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a Y <br /> -'aLfi� <br /> AIL 61t ", <br /> Job Site : 2355 RD. 192 DELANO, CA 93215 <br /> GENERATOR Ph.: (209) 863-0888, FAX (661) 725-0654 <br /> Site EPA ID# `:_ f�� ID# 46-07270471 CAL000367042 <br /> - z LIC.AND INSURED TRANSPORTER#3468 <br /> Contact Person Invoice No. <br /> Company Name Bill To <br /> - <br /> Address Name <br /> i ' ��•� :�� -. <br /> City, State, ZipAddress <br /> Site Phone City, State, Zip <br /> I Date Customer PO Interval Net 30IC.O.D.ICash/Check Drivers Truck/Name <br /> PRODUCT Codte CA Manifest# Quantity Units Price Amount <br /> Non-RCRA Hazardous Waste Liquid(Used Oil) 221 Gal f`r <br /> E <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gal <br /> I <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 /> I <br /> Drained Used Oil Filter Drum(s) Drums(s) <br /> Empty Drum(s) Each <br /> Transportation&Truck Time&Washout HR. <br /> Hazardous Testing <br /> I <br /> E <br /> i <br /> We pay ❑ Customer Pays f <br /> Unless otherwise specified on this Consolidated Manifest Receipt(invoice)Terms:Accounts due on the 70th of the month following Total <br /> , <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 <br /> E ANNUAL PERCENTAGE RATE OF 18%. <br /> I <br /> i 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 /> any PCB's. I further agree.to accept the additional charges for legal disposal If this,waste is over 100.0 PPM,total halidg,or contains any PCB's <br /> GENERATOR or f/ <br /> AUTHORIZED,: DRIVER SIGNATURE:/ f <br /> TERMS: INVOICE OVER 30 DAYS ARE SUBJECTITO A 1.5%SERVICE CHARGE"GUS-VIPER AGREED TO PAY ALL LEGAL FEES OF COURT <br /> ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. <br /> I Kern Oil hereby advises the above Generator that Generators shipment of used oil maybe 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 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 meet those requirements,engineering certifications of tank integrity,and financial <br /> i assurances for closure an accidental releases.Itis 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 /> E 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 /> t <br /> I agreement that Kern Oil will submit confirmations for(certain waste streams)to the generatorthat theirwaste has been transported to a licenced treatment ortransfer <br /> j facility. <br /> l r. Riverbank Oil Transfer ElYuma Environmental Services ❑ Global Material Management ❑ NAME <br /> II <br /> I 5300 Claus Rd,Bldg 11 2730 E. 13th Street, ADDRESS <br /> I Riverbank,CA 95387 Yuma,AZ 85365 CITY <br /> l Phi209-863-0888 Ph.:928-642-8938 STATE,ZIP <br /> Fax:209-863-0887 Fax:928-344-9828 PHONE <br /> EPA#CALo00190816 EPA ID:AZR000515924 EPAID <br /> j <br /> i <br />