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i <br /> Job Site : 2355 RD. 192 DELANO, CA 93215 <br /> GENERATOR PSI.: (209) 863-0888, FAX (661) 725-0654 <br /> Site EPA ID# ID# 46-07270471 CAL000367042 <br /> LIC.AND INSURED TRANSPORTER#3468 <br /> Contact Person Invoice No. <br /> :.. <br /> CompanyName ,� ;' BIII To <br /> Address 2 ` .11 _ ,� Name <br /> City, State, Zip ;,, L ? Address <br /> Site Phone 01 City, State, Zip <br /> Date /F. Customer PO Interval Net 30/C.O.D./Cash/Cheek Drivers Truck/Name <br /> ;,: <br /> ' f PRODUCT Waste CA Manifest# Quantity Units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used Oil) 229 ^- ;, :.' <br /> . ,�� -�_ , r �..s �� - Gal .S <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gal <br /> 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 Drums) <br /> Drained Used Oil Filter Drum(s) Drums(s) <br /> Empty Drum(s) Each <br /> Transportation&Truck Time&Washout HR. f' <br /> Hazardous Testing <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 /> [JZ? <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 TotalC <br /> ANNUAL PERCENTAGE RATE OF 18%. € 8� <br /> I hereby certify that I have not mixed this waste with any other waste that the total halides are less than-1 000 PPM,and that the waste does not contain <br /> any PCB's. I further agree.to accept'the-a8ditional charges for legal disposal If this,waste.isrove�"-1000 PPM,total halides,or contains any PCB's <br /> GENERATOR or 4 ,{� <br /> AUTHORIZED: �_ DRIVER SIGNATURE. <br /> TERMS: INVOICE-OVER 30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE-CUS70MERAGREED TO PAYALL 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 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 meetthose 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 generator that their waste has been transported to a licenced treatment ortransfer <br /> facility. <br /> f <br /> QRiverbank Oil 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 EPAID <br />