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Job Site : 2355 RD. 192 DELANO, CA 93215 <br /> GENERATOR Ph.: (209) 863-0888, FAX (661) 725-0654 <br /> Site EPA ID#, ' 1 --,- - . .t I ID#46-•07270471 CAL000367042 <br /> LIC.AND INSURED TRANSPORTER#3468 <br /> Contact Person - <br /> Company Name � �� , Bill To Invoice No. M 1 C, <br /> Address ; , Name <br /> City, State, Zip 1 Address <br /> Site Phone City, State, Zip <br /> Date Customer PO Interval Net 30/C.O.D./Cash/Check Drivers Truck/Name <br /> PRODUCT waste Code <br /> CA Manifest# QuantityUnits Price Amount <br /> Non-RCRA Hazardous Waste Liquid(Used Oil) 221 ( ; IE r r: - Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Watery 223 Gal <br /> Non-RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 133 � t Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated <br /> Nan-RCA Hazardous Waste Solids Contaminated with Used Oil - i aNm(s1 <br /> � 1 <br /> r <br /> Drained Used Oil Filter Drum(s) l]r�rls(sy <br /> Empty Drum(s) Each <br /> Transportation&Truck Tme&Washout HR. <br /> Hazardous Testing <br /> We pay ❑ Customer Pays 0 <br /> Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Terms:Accounts due on the 10th of the month fallowing r <br /> month of purchase.Past due accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1.5%per morth,which is the Total I } <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 Lin,1000 PPM,and that the waste do It c <br /> any PCB's.I further agree to accept th ddiflp at'cFiarges for legal disposal If this,waste is over 00 PP ,total halides,or contains any PCB's <br /> GENERATOR or 1 <br /> AUTHORIZED: DRIVER SIGNATURE <br /> TERMS :INVOICE OVE, AlF RE SUBJECT TQ A 1.5%SERVICE CHARGE CUSTOME AGREES TO PAY ALL LEGAL FEES OF COURT <br /> ACTION BECOMES I SSA 'TO COLLECT THIS INVOICE. <br /> Kern Oil here by advises the above Generatorthat 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#R 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&also meet those requirements,engineering certifications of tank integrity,and financial <br /> assurances for closure an accidental releases-it is lawful to send used oil to out-of-stats facilkies 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 Kern Oil will submit confirmations for(certain waste streams)to the generator chat their waste has been transported to a licenced treatment or transfer <br /> facility. <br /> 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 109-863-8181 CAL000282598 STATE.ZIP <br /> Fax:209-863-8171 PHONE <br /> EPA#CAL000190816 EPA ID <br />