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rr ' a 1 A ll Job Site : 2355 RD. 192 DELANO, CA 93215 GENERATOR Ph.: (209) 863-0888, FAX (661) 725-0654 I D# 46-0727047 1 CAL000367042 Site EPA ID# LIC.AND INSURED TRANSPORTER#3468 Contact Person Invoice No. M Company Name, .��---,, -� Via" Bill To Address Name 1 City, State, Zip f .,. ,. r' Address Site Phone %:'"�y � r - , City, State, Zip Date Customer PO Interval Net 30/C.O.D./Cash/Check Drivers Truck/Name PRODUCT Waste Code CA Manifest# Quantity Units Price Amount Non-RCRA Hazardous Waste Liquid(Used Oil) 229 � ' ,--p' `- Gal ,Y - F r -� Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gal Nan-RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 133 Gal Non-RCRA Hazardous Waste Solids Contaminated Drum(s) Non-RCRA Hazardous Waste Solids Contaminated with Used Oil Drum(s) 3' [ Drained Used Oil Filter Drum(s) Diums(s) ' Empty Drum(s) Each Transportation&Truck Time&Washout HR, Hazardous Testing We pay ❑ Customer Pays f. Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Terms:Accounts due on the 10th of the month following l month of purchase.Past due account's will be charged a FINANCE CHARGE at the PERIODIC RATE of 1.5%per month,which is the Total., t ANNUAL PERCENTAFE RATE OF/18%. I hereby certify that I , ve no mixed this waste with any other waste that the total halides are less than 1000 PPM,and that the waste does not contain any PCB's. I further agYee ts'accept the additional charges for legal disposal If this,waste is over 1000 PPM,tptal-balides,or contains any PCB's GENERATOR or AUTHORIZED: `� DRIVER SIGNATURE: TERMS: INVOICE 01JER 30`DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE CUSTOMER.AGREED TO PAY ALL LEGAL FEES OF COURT i' ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. Y I' 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 applicable to management of used oil.But that is not required to comply with the more stringent requirements applicable to hazardous waste management facilities. ik 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 s stringent requirements,and some out-of-state facilities that process used oil&also meet those requirements,engineering certifications of tank integrity,and financial 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 K 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 I 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 is 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 is facility. I` NAME j Riverbank Oil Transfer ❑ Yuma Environmental Services ❑ Global Material Management ❑ 5300 Claus Rd,Bldg 11 2730 E. 13th Street, ADDRESS i j Riverbank,CA 95387 Yuma,AZ 85365 CITY Ph:209-863-0888 Ph.:928-642-8938 STATE,ZIP Fax:209-863-0887 Fax:928-344-9828 PHONE EPA#CAL000190816 EPA ID:AZR000515924 EPA ID