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Job Site : 2355 RD . 192 DELANO , CA 93215 GENERATOR Ph . : (209 ) 863 - 0888 , FAX ( 661 ) 725 - 0654 Site EPA I D#' =w � {� _,_ . :, I D # 46 - 0727047 / CAL000367042 LIC , AND INSURED TRANSPORTER # 3468 Contact Person Invoice No . Company Name f� C10n, Bill To : M Address Name City, State , Zip ;j � = " r' Address Site Phone ;_', "�;1 - ' t City, State , Zip Date ;` Customer PO Interval Net 30/C . O . D . /Cash/Check Drivers Truck/Name PRODUCT Waste CAManifest # Quantity Units ' Price Amount Code y Non-RCRA Hazardous Waste Liquid (Used Oil ) 221 .,,,. Gal Non-RCRA Hazardous Waste Liquid (Oil & Water) 223 Gal Non- RCRA Hazardous Waste Liquid (Used Automotive Antifreeze) 133 Gal Non-RCRA Hazardous Waste Solids Contaminated Drum(s) Non-RCRA Hazardous Waste Solids Contaminated with Used Oil Drums) Drained Used Oil Filter Drum (s ) Drums(s) Empty Drum (s ) Each Transportation & Truck Time & Washout HR, Hazardous Testing We pay ❑ Customer Pays 1, Unless otherwise specified on this Consolidated Manifest Receipt ( Invoice) Terms : Accounts due on the 10th of the month following 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 r — } ANNUAL PERCENTAGE RATE OF 18% , 1 I hereby certify that I have not mixed this waste with any:_ether waste that the total halides are less than 1000 PPM , and that the was does not conta' any PCB 's . I further agree to accept the additional charges for legal disposal If this , waste is over -1 000 PPM , total halides , or contains an 's GENERATOR AUTHORIZED : DRIVER SIGNATURE : TERMS : INVOICE OVER 30 DAYS ARE SUBJECT TOA 1 . 5% SERVICE CHARGE CUSTOMER AGREED TO PAY ALL LEGAL FEES OF COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE . Kern Oil hereby advises the above Generator that Generators shipment of used oil maybe transported to a facility that is required to comply with federal regulations applicable to management of used oil . But that is not required to comply with the more stringent requirements applicable to hazardous waste 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 required to meet those more stringent requirements, and some out-of-state facilities that process used oil & also meet those requirements , engineering 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 only with federal used oil management standards and 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 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 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 facility. UCalifornia Oil Transfer ❑ BTI ❑ ❑ NAME 5300 Claus Rd , Bldg 11 1620 E Brundage Ln ADDRESS Modesto , CA 95357 Bakersfield , CA 93307 CITY Ph :209-863-8181 CAL000282598 STATE , ZIP Fax: 209-863-8171 PHONE EPA# CAL000190816 EPA ID