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•fi Send Payment To: <br /> 2355 Road 192, Delano Ctt 93215 <br /> ' Ph .209-863-0888 - Fax :209-863-0887 <br /> EPA#CAL000367042` ID##46-0727047 <br /> Job Site : LIC.ANDINSU ED TRANSPORTER#3468 MCP#CA 130615 <br /> GENERATOR err }" 1 <br /> Site EPA ID# r 4 3 <br /> Invoice No. M1 0 2 3 <br /> Contact Person <br /> Company NameZ—, <br /> Address r/f "',/' Name <br /> City, State,Zip <z Address <br /> Site Phone -r- - - City,State,Zip <br /> Date Customer PO Interval Net 30/C.O.DJCash/Check Drivers Tri ck/Name_ <br /> PRODUCT Waste <br /> ase CA Manifest# Quantity Units Price Amount <br /> ! -RCRA Hazardous Waste Liquid(Used 09) 221 6M:? GAO Gal 'J <br /> 1,Kr,'ZCRA Hazardous Waste Liquid(Oil&Water) 223 Gal <br /> wt -R^- Hazardous Waste liquid(Used Autamotiv#Antifreeze) 133 Gal <br /> *xhRCRA Hazardous Waste Solids Contaminated I DOS) <br /> 'v r-RCRA Hazardous Waste Solids Contaminated 11' <br /> ' Used Oil ) <br /> wined Used Oil Filter Drum(s) DWO <br /> E,"Darn(s) Emb <br /> nspc atim&Truck Time&Washout HR <br /> Testing <br /> -v L1 Ctlstorner Pays[❑ <br /> _r>es afttwise specified on this Consolidated Manifest ecelpt(Invoice)Terms:Accounts due on the loth or the month foltowing Total <br /> mvg ct pcxchase.Past due accounts will be charged a NANCE CHARGE at the PERIODIC RATE or 15%per Month.which is the <br /> k-"AL P�VTAGE BATE OF 1B%. Ilulo, <br /> I rweby certify that J have not mored thi&waste with any outer waste that the total halides are less than 1000 PPM,and that thepyy�rite does not contain <br /> arw ac8's"I forth e t thea urtaf las for legal disposal R this,waste Is over 1000 PPMAotal halides,or cn Stains any B's <br /> , 'f?iORJZEDRATOR�r /� DRIVER SIGNATURE. <br /> 1 ✓'�`'� g <br /> —ERIAtS:INVOICES OVER 30 DAYSARE SUBJE TO A 1.5%SERVICE CHARGE CUSTOM REED TO PAYALL LEGAL.FEES OF COURT <br /> #,.,710N BECOMES NECESSARY TO COLLECTT�IS INVOICE. <br /> Kam 09 here by advises the above Generator brat enerators shipment of used of maybe transported to a facility that is requi ad to comply with federal <br /> mgutabons applicable to management of used oil, ut that is not required to comply with the more stringent requirements appli mble to hazardous waste <br /> r�r—rr�nerit facilities-Kern 00 Fdtar Recycling is 6uthorQed to file a request for EPA#from DTSC.Califomta fadlties that hanr Is or process used oil are <br /> moused In meet those more stringent requiremento,and some out-of-state fadrdies that process used a1&also meat those r aquimments,engineering <br /> motions of tank integrity,and financial assurances for closure an accidental releases.It is lawful to send used oil to out-of We facilities that comply <br /> " wOl federal used oil managementstandards mr d not those more stringentrequirements By signing the invoice the generator mrtifies thatthe generator <br /> established a program to reduce the votumellor quantity and toxicity of the hazardous waste to the degree,as detem fined by generator,to be <br /> ear m-W.—alIvpracticable,By both parties signingthqq'ss invoice itwafl serve as an agn�rnent thatKam Chlwdl subrm confirmations f rr(certainwaste streams) <br /> Ic�o��a.ortfiattheirwaste has been transportdd to a licenoed Imatment ortransferfacality. <br /> j I Oil Transfer N�4ME NAME <br /> SwJ Ciao Rd,Bldg 11 AoDRFSS ADDRESS <br /> esba*t tCA 95387 CITY <br /> cCTY <br /> f=ax:209-e53-oee7 STATE,ZJP STATE,ZIP <br /> CALO06190M6 PHONE PHONE <br /> FOA 11) EPA 10 <br />