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�RERN �• IL PIL,i7'6R F-1 -1 _ Job Site : GENERATOR Site EPA ID# Contact Person Company Name Address City, State, Zip Site Phone EPA # CAL000363253 LIC. AND INSURED TRANSPORTER # 3468 Send Payment To: 2355 Road 192, Delano CA 93215 Ph: 209-863-0888 - Fax: 209-863-0887 ID # 77-0379490 CA 130615 Invoice No. Bill To: Name Address City, State, Zip Date Customer PO Interval Net 30/C.0.D./Cash/Check Drivers Truck/Name PRODUCT ante CA Manifest # Quantity Units Price Amount Code Non-RCRA Hazardous Waste Liquid (Used Oil) 221 Gal Non-RCRA Hazardous Waste Liquid (Oil & Water) 223 Gal Non-RCRA Hazardous Waste Liquid (Used Automotive Antifreeze) 133 Gal Non-RCRA Hazardous Waste Solids Contaminated Drum(s) Non-RCRA Hazardous Waste Solids Contaminated with Used Oil Drum(s) Drained Used Oil Filter Drum (s) Drums(s) Empty Drum (s) Eart Transportation & Truck Time & Washout HR. Hazardous Testing We pay ❑ Customer Pays ❑ Unless otherwise specified on this Consolidated Manifest Receipt (Invoice) Terms : Accounts due on the 10th of the month following 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 ANNUAL PERCENTAGE RATE OF 18%. 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 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 GENERATOR or AUTHORIZED: DRIVER SIGNATURE: TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.5% SERVICE CHARGE CUSTOMER AGREED TO PAYALL LEGAL FEES OF COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. Kern Oil here by advises the above Generator that Generators shipment of used oil may be transported to a facility that is required to comply with federal regulations applicable to management of used oil. But that is not required to comply with the more stringent requirements applicable to hazardous waste management facilities. Kern Oil Filter Recycling is authorized to file a request for EPA#from DTSC. California facilities that handle or proc@ss used oil are required to meet those more stringent requirements, and some out -of -stale facilities that process used oil & also meet those requirements, engineering 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 only with federal used oil management standards and not those more stringent requirements By signing the invoice the generator certifies that the generator 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 economically practicable. By both parties signing this invoice it will serve as an agreement that Kern Oil will submit confirmations for (certain waste streams) to the generator that theirwaste has been transported to a licenced treatment or transfer facility. ❑ Riverbank Oil Transfer ❑ NAME ❑ NAME 5300 Claus Rd, Bldg 11 ADDRESS ADDRESS Riverbank, CA 95387 CITY CITY Ph:209-863-0888 Fax: 209-863-0887 STATE, ZIP STATE, ZIP EPA# CAL000190816 PHONE PHONE EPA ID EPA ID