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owl.ki l 1:1 VO.Yup • P. 1 <br /> Send Payment To. <br /> t- ffiiffi2355 Road 192, Delano CA 93215 <br /> 6 <br /> u>!1 LLU Ph :209-863-0888 Fax; 209-863-0887 <br /> Job Site : EPA#CAL808367042 I D#46-0727047 <br /> LIC.AND INSURED TRANSPORTER 3468 MCP#CA 130615 <br /> GENERATOR )fl <br /> Site EPA ID# L <br /> Contact Person Invoice No.MO 4 6 91 <br /> Company Name •II To : <br /> Address <br /> Name <br /> i City, State,Zip Address <br /> Site Phone City,State,Zip <br /> Date Customer PO Interval Net 30/C.O.DJCash/Check Drivers Tru Name <br /> tt / <br /> PRODUCT Waste ,7 9 Code CA Manifest# Quantity Units Price Amou t <br /> NmRCRA Hazardous Waste L'Iquid(Used Oil) 221 <br /> Non-RCRA Hazardous Vyaste Liquid(Oi18 Wale) 223 00 Gal <br /> Gal <br /> NonRCRAHataMousWaSIB lgldd(Used Automotive Antifreeze) 133 <br /> Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated <br /> Uu(s; <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil uvmls) <br /> Drained Used Oil Filter Ofum(s) <br /> Empty Drum(s) h1m6t <br /> Transportation 8 Trude Time&Washout EarKitHazardous Testing <br /> We pay Customer Pays[] <br /> Urless othenvise specified on thin Conra6daled Manifest Receipt(Invoice)Temre:A=unt due on the lotharlhe+nonth to toning <br /> month of purdwse,Pas14oe3000un4kw0l be charged a FINANCE CHARGE at the PERIOD:CRATEo`1,5%per month,Mh'dlis Me Total <br /> ANNUAL PERCENTAGE RATE OF 18%. <br /> I hereby certlly that I have not ' ed[his waste with any other waste that the total halides are I . live 1000 PPM,and Thal the waste does not cen!ain <br /> any PCB's.I further agree I cce I the addit' I charges for legal disposal If this,waste i over 1 A,total halitles mains any PCB's <br /> GENERAT <br /> AUTHORIZED: DRIVER SIGNATURE: <br /> TERMS:INV01 ES OVER Y ARE ECT TO A 1.556 SERVICE CHARGE CU AGREE O PA <br /> ACTION BECOMES NECE AR CO i THIS INVOICE. F OF CO <br /> Kern Oil here by advises th abev ner or th Generators shipment of used oil maybe transported Ina facility tis required to comp with federal <br /> management feoilIliels.IKern Ori Filter Ro nt au But that is not required to campy with the more stringent require Is applicable to haze <br /> Recycling lsaulhorized to file a request for EPA#from DTSC.California facilities thancabldle process sed chaste <br /> required to meet those more stringent requirements,and some ou4of•slale fadlifies That process used oil8 alio meet requirements ned oil re <br /> certifications of lank oil m ty,and financial assurances forclosure an accidental releases.II is lawful to send used oil to out-,O to fatly' drat comply <br /> has <br /> tablished used oil management standards volume <br /> Or of those more stringent requirements By signing thernvoice the generator ce tthe generater <br /> has established a program to reduce the volume«quentity and toxicity of the hazardous waste to the degree, as delennined by ger•.erat°r to be <br /> economically practicable.By both parties signing rtedinvoice itwi0 serve as an agreement that Kern Oil will submit confirmations fer rcertain waste s7eams) <br /> to the generetorlhel their waste has been transported to a licencedtrealmenl or transfer facility. <br /> Riverbank 011 Transfer NAME <br /> 5300 Claus Rd,Bldg 11 NAME <br /> ADDRESS <br /> Riverbank,CA 95387 ADDRESS <br /> Ph:209.863.0888 Fax:2098630887 CIN CITY <br /> EPA4 CAL000190816 STATE,ZIP STATE,ZIP <br /> PHONE PHONE <br /> EPAID EPAID <br />