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, <br /> Send Payment To: <br /> 2355 Road 192, Delano CA 93215 <br /> n r r <br /> Ph : 209-863-0888 - Fax : 209-863-0887 <br /> LL1l]]��LLLLUU �1 EPA#CAL000367042 I D#46-0727047 <br /> Job Site : LIC.AND INSURED TRANSPORTER#3468 MCP#CA 130615 <br /> GENERATOR <br /> Site EPA ID# %�, _ , <br /> Invoice No. MU C) / �• ,� <br /> Contact Person <br /> Company Name II To : <br /> Address Name <br /> City,State,Zip ,� Address <br /> Site Phone City,State,Zip <br /> Date Customer PO Interval Net 30/C.O.D./Cash/Check Drivers Truck/Name <br /> PRODUCT Code CA Manifest# Quantity Units Price Amount <br /> Non-RCRA Hazardous Waste Liquid(Used Oil) 221 Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gal <br /> Non-RCRA Haiardous Waste Liquid(Used Automotive Antifreeze) 133 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated D(m(s) <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil D um(s <br /> Drained Used Oil Filter Drum(s) Dwra(s) <br /> Empty Drum(s) Earn <br /> Transportation&Truck Time&Washout HR <br /> Hazardous Testing <br /> We pay❑ Customer Pays <br /> Unlessothenvisesped0edon this Consolidated Manifest Receipt(invoice)Terma:Accountsdueon the 10th ofthe month following / : <br /> month of purchase.Past due accounts volt be charged a FINANCE CHARGE at the PERIODIC RATE of 1.5%per month,which u the Total - — <br /> ANNUAL PERCENTAGE RATE OF 18%. <br /> I hereby certify that I have not mixed this waste with any other waste that the total halides are less than 1000 PPM,and that the waste does not contain <br /> any PCB's.I further agree to accept the additional charges for legal disposal If this,waste is over 1000 PPM,total halides,or contains any PCB's <br /> GENERATOR ; l i _. <br /> __...�._ <br /> AUTHORIZE r.4 DRIVER SIGNATURE: --I <br /> TERMS:INVOICES OVER 30 DAYS ARE SUBJECT TOA 1.5%SERVICE CHARGE CUSTOMER AGREED TO PAY ALL LEGAL FEES OF COURT <br /> ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. <br /> Kern Oil hereby advises the above Generator that Generators shipment of used oil maybe transported to a facility that is required to comply.Wilh 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.Kern 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 /> certifications of tank Integrity,and financial assurances for closure an accidental releases.It Is lawful to send used oil to out-of-state facilities that comply <br /> onlywlth federal used oil managementstandards and not those more stringent requirements Bysigning the Invoice the generator confines that the 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 /> economicallypracticable.By both parties signing this Invoice itwill serve as an agreement that Kern Oil will submit confirmations for(certain waste streams) <br /> to the generator thatthelrwasle has been transported to a licenced treatmentortransfer facility. <br /> Riverbank Oil Transfer ❑ NAME ❑ NAME <br /> 5300 Claus Rd,Bldg 11 ADDRESS ADDRESS <br /> Riverbank,CA 95387 CITY CITY <br /> Ph:209-863-0888 Fax:209-863-0887 STATE,ZIP STATE,ZIP <br /> EPA#CAL000190816 PHONE PHONE <br /> EPAID EPAID <br />