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t, <br /> 'b t PRINTED BY: <br /> r <br /> ` i �+1 t_FF P� n <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 2 <br /> Company Name /jCC Bill To <br /> Address.'010 p Name <br /> City, State, Zip Address <br /> Site Phone City, State, Zip <br /> Date / 3 / Customer PO Interval Net 30/C.O.D./Cash/Check DriversTruck/Name' <br /> 9.7 A <br /> PRODUCT Waste CA Manifest# Quantity Units Price Amount <br /> Code y <br /> Non-RCRA Hazardous Waste Liquid(Used Oil) -221 x/00 Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 3��gU67,6F 0 Gal lj p I q0 <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 Drum(s) <br /> Drained Used Oil Filter Drum(s) C-t ryp Drums(s) <br /> Empty Drum(s) Each <br /> Transportation&Truck Time&Washout HR. <br /> Hazardous Testing <br /> We_ay ❑ Customer Pays <br /> ati w otherwise specified on this Consolidated Manifest Receipt(Invoice)Terms:Accounts due on the 10th of the month following <br /> Of purchase.Past due accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1.5%per month,which is the Total L/5 <br /> L PERCENTAGE RATE OF 18%. - <br /> certify that I have not mixed this waste with any other waste that the total halides are less an 1 00 PPM,a t t the waste do ontain <br /> 's.I furtWagreeaccept the add'' al�rges for legal disposal If this,waste is over 00 PM otal h Ida ,or contains any:PCB'sTOR oIZED: DRIVER SIGNATURE: <br /> INVOI0 DAYS AVE SUBJECT TO A 1.5%SERVICE CHARGE CUSTOVERREED TO PAY LL LEGAL FEES OF COURT <br /> BECOMES NECESSARY TO COLLECTTHIS INVOICE. <br /> here byadvisesthe above Generator that Generators shipment of used oil maybetranspoafacilitythatis required to complywith federal regulations. <br /> le to management of used oil.Butthat is not required to comply with the more stringent requirements applicable to hazardous waste managementfacilities. <br /> 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 /> requirements,and some out-of-state facilities that process used oil&also meet those requirements,engineering certifications of tank integrity,and financial <br /> yes 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 /> ,t more stringent requirements By signing the invoice the generator certifies that the generator has established a program to reduce the volume or quantity <br /> Ilty 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 /> rt that Kern Oil will submit confirmations for(certain waste streams)to the generator that their waste has been transported to a licenced treatment ortransfer <br /> rnfa Oil Transfer ❑ BTI -❑ Ir�h NAME <br /> [Claus Rd,Bldg 11 1620 E Brundage Ln ADDF r <br /> tLo,CA 95357 - Bakersfield,CA 93307 CITY <br /> dS3 y <br /> 863-8181 CAL000282598 STATE,ZIP <br /> 209-863-8171 PHONE g <br /> %CAL000190816 . <br /> EPA ID <br />