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05-03-'12 10: 25 FROM- T-363 P003/007 F-839 <br /> Send Payment To. <br /> 2355 Road 192, Delano CA 93215 <br /> Ph : 209-863-0888 Fax : 209-863.0887 <br /> �. EPA CA L000363253 ID# 77-0379490 1 <br /> Jab Site : UC,AND INSURED TRANSPORTER#3468 MCP#CA 130615 <br /> GENERATOR <br /> Site EPA ID# 7 Invoice No. <br /> Contaet:Person <br /> CornparlyName 1�A ,'.BiIITO : <br /> Address % i 9' w I1 Name <br /> Ctly.State,Zip I is! ✓G " Address <br /> Site Phone City, State,Zip <br /> Date Customer PO interval Net 30/C_O.D./Cash/Check Drivers TrucWName <br /> PRODUCT waste CA Manifest# Quantity Units Price Amount <br /> Code <br /> NoIHRCRA Hazardous Waste Liquid(Used Oil) 221 Gal <br /> Non-RCRA Hazardous Waste Liquid(Cil 8 Water) 223 Gal <br /> Non-RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 133 Gal <br /> Norl-RCRA Hazardous Waste Solids Contaminated S) <br /> Non-RCM Hazardous Waste Solids Contaminated with Used Oil s <br /> I <br /> Drained Used 01 Filter Drum(s) <br /> Empty Drum(s) <br /> Transportal on&Truck Time 6 Washout ' <br /> Hazardous Testing <br /> We pay❑ Customer Pays[] <br /> 'Dn�eoggAvice.apeo,hed.an qia Consdidated Manilaet Receipt(Invoice)Tori:Accountsduti the loth of qe rnonthfollowMg <br /> monq d purMese:Peel ouB rtceourds will be charged a FINANCE CHARGE at the PERIODIC RATE of 1.5%per month,which is the <br /> ' '.'At1yWd,PERCENTAGE RATE dF 18%- <br /> I hereby oerbfy that I have not ni this waste with any other waste that the total halides are less than 1000 PPM,and that the waste does not contain <br /> I <br /> any PCB's..)further agree,to accep the aoldkMal charges for legal disposal If this,waste is over 11100 PPM�total halides,Or contains any PCB's <br /> GENERAroi GES OVER 30 DAYS AkU. <br /> AUTHORIZE cc DRIVER SIGNATURE: g <br /> TERMS;IN V_WEC r TO A 1.5%SERVICE CHARGE CUSTOMER AGREED TO PAV ALl LEGAL FEES OF COURT <br /> ACTION 13 4ZOMES NECESSARYTO COLLECTTHIS INVOICE. <br /> Kara ow we by advises the above Generator that Generators Shipment of used oil may be transported to a facility that is required to comply with federal <br /> regUlationa applkatrae ro management of used oil.But that is not required to comply with the more stringent requirements applicable t0 hazardous waste <br /> maitagemgM fpoljaes.Kem OII Fiker Rpoyding is authorized to fila a request for EPA#kom DTSC.Calgamla facilities that handle or process sedto a- requifed'to meet.OtgSe more,stringent requirements,and some out-0f-state facilitfas tltat proCBSs used oil also meat Mose requirements, engineering <br /> -certifa:et10r18 of tank ir1169dtY,and Tinandal assurances far cbsure an accidental releases.It islawful to sentlusedoil bout-of3tate facilities that comply only <br /> wRh.{edaral t1Lgd:na management standards and not those more stfinggent requirements 8y signing the Invoice the generator certiflea that the generator hes <br /> es�tilistied:a progrerritq reduce the voWma or quantity and io>uciry d the hazartlous waste tc 91e degree,as determined by generate,to he economically <br /> pracdcabfe EybompartiesatgnkigthisinvolceitwillserveasanagreementthatKemOilwillsubmnconfirmationsfor(certainwasteStreams)tothegenerator <br /> ptattheirwastelt9sbaenaansportedtoalicancedVeabnentorlranaferfadli j <br /> Riverbank Oil Transfar NAME NAME <br /> Woo Claus Rd,Bldg 11 ADDRESS ADDRESS <br /> '- Riverbank;CA95387 CITY . CIN i <br /> ph;2oe4s9,'}Qa89 Fa> 209.863-0987 STATE,ZIP - STATE,ZIP <br /> EPAN CALD00190816 PHONE PHONE <br /> EPAID EPA ID <br /> I <br /> I <br />