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/f <br /> ' * <br /> HAL <br /> Job Site : 2355 RD. 192 DELANO, CA 93215 <br /> GENERATOR Ph.: (209) 863-0888, FAX (661) 725-0654 <br /> Site EPA ID; -I ,r, ¢ ; ID# 46-07270471 CAL000367042 <br /> '_ ri'7 LIC.AND INSURED TRANSPORTER#3468 <br /> Contact Person <br /> Invoice No. M `a <br /> Company Name <br /> 4? Bill To <br /> Address ;` -- Name <br /> City, State, Zip i� 't rt .£ Address <br /> Site Phone ,--i = City, State, ,Zip <br /> Date Customer PO Interval Net 301C.O.D.ICashlCheck Drivers Truck/Name <br /> PRODUCT Waste CA Manifest# Quantity Units Price Amount: <br /> Code <br /> Nan-RCRA Hazardous Waste Liquid(Used Oil) 221 z"^; #�w :`;ul ' Gal ''' <br /> Nan-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gal <br /> Non-RC RA Hazardous Waste Liquid(Used Automotive Antifreeze) 133 Gal <br /> Nan-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) Drums(s) <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(Invoice)Terms:Accounts due on the 10th 9the month following <br /> month of purchase.Past due accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1.5%pei\month,which is the Tota <br /> ANNUAL PERCENTAGE RATE OF 18%. i <br /> I hereby certify that I have not mixed this waste with any other waste that the total halides are less th1n 1000 PPM,and that the wasted lot co <br /> any PCB's. I further agree to accept the additional charges for legal disposal If this,waste is over 100 PPMs total halides,or contains any PC <br /> GENERATOR or � <br /> AUTHORIZED: DRIVER SIGNATURE: ' F, r� <br /> TERMS : INVOICE OVER 30 DAYS ARE,.SUBJECTTO A 1.5%SERVICE CHARGE CUSTOMERAGRI=ED TO AL 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 transportedio 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 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-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 Kern Oil will submit confirmations for(certain waste streams)to the generatorthat their waste has been transported to a licenced treatment ortransfer <br /> facility. <br /> r r <br /> ❑..may Ise f �t NAME <br /> Rti d fail Transfer ❑ Yuma Environmental Services ❑ Global Material Management ADDRESS <br /> Riverbank, <br /> 5300 Claus Rd, Bldg 11 2730 E. 13th Street, <br /> Riverbank,CA 95387 Yuma,AZ 85365 CITY <br /> Ph:209-863-0888 Ph.:928-642-8938 STATE,ZIP <br /> Fax:209-863-0887 Fax:928-344-9828 PHONE <br /> EPA#CAL000190816 EPA ID :AZR000515924 EPA ID <br />