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�l <br /> I. <br /> f Job Site : 2355 RD. 192 DELANO, CA 93215 <br /> GENERATOR Ph.: (209) 863-0888, FAX (661) 725-0654 <br /> Site EPA ID# ID# 46-0727047 I CAL000367042 <br /> f <br /> LIC.AND INSURED TRANSPORTER 0 3468 <br /> Contact Person Invoice No. M <br /> Company Name Bill To : <br /> Address Name <br /> City, State, Zip 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 CA Manifest# Quantity Units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used Oil) 221 Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gal <br /> li Non-RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 133 Gal <br /> i <br /> r Non-RCRA Hazardous Waste Solids Contaminated Drum(s) <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil Drum(s) <br /> Drained Used Oil Filter Drum(s) =�. y Drums(s) - � �1 <br /> f Empty Drum(s) Ead <br /> i <br /> Transportation&Truck Time&Washout HR. <br /> Hazardous Testing <br /> i. <br /> We pay 1:1Customer Pays . <br /> Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Terms:Accounts due on the 1rt Rb.f the month following ' <br /> i will a charged a FINANCE,CHARGE atthe PERIODIC RATE of'1.5%' r month which is the Total ` <br /> k month of purchase.Past due accounts b g f pe <br /> ANNUAL PERCENTAGE RATE OF 18%. 13 <br /> hereby certify that I have not mixed this waste with any other waste that the total halides;!are less thanj'1000 PPM,and that the waste doh ofcon <br /> any PCB's. I further agree to accept the additional charges for legal disposal If this,waste,is over 1400 PPM,total halides,or contains any PCB's <br /> GENERATOR or <br /> AUTHORIZED : DRIVER SIGNATURE <br /> i <br /> TERMS : INVOICE OVER 30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE WSTbME REED O PAYALL LEGAL FEES OF COURT <br /> ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. - <br /> 4 Kern Oil here by advises the above Generator that Generators shipment of , <br /> frsgd'ojl]is ' nsportea-W a facility that is required to comply with federal regulations <br /> f applicable to management of used oil.But that is not required to comply withlFe-more stringk <br /> V,requirements applicable to hazardous waste management facilities. <br /> I 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 /> k stringent requirements,and some out-of-state facilities that process used NI&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 tout-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 /> i and toxicity of the hazardous waste to the degree,as determined by generat4,to be economically practicable.By both parties signing this invoice it will serve as an <br /> 4 agreement that Kern Oil will submit confirmations for(certain waste streams)to tkye generator that their waste has been transported to a licenced treatment or transfer <br /> facility. \ <br /> ElRiverbankOil Transfer �-Yuma Environmental Services ❑ Global Material Management ❑ NAME <br /> 5300 Claus Rd,Bldg 11 2730 E. 13th Street, ADDRESS <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 /> I <br /> I <br />