Laserfiche WebLink
Job Site : 2355 RD. 192 DELANO, CA 93215 <br /> GENERATOR Ph.: (209) 863-0888, FAX (661) 725-0654 <br /> ID# 46-0727047 / CAL000367042 <br /> Stte;EPA ID 0 LIC.AND INSURED TRANSPORTER#3468 <br /> Contact Person Invoice No. M1 6229 <br /> Company Name Bill To : <br /> Address F 11VO a / Name <br /> City, State, Zip 1, �(Q Address <br /> Site Phone 7,rt-CtLt 7, Le 7- City, State, Zip <br /> Date Customer PO Interval Net 30/C.O.D./Cash/Check Drivers Truck/Name <br /> `A' z- 1 °\ 1�\ <br /> PRODUCT WasteCode CA Manifest# Quantity Units Price Amounts <br /> Non-RCRA Hazardous Waste Liquid(Used Oil) 221 Misr J/ Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gal a, <br /> Non-RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 133 Gal <br /> Nan-RCRA Hazardous Waste Solids Contaminated Drum(s) <br /> Nan-RCRA Hazardous Waste Solids Contaminated with Used Oil Dmm(s' =' <br /> Drained Used Oil Filter Drum(s) Drums(s) <br /> Empty Drum(s) Each <br /> Transportation&Truck Time&Washout HR. <br /> Hazardous Testing <br /> 44` We pay ❑ Customer Pays Q <br /> IUnless 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 1.5% er month,which is the Tota <br /> ANNUAL PERCENTAGE RATE OF 18%. <br /> I hereby certify that I have not mixed this waste with any other waste that the total halides ar 'as <br /> the 1000 PM,and that the waste do snot contain <br /> any PCB's.I further agree to accept the additional chargeg,for legal disposal If this,waste i ove 1000 PPM, otal halides,or contains an CB's <br /> GENERATOR or <br /> AUTHORIZED: DRIVER SIGNATURE <br /> TERMS:INVOIC OVER 30 AY ARE J T TO A 1.5%SERVICE CHARGE CU O R AGREED TO L LEGAL FEES OF COURT <br /> ACTION BECOMES NECES ARYTO OLL TTHIS INVOICE. <br /> Kern Oil hereby advises the above Generator that Generators shipment of used ail maybe trans 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's request for EPA#from DTSC.California facilities that handle or process used oil are required to meet those more <br /> Istringent requirements,and some out of'stale facilities that process used oil&also meet those requirements,engineering certifications of tank integrity,and financial <br /> liassurances 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 Byslgning 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 tolM�°degree,as determined by generator,to be economically practicable.By both parties signing this invoice itwill serve as an <br /> agreement that Kern Oil will submit confirmations for(certain waste streams)to the generatorthat theirwaste has been transported to a licenced treatment ortransfer <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:209-663-8181 CAL000282598 STATE,ZIP <br /> Fax:209-863-8171 PHONE <br /> EPA#CAL000190816 EPA ID <br />