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q1T <br /> Job Site : 2355 RD. 192 DELANO, CA 93215 <br /> GENERATOR Ph.: (209) 863-0888, FAX (661) 725-0654 <br /> r. -f,� : '_: s r'r. ID# 46-07270471 CAL000367042 <br /> Site EPA ID# <br /> i.r . LIC.AND INSURED TRANSPORTER#3468 <br /> Contact Person <br /> _ Invoice No. <br /> Company Name , -42(- Bill To : <br /> Address f F ; Name <br /> City, State, Zip !' :;.; .f f: Address <br /> Site Phone ' =; _f City, State, Zip <br /> Date Customer PO Interval Net 301C.O.D.ICash/Check Drivers Truck/Name <br /> s, <br /> PRODUCT waste CA Manifest# Quantity Units Price Amount <br /> Code <br /> Non RCRA Hazardous Waste Liquid(Used Oil) 221 <br /> 7 ", Gal 4,4>_ <br /> S <br /> i Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gal <br /> i <br /> 1 Non-RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 133 Gal <br /> 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) Drums(s) <br /> ltach <br /> Empty Drum(s) <br /> Transportation&Truck Time&Washout HR. <br /> i <br /> Hazardous Testing <br /> f <br /> We pay ❑ Customer Pays �- <br /> Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Terms:Accounts due on the 10th of the month following <br /> month of purchase.Past due accounts 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%. a <br /> I hereby certify that I have not mixed this waste with any other waste that the total halides arefless tha 1000 M,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 G"r 100Q PPM,totial haliles,or contains any PCB's <br /> �F a <br /> GENERATOR <br /> AUTHORIZED: DRIVER SIGNATURE: <br /> TERMS: INVOICE OVER 30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE CUSTOMS REED 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 /> i 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 DISC.California facilities that handle or process used oil are required to meet those more <br /> stringent requirements,and some out-o#-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 /> 6 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 that their waste has been transported to a licenced treatment or transfer <br /> L, facility. <br /> verbaW-0i1 Transfer ❑ Yuma Environmental Services ❑ Global Material Management ❑ NAME <br /> l <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.:928-542-8938 STATE,ZIP <br /> Fax:209-863-0887 Fax:928-344-9828 PHONE <br /> EPA#CAL000190816 EPAIDD-.'AZR000515924 EPA ID <br />