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Job Site : 2355 RD . 192 DELANO , CA 93215 <br /> GENERATOR Ph . : (209 ) 863 - 08881 FAX (661 ) 725 -0654 <br /> Site EPA ID# C 3`3 ID# 46 - 0727047 / CAL000367042 <br /> LIC . AND INSURED TRANSPORTER # 3468 <br /> Contact Person <br /> Company Name Invoice No . M1 6580 <br /> vCv� ramal` cls Bill To <br /> Address 3c)00() YCg S5c1Y, Name <br /> City, State , Zip � c,� Address <br /> Site Phone p y Zo \ - � a City, State , Zip <br /> Date Customer PO Interval Net 30/C . 0 . D . /Cash/Check Drivers Truck/Name <br /> 1 LA <br /> PRODUCT caste CA Manifest # Quantity Units Price Amount <br /> Non-RCRA Hazardous Waste Liquid (Used Oil) 221 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 Drum(s) <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil Drums) <br /> 352 (��, ' �. � 31= 1 � 350 S350 <br /> Drained Used Oil Filter Drum (s) Dlums(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 ( Invoice) 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 .50Y( p month , which is the Tota 3S U <br /> ANNUAL PERCENTAGE RATE OF 18%. t <br /> I hereby certify that I have not mixed thi to wit ny oth wa to that the total halides are le s that 1000 P�M , and that the waste does o contain <br /> any PCB's . I further agree to ac ad 't al c f r leg I disposal If this , waste is ov r 1000 PPM , tot I halides , or contains any PCB's <br /> GENERATOR or <br /> AUTHORIZED : , DRIVER SIGNATURE : <br /> TERMS : INVOICE OVER 30 DAYS ARE SUBJECT TO A 1 . 5% SERVICE CHARGE CUSTOME AGR ED 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 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 /> 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 ADDRESS <br /> Modesto, CA 95357 Bakersfield , CA 93307 CITY <br /> Ph : 209-863-8181 CAL000282598 STATE , ZIP <br /> Fax: 209-863-8171 PHONE <br /> EPA# CAL000190816 EPA ID <br />