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A <br /> �_ , <br /> Job Site : 2355 RD. 192 DELANO, CA 93215 <br /> GENERATOR PIS.: (209) 863-0888, FAX (661) 725-0654 <br /> Site EPA ID# ID# 46-07270471 CAL000367042 <br /> LIC.AND INSURED TRANSPORTER#3468 <br /> Contact Person Invoice No. M 19 6 .i 0 <br /> Company Name �d Bill To : <br /> Address 01LN 4h Name <br /> City, State, Zip ' Cil Address <br /> Site Phone _ [ Q City, State, Zip <br /> Date Customer PO Interval Net 30/C.O.D./Cash/Check Drivers Truck/Nam@ <br /> PRODUCT Waste CA Manifest# Quantity Units Price Amount <br /> Code y <br /> Non-RCRA Hazardous Waste Liquid(Used Oil) 221 B ISED Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gal <br /> Non-RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 933 Gal <br /> Non-RCRA Hazardous Waste Soiids-6v4awO44 vxOOS-7c) Drum(s) <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil Drums) <br /> Drained Used Oil Filter Drum(s) Drums(s) <br /> Empty Drum(s) Each <br /> Transportation&Truck Time&Washout HR. <br /> Hazardous Testing <br /> We pay ❑ Customer Pays <br /> Unless otherwise specified on this Consolidated Manifest Receipt(Involce)Terms:Accounts due on the 10th of the month following <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 Total �`� <br /> ANNUAL PERCENTAGE RATE OF 18%. (0 ` <br /> I hereby certify that I have not mixed this waste with any other waste that the total halides are le s th 000 P M, an th )tho aste oes not contain <br /> any PCB's. I further agree to acc pt the additional charges for legal disposal If this,waste is ove 10 PM,to hal stains y PCB's <br /> GENERATOR or Ix <br /> AUTHORIZED ; DRIVER SIGNATURE : <br /> TERMS : INVOICE OVE 0 DPYS ARE SUBJECT TO A 1.5%SERVICE CHARGE CUSTOMER AGREED TO PAY ALL LEGAL EES 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 regulations <br /> applicable to management of used oil.But that is not required to comply with the more stringent requirements applicable to hazardous waste management facilities. <br /> Kern Oil Filter Recycling is authorized to file a request for EPA#from DTSC. California facilities that handie or process used oil are required to meet those more <br /> stringent requirements,and some out-of-state facilities that process used oil&also meet those requirements,engineering certifications oftank fntegrity,and financial <br /> 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 <br /> 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 <br /> 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 <br /> agreement that Kern Oil will submit confirmations for(certain waste streams)to the generator that their waste has been transported to a licenced treatment or transfer <br /> facility. <br /> ❑ California Oil Transfer ❑ BTI ❑ NAME <br /> 5300 Claus Rd,Bldg 11 1620 E Brundage Ln ADDR 5 <br /> Modesto,CA 95357 Bakersfield,CA 93307 CITY <br /> Ph:209-863-8181 CAL000282598 STATE,ZIP <br /> Fax:209-863-8171 PHONE Odd <br /> EPA#CAL000190816 <br /> EPA ID A7Z6 It Plul <br />