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/C, 0 CAL000327867 <br /> �/ LIC.AND 1 SURED TRANSPORTER 4 3468 <br /> PONMetit <br /> ABSORBENTS Send Payment To: <br /> LEAN UPS 2355 Road 192, Delano CA 93215 <br /> S IL TESTING <br /> BU13INESS PLANS U�.L,L LLIJ Ph : 209-863-0888 - Fax : 209-863-0887 <br /> Driver:Dave Jr. Office:661-324-0199 <br /> Cell:661-458-6687 661-721-8739 #CAL000363253 ID#77-0379490 <br /> 2355 Rd 192.Delano CA 93215 Fax:661-725-0654 <br /> E-iiail:kernoil@wildblue.nel SPORTER#3468 CA 130615 <br /> Site EPA ID# <br /> Invoice No. <br /> Contact Person <br /> Company Name Bill 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 /> PR DUCT waste CA Manifest# Quantity Units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste 4id(Used Oil) 221 Gal <br /> Non-RCRA Hazardous Waste L quid(oil&Water) 223 Gal <br /> Non-RCRA Hazardous Waste L quid(Used Automotive Antifreeze) 133 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated Drum(s) <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil D(UM(S) <br /> Drained Used Oil Filter Drum(s) Dmms(sj <br /> Empty Drum(s) Each <br /> Transportation✓3<Truck Time&0 ashout HR. <br /> Hazardous Testing <br /> We pay❑ Customer Pay ❑ <br /> Unrss otherwise specified on this Consolidated Manifest Receipt(Invoice)Terms:Accounts due on the 10th of the month following Tota <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 <br /> ANNUAL PERCENTAGE RATE OF 18%, <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 not contain <br /> any PCB's.I further agree to a epi 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: DRIVER SIGNATURE: <br /> TERMS:INVOICES OVER 30 DAYSAIRE SUBJECT TOA 1.5%SERVICE CHARGE CUSTOMER AGREED TO PAY ALL LEGAL FEES OF COURT <br /> ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. <br /> Kern Oil here by advises the atove Generator that Generators shipment of used oil may be transported to a facility that is required to comply with federal <br /> regulations applicable to mana ement of used oil.But that is not required to comply with the more stringent requirements applicable to hazardous waste <br /> management facilities.Kern Oi Filter 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 oil&also meet those requirements,engineering <br /> certifications of tank integrity,a d 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 man gement standards and not those more stringent requirements By signing the invoice the generator certifies that the <br /> generator has established a pr ram 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 th parties signing this invoice it will serve as an agreement that Kern Oil will submit confirmations for(certain waste <br /> streams)to the generator that t eir waste has been transported to a licenced treatment or transfer facility <br /> ❑ Riverbank Oil Transfer ❑ NAME ❑ NAME <br /> 5300 Claus Rd,Bldg 11 ADDRESS ADDRESS <br /> Riverbank,CA 95387 CITY CITY <br /> Ph:209-863-0888 Fax:209 863-0887 <br /> EPA#CAL000190816 STATE,ZIP STATE,ZIP <br /> PHONE PHONE <br /> EPAID EPAID <br />