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+Yt F! <br /> 1 <br /> A <br /> Job Site : 2355 RD. 192 DELANO, CA 93215 <br /> GENERATOR Ph.: (299) 863-0888, FAX (661) 725-0654 <br /> ID# 46-07270471 CAL000367042 <br /> Site EPA ID# LIC.AND INSURED TRANSPORTER#3468 <br /> Contact Person Invoice No. M1 <br /> Company Name <br /> Bill To : ' y <br /> Address c q ' Name <br /> City, State, Zip Gf Address <br /> Site Phone City, State,Zip <br /> Date Customer PD Interval Net 30IC.O.D./CashlCheck Drivers Truck/Name <br /> Z /' <br /> PRODUCT waste Code CA Manifest# Quantity Units Price Amount <br /> Nan-RCRA Hazardous Waste Li uld Used Oil) 221 �.CI5 ,�C' Gal 25 <br /> Non-RCRA Hazardous Waste Liquid(Oil&Watery �_, 223 :,, c- / — ' Gal <br /> Non-RCRA Hazardous Waste Liquid(Used Automotive Antifree2e) 133 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated WSJ <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil _ arui <br /> Drained Used Oil Filter Arum(s) amm�sl <br /> Empty Drum(s3 E - <br /> Transportation&Truck Time&Washout HR. <br /> Hazardous Testing <br /> We pay❑ Customer Pays;] <br /> Unless otherwise specified on this 6risolidated Manifest Receipt(Invoice)Terms:Accounts due on the lift of the month following <br /> month of purdtase-Past due acowunts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1.5%per month,which Is the Tota - :C <br /> ANNUAL.PERCENTAGE RATE OF 181I. <br /> I hereby certify that I have not rniked 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 agre 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❑RIVER SIGNATURE : <br /> TERMS:INVOICE OVEKL 0 DA`�"S ARE SECT TO A 1.5%SERVICE CHARGE CUSTOMER AG_WD TO PAY ALL LEGAL FEES OF COURT <br /> ACTION BECOMES NECESSAI*TO COL-ECT THIS INVOICE. <br /> Kern Oil here by advises the above Generator hat Generators shipment of 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 li 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&also meetthose requirements,engineering certificatlonsof tank integrity,and financial <br /> assurances for closure an accidental releases.Itis lawful to send used oil to out-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 /> agreement that Kem Oil will submit confirmations far(certain waste streams}to the generator that theirwaste has been transported to a licenced treatment or transfer <br /> facility. <br /> California Oil Transfer ❑ 8TI El El NAME <br /> 5300 Claus Rd,Bldg 11 1620 E Brundage Ln ADDRESS <br /> M odesto.CA 9 535 T Bakersfield,CA 93307 CITY <br /> Ph:209-863-8181 CAL000282598 STATE,ZIP <br /> Fax:209-863-8171 PHONE <br /> EPA#CAL000190816 EPA tD <br /> r <br />