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K Send Payment To: <br /> 2355 Road 192, Delano CA 93215 <br /> Ph : 209-863-0888 - Fax: 209-863-0887 <br /> EPA#CAL000363253 I D#77-0379490 <br /> Job Site : LIC.AND INSURED TRANSPORTER#3468 CA 130615 <br /> GENERATOR <br /> Site EPA ID# Invoice No. <br /> Contact Person <br /> Company Name BIII 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 /> PRODUICT Waste 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 Hazardous Waste Liqui I(Used Automotive Antifreeze) 133 Gal <br /> Non-RCRA Hazardous Waste Solidj Contaminated Drum(s) <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil Drum(s) <br /> Drained Used Oil Filter Drum(s) Dlums(s) <br /> Empty Drum(s) Each <br /> Transportation&Truck Time&Wash ut FR. <br /> Hazardous Testing <br /> We pay❑ Customer Pays <br /> Unless olFierwise specified on this Con olidated Manifest Receipt(Invoice)Terms:Accounts due on the 10th of the month followingTotal <br /> month of purchase.Past due accounts ill be charged a FINANCE CHARGE at the PERIODIC RATE of 1.59 per month,which is the <br /> ANNUAL PERCENTAGE RATE OF 18J.'- <br /> I hereby certify that I have not mixe 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 accep the additional charges for legal disposal If this,waste is over 1000 PPM,total halides,or contains any PCB's <br /> GENERATOR or, <br /> AUTHORIZED.j ` DRIVER SIGNATURE: <br /> TERMS:INVOICES OVER 30 DA S ARE SUBJECT TO A 1.5%SERVICE CHARGE CUSTOMER AGREED TO PAY ALL LEGAL FEES OF COURT <br /> ACTION BECOMES NECESSARY TO COLLECTTHIS 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 with federal <br /> regulations applicable to managen ient of used oil.But that is not required to comply with the more stringent requirements applicable to hazardous waste <br /> management facilities.Kern Oil Filer 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 strincent requirements,and some out-of-stale facilities that process used oil&also meet those requirements,engineering <br /> certifications of lank integrity,and nancial 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 manag ment standards and not those more stringent requirements By signing the invoice the generator certifies that the <br /> generator has established aprogra to reduce the volume or quantity and toxicity ofthe 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 <br /> streams)tothe generator that their astehas been transported toalicenced treatment ortransfer facility. <br /> Riverbank Oil Transfer NAME 0 NAME <br /> 5300 Claus Rd,Bldg 11 ADDRESS ADDRESS <br /> Riverbank,CA 95387 CITY CITY <br /> Ph:209-863-0888 Fax:209-86 -0887 STATE,ZIP STATE,ZIP <br /> EPA#CAL000190816 <br /> PHONE PHONE <br /> EPAID EPAID <br />