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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 INSURED TRANSPORTER#3468 MCP#CA 130615 <br /> GENERATOR 1►I1 <br /> Site EPA ID# _ w ,�..� Invoice No I V! <br /> Contact Person <br /> Company Name .: f^ ..,,.--,. 1;, ' Bill To : <br /> .✓fi <br /> Address , Name <br /> City, State,zip '' Address <br /> Site Phone Ci"�=� .-;�, rr� tY, State,Zip <br />` Date �3 Customer PO Interval Net 301C.O.D.ICash/Check Drivers Truck/Name <br /> PRODUCT caste CA Manifest# Quantity' Units Price Amount <br /> jNan-RCRA Hazardous Waste Liquid(Used Oil) 221 - 1,rsif ;,- '.: f Gal s .. <br /> I - <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 Filter Drum(s) Drums(s) <br /> Empty Drum(s) Each <br /> Transportation&Truck Time&WashoutR• <br /> l <br /> 1 <br /> Hazardous Testing <br /> r' <br /> We pay❑ Customer Pays Ej <br /> Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Terms:Accounts due on the 10th of the month following <br /> t month of purchase.Past due accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1.5%per month,which is the Total <br /> it ANNUAL PERCENTAGE RATE OF 18%. <br /> 1 hereby certify that I have not miked this waste with any other waste that the total halides are less than 1000 PPM,and that the waste does not contain <br /> kany PCB's.I further agree to acceptdpe additional charges for legal disposal If this,waste is over 1000 PPM,total halides,or contains any PCB's <br /> II GENERATOR or <br />�'. <br /> AUTHORIZED: DRIVER SIGNATURE <br /> E TERMS:INVOICESOVER 30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE CUSTOMgR,AGREED TO PAY ALL LEGAL FEES OF COURT <br /> l; 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 DISC_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 /> i only with federal used oil management standards and not those more stringent requirements Bysigning the invoice the generator certifiesthat the generator <br /> it 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 their waste has been transported to a licenced treatment or transfer facility. <br /> Riverbank D.i <br /> I�. 0 O <br /> il r NAME NAME <br /> 5300 lausRd,Bldg 11 ADDRESS ADDRESS <br /> Riverbank,CA 95387 CITY CITY <br />!! Ph_209-863-0888 Fax:209-863-0887 <br /> STATE,ZIP STATE,ZIP <br /> I I EPA#CAL000190816 PHONE PHONE <br /> i! <br /> i; <br /> EPAID EPAID <br /> SII <br />!I <br />