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_ A�Jl <br /> ll1f3 . <br /> If <br /> Job Site : 2355 RD. 192 DELANO, CA 93215 <br /> GENERATOR Ph.: (209) 863-0888, FAX (661) 725-0654 <br /> ID# 46-07270471 CAL000367042 <br /> Site EPA ID# � ` ,_ _ —J ,�- 1,-� LIC.AND INSURED TRANSPORTER#3468 <br /> Contact Person <br /> Invoice No. <br /> Company Name,,-"—P ,, tr};Y -j-` BIII To <br /> Address f_� %; _ Name <br /> City, State, Zip ;' / Address <br /> Site Phone ice` _ .-''' — City, State, Zip <br /> Date Customer PO Interval Net 30/C.O.D./Cash/Cheek Drivers Truck/Name <br /> PRODUCT waste Code CA Manifest# Quantity Units Price Amount <br /> Non-RCRA Hazardous Waste Liquid(Used Oil) 221 Gal <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 /> Nan-RCRA Hazardous Waste Solids Contaminated with Used Oil Drum(s) <br /> Drained Used Oil Filter Drum(s) Dmirs(s) <br /> Empty Drum(s) Eads <br /> Transportation&Truck Time&Washout HR' <br /> Hazardous Testing <br /> We pay ❑ Customer Pays❑s, <br /> Unless otherwise specified on this Cpnsolidated 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 f ; <br /> ANNUAL PERCENTAGE RATE OF 18%. J , <br /> t � <br /> hereby certify that I hav not a is 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 ag ee ac p the additional charges for legal disposal If this,waste is over 1000-PP-M,total halides,or-contains any PCB's <br /> GENERATOR or <br /> AUTHORIZED: - --°-, '' DRIVER SIGNATURE: <br /> TERMS : INVOICE O , R`36-DAYS AKE SUBJECT TO A 1.5%SERVICE CHARGE CUSTOMER AGREED.TO PAYALL LEGAL FEES OF COURT <br /> ACTION BECOME IECESSARY"JO'COLLECTTHIS INVOICE. <br /> Kern Oil here by vises the above Generator that Generators shipment of used oil maybe transported to a facility that is required to comply with federal regulations <br /> applicable to m4(yegement 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 fteryding 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 requiret+ts,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 ha'zardous 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 til 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 />- l <br /> /Riverbank Oil Transfer ❑ Yuma Environmental Services F-1Global Material Management ❑ NAME <br /> V 5300 Claus Rd,Bldg''11. 2730 E. 13th Street, ADDRESS <br /> ? Riverbank,CA95387 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 />