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Job Site : 2355 RD, 192 DELANO, CA 93215 GENERATOR Ph.: (209) 863-0888, FAX (661) 725-0654 Site EPA ID# I D# 46-07270471 CAL000367042 LIC.AND INSURED TRANSPORTER#3468 Contact Person = Invoice No. M v Company Name ,;f -;` ,_ Bill To : Address '; _ -, ,, Name City, State, Zips' + : a.�^_ .�_r ,., T Address Site Phone City, State, Zip Date Customer PO Interval Net 30/C.O.D./Cash/Cheek Drivers Truck/Name ii =- PRODUCT Waste Code CA Manifest# Quantity Units Price Amount Non-RCRA Hazardous Waste Liquid(Used Oil) 221 ,; + Gal Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 _ Gal Non-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 Drums) Drained Used Oil Filter Drum(s) Drums(s) Empty Drum(s) Each Transportation&Truck Time&Washout HR. Hazardous Testing We pay ❑ Customer Pays Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Terms:Accounts due on the 10th of the month following month of purchase.Past due accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1.5%per month,which is the TO ANNUAL PERCENTAGE RATE OF 18%. _ y I hereby certify that I have not mixed this waste with any other waste that the total halides are less th n 1000 PPM,and that the waste lees-Rof"contain any PCB's. I further agree to accept the additional charges for legal disposal If this,waste isover 1000 PPM,total ylides,or contains any PCB's GENERATOR or AUTHORIZED: DRIVER SIGNATURE: TERMS: INVOICE OVER 30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE CUSTOMER-AGREED TO PAYALL'LEGAL FEES OF COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. Kern Oil here by advises the above Generator that Generators shipment of used oil maybe 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. 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 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 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 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 agreement khat Kern Oil will submit confirmations for(certain waste streams)to the generator that their waste has been transported to a licenced treatment or transfer facility. r6ax kAil Transfer ❑ Yuma Environmental:Services ❑ Global Material Management ❑ NAME 5300 Claus Rd,Bldg 11 2730 E. 13th Street, ADDRESS 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