLECT THIS INVOICE, oiled to a facility that's required to cOmply win°federat <br /> ants appii�le to hazardMa'fi s� <br /> with the more stringent requ rem used oil are <br /> Q H Kern Oil here by advises the above Generalar that Gener,'ilors shipment of used aii may be ransp <br /> rp regulations applicable to management of used oil.But that is not required[o comply uiramTilts,engineering <br /> (D �7 �p management facilities.Kern Oil Filler Recycling is authorized to file a request far EPAtd from DTSC.Caltfuit&f so res that handl®or Pry Cor <br /> required to meet those more stringent requirements,and some out-ai-state facilites that proses used al&also maetnter orcerefies thelthegenerator <br /> an acsigning theinv%eth as determined by generator,to be <br /> morncertsricationsoftankintegrity,andnfi financial <br /> IdsancesforclosueastringenlragEreatrantslBy�rgt is tug�sandus�doi9tooutar-stalefarllPlestha� <br /> rt and toxicity of the hazardous waste to the deT in waste streams) <br /> C. onlywithfederalusedollm 9 <br /> has established a program to reduce the volume or quantity reementthaiOilwillsubmitc: fir"onsfor( <br /> CD Q economically practicable.By both parties signory this invoice i treatme an ag i 0) <br /> �• ._ tathegeneratorthatlhelrvvastehasbeentransparledtoalicenced4reatmentatransferfacility. NAME n <br /> ® NAME --— �� �– 00 <br /> ADDRESS <br /> _� �? El Riverbank Oil Transfer CITY a_ <br /> ADDRE - �_—�-- <br /> cD �. � � 530Q Claus Rd,Bldg 11 CITY� -- – STATE.ZIP Cd <br /> � _ n Riverbank,OA 95387 -- # <br /> STATE 1i — PHONE <br /> O Ph 209-863-o888 Fax.209-86:i 0887 -_– EPAiD <br /> � ry' C � EPA#CAL000190816 PHONLI--- <br /> fD O (� EPA 10 O <br /> o <br /> co <br /> c <br /> ' ut� <br />