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Send Payment To: <br /> 2355 Road 192, Delano CA 93215 <br /> 1� <br /> Ph : 209-863-0888 - Fax : 209-863-0887 <br /> EPA#CAL000367042 ID#46-0727047 <br /> Job Site : LIC.AND IN SU RED TRANSPORTER#3468 MCP# CA 130615 <br /> GENERATOR <br /> Site EPA ID#r I <br /> Invoice No. M <br /> Contact Person <br /> Company Name Bill To . <br /> Address Name <br /> City, State, Zip Address <br /> -. <br /> Site Phone City, State,Zip <br /> Date Customer PO Interval Net 30/C.O.D./Cash/Check Drivers Truck/Name <br /> PRODUCT waste CA Manifest# Quantity Units Price ` Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used Oil) 221 Gal <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 Dilm(s) <br /> Drained Used Oil Filter Drum(s) N! s Drums(s) <br /> Empty Drum(s) Each <br /> Transportation&Truck Time&Washout HR. <br /> Hazardous Testing <br /> We pay❑ Customer Pays❑_.. <br /> Unless othenivise specified on this Consolidated Manifest Receipt(Invoice)Terms:Accounts due on the 10th of the month following Tota <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 18%. f, <br /> hereby certify that I have not mixed this waste with any other waste that the total halides are less than 1.000 P.�?M,a d.-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 1-000 PPM,otal}�alidds,or contains any PCB's <br /> GENERATOR or <br /> AUTHORIZED: r DRIVER SIGNATURE: <br /> TERMS:INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE CUSTOMER AGREED TO PAY ALL LEGAL FEES OF COURT <br /> ACTION BECOMES NECE9SARYTO 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 Bysigning 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 itwill serve as an agreement that Kern Oil will submit confirmations for(certain waste streams) <br /> to the generatorthattheirwastehas been transported toalicenced treat ent or transfer facility. . , <br /> t r 2 i ya ., �) <br /> Riverbank Oil Transfer NAM = P NAME <br /> > <br /> 5300 Claus Rd,Bldg 11 ADDRESS r r t f I ; t> ADDRESS <br /> Riverbank,CA 95387 CITY £- ` CITY <br /> Ph:209-863-0888 Fax:209-863-08871 <br /> EPA#CAL000190816 STATE,ZIP, t f' ,j 4''f STATE,ZIP <br /> PHONES°z� f PHONE <br /> EPA ID£ A i^✓r r 1.. I ti EPA ID <br />