Laserfiche WebLink
i, <br /> I � n <br /> i- <br /> Send Payment To: <br /> ' 2355 Road 192, Delano CA 93215 <br /> I <br /> Ph : 209-863-0888 - Fax : 209-863-0887 <br /> EPA#CAL000367042 ID#46-0727047 <br /> Job Site : LIC.AND INSURED TRANSPORTER#3468 MCP#CA 130615 <br /> GENERATOR <br /> Site EPA ID# 'f Invoice No M' <br /> Contact Person <br /> Company Name z'. j Bill To : <br /> Address f Name <br /> City, State,Zip ;' • ,- Address <br /> Site Phone City, State, Zip <br /> E <br /> I Date _ Customer PO Interval Net 30/C.O.D./Cash/Check Drivers Truck/Name <br /> I PRODUCT Waste Code CA Manifest# Quantity Units Price Amount <br /> II <br /> Nan-RCRA Hazardous Waste Liquid(Used Oil) 221 Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gal <br /> i <br /> Non-RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 133 Gal <br /> 1 Non-RCRA Hazardous Waste Solids Contaminated Drum(s) <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil Drum(s) <br /> Drained Used Oil Filter Drum(s) Drums(s) <br /> j <br /> Empty Drum(s) Each <br /> Transportation&Truck Time&Washout HR. <br /> i Hazardous Testing <br /> j <br /> jWe pay❑ Customer Pays 0 - <br /> Unless otherwise specked on this Consolidated Manifest Receipt(Invoice)Terms:Accounts due on the 10th of theimonth following <br /> ITOalmonth of purchase.Past due accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1.5 h per niontti,`¢which is theI <br /> ANNUAL PERCENTAGE RATE OF 18%. <br /> I hereby certify that I have not mixed this waste with any other waste that the total halides are less f iai 1 o0,0 RPM,and that the waste does not contain <br /> I any PCB's.I further agree to accept the additional charges for legal disposal If this,waste is over 1000=,7M,tgtal halides,or contains any PCB's <br /> GENERATOR or {� <br /> AUTHORIZED DRIVER SIGNATURE:`t t <br /> TERMS:INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE CUSTPIM R'AGREE&TO PAY ALL LEGAL FEES OF COURT <br /> I <br /> ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. <br /> 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 <br /> i regulations applicable to management of used oil.But that is not required to comply with the more stringent requirements applicable to hazardous waste <br /> 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 <br /> required to meet those more stringent requirements,and some out-of-state facilities that process used oil&also meet those requirements,engineering <br /> i 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 <br /> only with federal used oil management standards and not those more stringent requirements By signing the invoice the generator certifies that the generator <br /> 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 <br /> j economically practicable.By both parties signing this invoice itwill serve as an agreementthat Kern Oil will submit confirmations for(certain waste streams) <br /> to the generator that their waste has been transported to a licenced treatment or transferfacility. <br /> Fol Riverbank Oil Transfer ❑ NAME NAME <br /> 5300 Claus Rd,Bldg 11 ADDRESS ADDRESS <br /> Riverbank,CA 95387 CITY CITY <br /> Ph:209-863-0888 Fax:209-863-0887 STATE,ZIP STATE,ZIP <br /> EPA#CAL000190816 PHONE PHONE <br /> EPA-ID EPA ID <br /> E <br /> i <br /> I <br />