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l�fj <br /> f�� <br /> r <br /> � � s <br /> Job Site : 2355 RD. 192 DELANO, CA 93215 <br /> GENERATOR Ph.: (209) 863-0888, FAX (661) 725-0654 <br /> Site EPA ID# - 1 e ' ' <br /> IDA 46-07270471 CAL000367042 <br /> LIC_AND INSURED TRANSPORTER#3458 <br /> Contact Person , <br /> Invoice No. M t � � � 4: <br /> Company Name f f1 Bill To : <br /> Address r. Name <br /> City, State, Zip Address <br /> Site Phone _. City, State, Zip <br /> Date Y Customer PO Interval Net 301C.O.D.ICashJCheck Drivers Truck/Name <br /> PRODUCT waste CA Manifest# Quantity Units Price Amount <br /> Code <br /> Non-RGRA Hazardous Waste Liquid Used Oil) 221 Gal 1 <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gal <br /> Nan-RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 133 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated Drum(s) <br /> Nan-RCRA Hazardous Waste Solids Contaminated with Used Oil Drum(s) <br /> Drained Used Oil Filter Drum(s) Olums(sJ <br /> Empty Drum(s) Eadt <br /> Transportation&Truck Time&Washout K <br /> Hazardous Testing <br /> We pay ❑ Customer Pays Q <br /> Unless otherwise specified on Ibis Consolidated Manifest Receipt(Invoice)Terms Accounts due on the 10th of the month following <br /> month of purchase.Past due amounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1.5%per month,which is the Total <br /> ANNUAL PERCENTAGE RATE OF 18%. <br /> I hereby certify that 1 have not fixed this waste with an 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 addi icnal charge or legs!disposal If this,waste is over iUOU PPM,total halides,or contains any PCB's <br /> GENERATOR or <br /> AUTHORIZED DRIVER SIGNATURE. <br /> TERMS:1N IC DOpiflE�-SUEBJJECT TO A 1.5%SERVICE CHARGE CUSTOMER AGREED TO PAY ALL LEGAL FEES OF COURT <br /> ACTION BECD N ❑CDLLCTTHES INVOICE- <br /> Kern Oil here by advises the above Generatorthat Generators shipment of used oil may be transporled to a facilitythat is required to comply with federal regulations <br /> applioable to management of used oil.Butthat 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 DISC.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 oftank integrity,andfinancial <br /> assurances for closure an accidental releases.It is lawful to send used oil to out-or-state facilities that complyonly with federal used oil management standards and <br /> not those more stringent requirements By signing the invoice the generator certifies that the generator has estaNished 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 itwill serve as an <br /> 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 <br /> facility. <br /> ❑ California oil Transfer ❑ BTI ❑ ❑ NAME <br /> 5300 Claus Rd,Bldg 11 1624 E Brundage Ln ADDRESS <br /> Modesto,CA 95357 Bakersfield,CA 93307 CITY <br /> Ph:209-863-8181 CAI-000282598 STATE,ZIP <br /> Fax:209-863-8171 PHONE <br /> EPA#CAL000190816 EPA ID <br />