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i • <br /> Send Payment To: <br /> 2355 Road 192, Delano CA 93215 <br /> ® Ph : 209-863-0888 - Fax 209-863-0887 <br /> EPA#CALDO0367042 ID#46-0727047 <br /> Job Site : LIC.AND IN SU RED TRANSPORTER#3463 MCP# CA 130615 <br /> GENERATOR <br /> Site EPA ID# _ Invoice No. M <br /> Contact Person <br /> Company Name _ it 14-t/ E 'T tit -Bill TO <br /> Address ' n Name <br /> City, State,Zip Address <br /> Site Phone City, State,Zip <br /> I DateCustomer PO Interval Net 30/C.O.D./Cash/Check Drivers Truck/Name <br /> It c �/ ' <br /> PRODUCT waste 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 ,- 9 „ Gal n r' <br /> Non-RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 133 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated Drum(s) i <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil Drum(s) <br /> Drained Used Oil Filter Drum(s) Drums(s) <br /> Empty Drum(s) Each <br /> Transportation&Truck Time&Washout / HR 7 <br /> U <br /> Hazardous Testing <br /> We pay❑ Customer Pays <br /> Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Terms:Accounts due on the 10th of the month following <br /> month of purchase.Past due accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1.5%per month,which is the Total <br /> ANNUAL PERCENTAGE RATE OF 18%. ( 1 <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 ot-contaN <br /> any PCB's.I further agree to accept the additional charges for legal disposal If this,waste is over 1000 PRM,total halides,or contains any PCB's <br /> GENERATORf,{A - <br /> AUTHORIZED: _ DRIVER SIGNATURE: <br /> TERMS:INVOICES OVER 30 DAYS QQQRE SUBJECT TOA 1.5%SERVICE CHARGE CUSTOMERAGREED TO PAY ALL LEGAL FEES OF COURT <br /> ACTION BECOMES NECESSA�2Y T(�OLL7CT THIS INVOICE. <br /> Kern Oil here by advises the above Ge stator that Generators shipment of used oil may be transported to a facility that Is requl d to comply with federal <br /> regulations applicable to management of used oil.But that is not required to comply with the more stringent requirements applicab b-to.hazardous waste <br /> management facilities.Kern Oil Filler 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 all&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 /> only with federal used oil management standards and not those more stringent requirements By signing the Invoice the generatorcertmes 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 /> economically practicable.By both parties signing this invoice it will serve as an agreement that Kern oil will submit confirmations for(certain waste streams) <br /> to the generatorthaltheir waste has been transported to a licenced treatment or transferfacility. <br /> ® Riverbank OTransfer <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 />