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,f till jell ! S Job Site : 2355 RD. 192 DELANO, CA 93215 GENERATOR Ph- (209) 863-0888, FAX (661) 725-0654 Site EPA 1D# _ - -2s, ID# 46-0727047 l CAL000367042 LIC,AND INSURED TRANSPORTER#3468 Contact Person Invoice No- 2 Company Named Fj)for C -. Bill To : `� `' �' Address Z4 c _ Mame City, State, Zip —Trar Address Site Phone _ City, State,Zip Date Customer PO Interval Net 30fC,O.D.ICash/Check Drivers Truck/Name PRODUCT waste CA Manifest# Quantity Units Price Amount Code Non-RCRA Hazardous Waste Liquid(Used Oil) 221 �,r^ -�� 2 �^ Gal �- Nan-RCRA Hazardous Waste Liquid(01I&Water) 223 Gal Non-RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 133 Gal Non-RCRA Hazardous Waste Solids Contaminated Drum(s) Nan-RCPA Hazardous Waste Solids Contaminated with Used Oil Drurn(s) r Drained Used Oil Filter Drum(s) , Dlurr(sJ Empty Drum(s) E4 Transportation&Truck Tme&Washout HR Hazardous Tes�ng We pay ❑ Customer Pays Unless otherwise specified on this onsolidated Manifest Receipt{Invoice}Terms:Accounts clue on the 10th of the month following r� month of purchase.Past due accounts will be charged a FINANCE CHARGE at the PERIODIC RA7E of 1.5%per month,which is the Tota► ANNUAL PERCENTAGE RATE OF 18%- I hereby certify that I have not mixed this wastewith 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 aadait5pal charges for legal disposal 1f this,waste is over 1000 PPM,total halides,or contains any PCs's GENERATOR or ��% -' AUTHORIZED,- r DRIVER SIGNATURE: TERMS:INVOICE OVER 30 DAYS ARE SUS CT TOA 1.5%SERVICE CHARGE CUSTOMER AGREED-TO PAY ALL LEGAL FEES OF COURT ACTION BECOMES NECESSARY TO COL ECT THIS INVOICE. Kam Oil here by advises the above Generator that Generators shipment of used oil maybe 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 process used oil are required to meet those more stringent requirements,and some out-of-state facilities that process used oil&also meet those requirements,engineering certifications of tank integrity,and financial assurances forclosure 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 Tore 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 their waste has been transported to a licenced treatment or transfer facility. ❑ California Oil Transfer ❑ BTI ❑ ❑ NAME 5300 Claus Rd,Bldg 11 1620 E Brundage Ln ADDRESS Modesto,CA 95357 Bakersfield,CA 93307 CITY Ph:209-863-8181 CAL000282598 STATE,ZIP Fax:209-863-8171 PHONE EPA#CAL000190816 EPA ID