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Send Payment To: <br /> 2355 Road 192, Delano CA 93215 <br /> Ph : 209-863-0888 - Fax : 209-863-0887 <br /> EPA#CAL000367042 ID#46-0727047 <br /> Job Site : LIC.AND IN SURED TRANSPORTER#3466 MCP#CA 130615 <br /> GENERATOR A <br /> Site EPA ID# Invoice No IVI <br /> Contact Person <br /> Company Name :. - x::>; -_, wj- ;; :. °� Bill TO , <br /> Address _ r-, Name <br /> City, State, Zip ;"•' :4P s:. - Address <br /> Site Phone �-`_ �; `. g City, State,Zip <br /> Date Customer PO Interval Net 30/C.O.D./Cash/Check Drivers Truck/Name <br /> PRODUCT Code CA Manifest# Quantity Units Price Amount <br /> Gal ^' <br /> Non-RCRA Hazardous Waste Liquid(Used Oil) 221 -., <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 /> Drained Used Oil Filler Drum(s) Dnulls{s) <br /> Empty Drum(s) Eads <br /> Transportation&Truck Time&Washout HR <br /> Hazardous Testing <br /> We pay❑ Customer Pays <br /> Unless otherwise specified on thistGonsolidated Manifest Receipt(invoice)Terms:Accounts due on the 10th of the month following Total <br /> 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 /> ANNUAL PERCENTAGE RATE OF',.8%. . <br /> '. <br /> hereby certify that I have not mixed this waste"h any other waste that the total halides are less t61r;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 1 D0O PPM'xotal h2lides,_or contains any PCB's <br /> GENERATOR or <br /> AUTHORIZED: DRIVER SIGNATURE: <br /> TERMS:INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE CUSTOMERAGREED TO PAY ALL LEGAL FEES OF COURT <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 /> 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 /> 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 /> economically practicable.By both parties signing this invoice it will serve as an agreement that Kern Oil will submit confirmations for(certain waste streams) <br /> to the generator that theirwaste has been transported to a licenced treatment or transfer facility. <br /> 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:209-883-0887 STATE,ZIP STATE,ZIP <br /> EPA#CAL000190816 PHONE PHONE <br /> EPA ID EPA ID <br />