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r <br /> Job Site : 2355 RD. 192 DELANO, CA 93215 <br /> GENERATOR Ph.: (209) 863-0888, FAX (661) 725-0654 <br /> Site EPA ID# ID# 46-0727047 / CAL000367042 <br /> LIC.AND INSURED TRANSPORTER#3468 <br /> Contact Person Invoice No. M 13 9 G <br /> Company Name ac&r , n '96'11— BIII To <br /> Address Name <br /> City, State, Zip Address <br /> Site Phone etrc4 2- 2!(D-:ICity, State, Zip <br /> Date Customer PO Interval Net 30/C.O.D./Cash/Check Drivers Truck/Name <br /> - 16' <br /> uf� g -A <br /> PRODUCT waste <br /> Code CA Manifest# Quantity Units Price Amount <br /> Non-RCRA Hazardous Waste Liquid(Used Oil) 221 013J` SS 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 DOS) <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil Drum(s) <br /> Drained Used Oil Filter Drum(s) Drun(s) <br /> Empty Drum(s) Each <br /> Transportation&Truck Time&Washout HR. <br /> Hazardous Testing <br /> We pay ❑ Customer Pays 0 <br /> Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Tenns:Accounts due on the 10th of the month following Tota ,f <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 y5 9,5 <br /> ANNUAL PERCENTAGE RATE OF 18%. r <br /> I hereby certify that a not mixed this waste with any other waste that the total halides are ss t an 10 0 PPM,and that the waste does not contain <br /> any PCB's. I furth ag a to acc fee additional charges for legal disposal If this,waste is ver 00 P M,total halides,or contains any PCB's <br /> GENERATOR <br /> AUTHORIZE DRIVER SIGNATURE <br /> rERMS: INV VER 30 DAYS ARE SUBJECT TOA 1.5%SERVICE CHARGE CU O R AGREED TO PAY ALL LEGAL FEES OF COURT <br /> ACTION BE ES NECESSARY TO COLLECT THIS INVOICE. <br /> Kern Oil hereby advises the above Generator that Generators shipment of used oil maybe tran rted 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 handle or process used oil are required to meet those more <br /> stringent requirements,and some out-of-stale facilities that process used oil&also meet those requirements,engineering certifications of tank integrity,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 /> iot 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 generatorthat their waste has been transported to a licenced treatment or transfer <br /> scility. <br /> r ❑Oil Transfer ❑ Yuma Environmental Services ❑ Global Material Management NAME <br /> 5300 Claus Rd, Bldg 11 2730 E. 13th Street, ADDRESS <br /> Riverbank,CA 95387 Yuma,AZ 85365 CITY <br /> Ph:209-863.0888 Ph.:928-642-8938 STATE,ZIP <br /> Fax:209-863-0887 Fax:928-344-9828 PHONE <br /> EPA#CAL000190816 EPA ID:AZR000515924 EPAID <br />