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All <br /> _ I <br /> I <br /> AIL <br /> Job Site : 2355 RD. 192 DELANO, CA 93215 <br /> GENERATOR Ph.: (209) 863-0888, FAX (661) 725-0654 <br /> Site EPA ID# r' �� -y. �. ID# 46-07270471 CAL000367042 <br /> "± = ��+-' % = �' / LIC.AND INSURED TRANSPORTER#3468 <br /> Contact Person Invoice No. <br /> Company Name ,, u::,�;#, r , ., Bill To : <br /> Address '' r Name <br /> 4 City, State, Zip ,F"rE / f Address <br /> E' Site Phone City, State, Zip <br /> r <br /> Date ' Customer PO Interval Net 301C.O.D.ICash/Check Drivers Truck/Name <br /> PRODUCT Codee CA Manifest# Quantity Units Price Amount <br /> Nan-RCRA Hazardous Waste Liquid(Used Oil) 221 E '% :: f 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 /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil Drum(s) <br /> f Drained Used Oil Filter Dram(s) Drums{s) <br /> i <br />` Empty Drum(s) Each <br /> Transportation&Truck Time&Washout HR, <br /> f '± <br /> j Hazardous Testing <br /> i <br /> I <br /> i.. <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 Total <br /> i' month of purchase.Past due accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1.5%per month,which is the za—.- <br /> ANNUAL PERCENTAGE RATE OF 18%. r <br />�. I hereby certify that I have not mixed this waste with any other waste that the total halides are less than 1000 PPM,and that the waste does not contain <br /> f. any PCB's. I further agree to,accept the additional charges for legal disposal If this,waste is over 100Ct-PP6V total halides,or contains any PCB's <br />!I GENERATOR or <br /> AUTHORIZED: DRIVER SIGNATURE:, <br /> TERMS: INVOICE OVER 30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE CUSTOMER AGREED TO PAYALL LEGAL FEES OF COURT <br /> ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. <br /> Kern Oil here by advises the above Generator thatGenerators shipment of used oil may be transported to a facilitythat 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 /> i 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 /> i 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 generator that theirwaste has been transported to a licenced treatment or transfer <br /> facility. <br /> F] Riverbank Oil Transfer ❑ Yuma Environmental Services ❑ Global Material Management ❑ NAME <br /> i.. 5300 Claus Rd,Bldg 11 2730 E. 13th Street, ADDRESS <br /> l: 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 />