Laserfiche WebLink
AUG 282019 <br /> Job Site : 2355 RD . 192 DELANO , CA 93215 <br /> GENERATOR Ph . : (209 ) 863-08889 FAX ( 661 ) 725-0654 <br /> ID# 46-0727047 / CAL000367042 <br /> Site EPA ID# t~ ,,r +, ' t C.' t : r; 7 ` , i LIC. AND INSURED TRANSPORTER # 3468 <br /> Contact Person Invoice No . M <br /> Company Name < . (, : , ' > 3 � , � � r BIII TO <br /> - - 1 Name <br /> Address ? ._ c <br /> City, State , Zip Address6 <br /> Site Phone -{ I r City, State , Zip <br /> Date r £, Customer PO Interval Net 30/C . O . D ./Cash/Check Drivers Truck/Name ` <br /> i i- <br /> Waste CA Manifest # Quantity Units Price Amount <br /> PRODUCT Code <br /> Non-RCRA Hazardous Waste Liquid (Used Oil) <br /> 221 5 f 'i r; } _ fi Gal <br /> Non-RCRA Hazardous Waste Liquid (Oil & Water) <br /> 223 Gal <br /> Non-RCRA Hazardous Waste Liquid (Used Automotive Antifreeze) 133 <br /> Gal <br /> Drum(s) <br /> Non-RCRA Hazardous Waste Solids Contaminated <br /> Non•RCRA Hazardous Waste Solids Contaminated with Used Oil <br /> Drum(s) <br /> Dmms(s) <br /> Drained Used Oil Filter Drum (s) <br /> Each <br /> Empty Drum (s) <br /> HR. <br /> Transportation & Truck Time & Washout <br /> Hazardous Testing <br /> We pay ❑ Customer Pays LL <br /> Unless otherwise specified on this Consolidated Manifest Receipt (Invoice) Terms : Accounts due on the 10th of the month following Total l <br /> CE CHARGE at the PERIODIC RATE of 1 .5% 'per month, which is th <br /> month of purchase: Past due accounts will be charged a FINANe f <br /> ANNUAL PERCENTAGE RATE OF 18%. <br /> I hereby certify that I have not fr"iije�dbis waste with any other waste that the total halides are less than 1000 PPM , and that the waste does not contain <br /> any PCB's. I further agree: cept the additional charges for legal disposal If this , waste is over 1000 PPM , total halides , or contains any PCB's <br /> 3 <br /> GENERATOR or; <br /> AUTHORIZED_� DRIVER SIGNATURE ,, <br /> TERMS INVOICE OVER 30 DAYS ARE SUBJECT TO A 1 .5% SERVICE CHARGE CUSTUMER AGREED TO PAY ALL LEGAL FEES 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 handle 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 of <br /> tanana integrity, and financial <br /> ith federal used oil mana <br /> assurances for closure an accidental releases. It is lawful to send used oil to out-of-state facilities that comply only wduce the volume gement standards and <br /> ram to re <br /> anot ndttoxicity of therhazardousuirements waste to the degree aseinvoice the determined by generratoenerator r, to bertifies that the economc ally practicable * By both paenerator has established a rties signing this invoice t will serve as an <br /> agreementthat 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 /> ❑ ❑ NAME <br /> ❑ California Oil Transfer ❑ BTI ADDRESS <br /> 5300 Claus Rd , Bldg 11 1620 E Brundage Ln CITY <br /> Modesto, CA 95357 Bakersfield , CA 93307 STATE, ZIP <br /> Ph:209-863-8181 CAL000282598 <br /> PHONE <br /> Fax: 209-863-8171 EPA ID <br /> EPA# CAL000190816 <br />