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1 <br /> Job Site : 2355 RD. 192 DELANO, CA 93215 <br /> GENERATOR Ph.: (209) 863-0888, FAX (661) 725-0654 <br /> Site EPA ID# ID# 46-07270471 CAL000367042 <br /> Contact Person LIC.AND INSURED TRANSPORTER#3468 <br /> Company Name, Bill To Invoice No. M <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 /> i <br /> PRODUCT Waste CA Manifest# <br /> Code Quantity Units Price Amount <br /> Non-RCRA Hazardous Waste Liquid(Used Oil) 221 Gal - <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 <br /> Gal I <br /> Non-RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 933 Gal <br /> f, <br /> Non-RCRA Hazardous Waste Solids Contaminated x <br /> Dlum(s} <br /> in-RCRA Hazardous Waste Solids Contaminated with Used Oil Drums) <br /> Drained Used Oil Filter Drum(s) Drams(s) <br /> Empty Drum(s) Each <br /> Transportation&Truck Time&Washout HR <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 BATE of 1.5%per month,which is th47 Total <br /> ANNUAL PERCENTAGE RATE OF 18%. <br /> I hereby certify that 1 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 accept 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 : INVOICE OVER 30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE CUSTOMER AGREED TO PAYALL LEGAL FEES OF COURT <br /> ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. <br /> Kern Oil here by advises the above Generator that Generators shipment o€used oil may be transported to a facility that is required to comply with federal regulations <br /> applicable to management of used oil.But that is not required to comply with the more stringent requirements applicable to hazardous waste management facilities. <br /> Kern oil Filter Recycling is authorized to file a request for EPA#from DTSC.California facilities that handle or process used oil are required to meet those more <br /> stringent requirements,and some out-of-state facilities that process used oil 8,also meet those requirements,engineering certifications oftank integrity,and financial <br /> assurances for closure an accidental releases.It is lawful to send used oil to cut-of-state facilities that comply only with federal used oil management standards and <br /> 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 <br /> 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 <br /> —i�qreementthat Kern Oil will submit confirmations for(certain waste streams)to the generator that their waste has been transported to a licenced treatment ortransfer <br /> 'ility. <br /> 1 California Oil Transfer ❑ BTI NAME <br /> 5300 Claus Rd,Bldg 11 1620 E Brundage Ln ADDRESS <br /> Modesto,CA 95357 Bakersfield, CA 93307 CITY <br /> Ph:209-863-8181 CAL000282598 STATE,ZIP <br /> Fax:209-863-8171 <br /> EPA#CAL000190816 PHONE <br /> EPA ID_ <br />