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AJJJJ <br /> 'Paie; <br /> f <br /> Job Site : 2355 RD, 192 DELANO, CA 93215 <br /> GENERATOR �.- Pb.: (209) 863-9888, FAX (661) 725-0654 <br /> Site EPA ID# ID#46-07270471 CAL000367042 <br /> L LIC.AND INSURED TRANSPORTER#3468 <br /> Contact Perso .. �A 1 �- <br /> _ Invoice No. tVl <br /> Company Name �; 1I -' !�; Bill To : : =r <br /> Address _�j ` ( ?� ! -. - �," Name <br /> City, State, Zip -- [I- , Address <br /> Site Phone %r��_ Y; C�. City, State, Zip <br /> Date Customer PO Interval Net 30IC.0_D.ICash/Check Drivers Truck/Name <br /> PRODUCT Waste CAManifest# Quantic Units Price Amount <br /> Code y <br /> Nan-RCRA Hazardous Waste Liquid(Used ail) 221 `1 ' f-n Gal —' <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gal <br /> Non-RCRA Hazardous Waste Liquid(Used Automotive Artfreeze) 133 Gal <br /> Nan-RCRA Hazardous Waste Solids Contaminated NO <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil I� Qtum(s) <br /> h <br /> jDrained Used Oil Filter Drum(s) pf$) <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(lnvoicey Terms:Accounts due on the 10th of the month following Total <br /> month of pumhase.Past due accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1.5%per month,which is the <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 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 PAY ALL LEGAL FEES OF COURT <br /> ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. <br /> Kern Oil here by advises the above Generator that Generators shipment of used oil may be transported to a facility that is required to comply with federal regulations <br /> applicable to manage mentof used oil.But that is not required to corn piy with the mare stringent requirements applicable to hazardous waste management faclIities_ <br /> Kern Oil Filter Recycling is authorized to file a request for EPA#from DTSC.California facilities that handte 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 cartirications of tank integrity,and financial <br /> assurances fof closure an accidental releases.It is lawful to send used oil to out-of-state facilities that comply only with federal used oN 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 /> agreementthat 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 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 PHONE <br /> E CALO 00190816 EPA ID <br />