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it JJ <br /> J �} <br /> Send Payment To. <br /> 2355 Road 192,Delano CA 93215 <br /> Ph:2D9-863-O888 - Fax:20g=863-0$87 <br /> EPA CALQ08367042 ID#4"727047 <br /> Job site : LIC. DINSURED TRAXSPORTERI€346a MCP#CA 130615 <br /> GENERATOR <br /> Site EPA ID# <br /> i Invoice No, 4 <br /> Contact Person <br /> Company Name _ 1 _ /Yl <br /> Address ,�FG:a.; `�,. / ; i , Name <br /> City,State,lip ` Address <br /> Site Phone '== n - f City,state;Zip <br /> Date I C tomer PO Interval Net 3=.O.D./Cash/Gheck Drivers Tnx*]Name <br /> PRODUCT Code <br /> CA Manifest# Quantity units Price Amount <br /> Non-RCM Hazardous Waste Liquid{Used 711 CSI ` <br /> Non-RCRA Hazardous Waste Liquid((M& ) 223 4 Gal <br /> Non-RCM Hazardowftste liquid(Used motive Antr mm) 133 Gal <br /> NwRCM Hazardous Waste Sob Co <br /> Non-RCRA Hazardous Waste Solids Coft maW YA Used 00 } <br /> DmW Used 011 Filter Drum(5) <br /> Empty Dwfn(s) Fadt <br /> Transportation&TrU&Ttme&YVast t : <br /> HazarliousTt�ti{Ig <br /> We pay F] Cusbmer Pays <br /> Unk ss od erWsespe w on uesConsM uoW Rept anvoicel Teras.Accour is dueen the l(M orthe math fpnowing s1 <br /> month of purchase-Past due a= ds._ <br /> be a FINANCE CHARGE at the PERIODIC RATE of 15%per—th.which is the Total i t S <br /> ANNUAL PERCENTAGE RATE OF IMi <br /> I hereby certify that t have not mixed this 1, Ynth any otherwaite that the total halides are fess than 1000 PPM.and that the waste does riot contain <br /> any PCB's.I further agree m accept th„ad itlonal charges for legal disposal ff 1his,waste,is over 1000 PPM:total halides,or contains any PCB's <br /> GENERATOR , } '' _ - r" <br /> AUTHOR ��`` `� DRIVER SIGNATURE: _ <br /> TERMS.INVOICES OVER 30 DAYS ARE SUBJECTTO A 1.5%SERVICE CHARGE CUSTOMER AGftEED TO PAY ALL LEGAL FEES OF COURT <br /> ACTION BECOMES NGCESSARYTOGO ECT THIS INVOICE <br /> Kem Oil here by advises the above that Genersmrs shipment of used oil may be transported.to a facility that is required to comply wish federal <br /> regt�la6ons applicable to rtfat gemestt of ol,.80t tlYat iS not r+eqused to ahoy WUttthe more stringent requim rents applicable to hazardous waste <br /> management faglities.Kem Oil Finer R is auihoraed to fife a request for EPA#from DTSC.Caffotnia fafaTtbm that handle or process used od are <br /> requued to meet those more sfifrigent and some out-ofd faaTities that process used oil&also meet those requirements,engineering <br /> cetllficatians of tante integrity and assurances far dosurs an�dderrtat relies-It IS lawful to send used oil to out o�Willies that comply <br /> oNywah federal used of managemerrt and notthase more slrirtgent rsWinner t Ely siWwt g th.b roicatneg—n 4t--Iffle#u-dthegenerater <br /> has estatrtished a program to reduce tfi volume ar quantdy and toxicity of the tr mdous waste ID the degree,as:de0ermined by generator,to be <br /> economicapypracficabte.t3ybothpart;es gningthisimroicsifw711serveasanagreementlhatKemORWHISimmitconfiMrmd-- sfor(cer[ainwastestreams) <br /> tothegeneratnrthatthei�wasbehasheen toalicet�dtreat3rteritcxtransierfacifity. , <br /> Riverbank Od Transfer NAMENAMEf f 5300 Claus Rd,Bldg 11 ADDRESS � ADDRESS <br /> Riverbank,CA 95387 Cl7y - CITY . <br /> Pit2t19�863�88 Fax 20. 563 o88Z STATE,ZIP STATE,ZIP_ <br /> ERtlitCA[aHi0f l8tfi PHONE PHONE <br /> Frp.�tl4 i�'P,D <br /> EGAD_ -- <br />