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illi t <br /> Send Payment To: <br /> 2,355 Road 19Z Delano CA 93215 <br /> Ph:209-863-0888 - Fax:209-863-0887 <br /> �LL�LLU EPAII CA[sooMa 2 ID#46-0727047 <br /> Job Site : I.M. WDlK3UWWTRMsPoRTM#3M MCP#CA130615 <br /> GENERATOR <br /> Site EPA 1D# r% <br /> . �a � � � �: a invoice W. <br /> Contact Person <br /> Company Name <br /> Address <br /> r7 :.� �, j, 1, <br /> :;..' .�`� � ' .fes'' • �.;- Name <br /> City,State, Address <br /> Site Phone 15- 7?0 — City,State,Zip <br /> Date 0 istorner PO interval Net 30/C.0-D.1CasWCheck Drives TnuddName <br /> PRODUCT wast CA Manifest# Quantity Units Price Amount <br /> _ ': 1 <br /> Non-RCM Hazardous Waste Liquid(Used Oil) 221 5';:�. - - :�—�-, `� :,rs Gal <br /> Nan-RCRA Hazardous Waste Liquid(Oil&#ater) .223 <br /> Nan-RCRA Hazardous Waste LOW(U Automotive k ireeze) 133 Gal <br /> Non-RCRA Hazardous Waste Solids cord ninnted ft*) <br /> Non-RCRA Haza*w Wasts.Solids mated wdh UsM Of ) <br /> Drained Used Oil Rter Drum(s) <br /> Empty Drum(s) <br /> Transportation&Truck Time$Washout [iR <br /> Hazardous Testing <br /> We pay❑ Customer Pays❑ <br /> Unless olherwhse specilimd on Uris M�ufesi Receipt(invoice)Terms:A due on the 10th of Ute month foNowing TOtal F <br /> month of pumhase.Past due amorrrtb wix be Mod a F ANCE CHARGE at the Pmooic RATE of 15%per month,which is the �.. <br /> ANNUAL PERCENTAGE RATE OF 189f °�'• ' . <br /> I hereby certify that 1 have not ufined this i vaste with any otter waste that the total halides are fess than 1000 PPM,and that the waste does not contain <br /> any PCB's.t further_dg a to accept th dilional charges for legal disposal If this,waste Is over 1000 PPM,total halides,or Contains any PCB's <br /> GITIERATOR <br /> ALM SIGNATURE: <br /> TERMS:INVOICES OVER 30 DAYS AR4 SUBJECT TO A 1.5%SERVICE CHARGE CUmT iER AGREED TO PAY ALLLEGAL FEES OF COURT <br /> ACTION BECOMES NECESSARY TO CT.LECT THIS INVOICE <br /> Kern Oil here by advises the above Gen that Generators shipment of used ort may be transported tD o facihty that is required to comply with federal <br /> regulations applicable to management ofsed oil-But that is not required to comply with the more stringent requirements applicable to hazardous waste <br /> management fadiities_Kern(M Titer Rec�cling is authorized to fit.a request for EPA#from DTSC_California facilities that handle or process used oil are <br /> required to meet those more stringent requ. rwrrts,and some out-of-state facilities that process used oil&also meet those requirements,engineering <br /> certifications of tank integrity,and fina assurances for closure an accidental releases-tt is lawful to send used oil to out-of-state facilities that comply <br /> only with federal used oil management s"dards and nottftosemore stringent requirements By signing the invoice the generator certifies that the generator <br /> has estabtisthed a program to reduce the volume or quantity and toxicity of the hazardous waste to hfie degree.as detemlined by generator, to be <br /> economically practicable.By both parties$ignmg this invoice it will serve as an agreement that Kern Oil will submit confirmations for(certain waste streams) <br /> to the generator that their waste has been transported to a Ccenced treatment or transferfaulity. <br /> D Rivert,ank Oil Transfer NAME F] NAME — <br /> .5300 Claus Rd,Mg 11 ADDRESS ADDRESS <br /> Riverbank,CA 95387 Cffy CITY <br /> Ph:209-863.0888 Fax 2OU- 63-0887 STATE,21P STATE,ZIP <br /> EPA#CAL000190816 PHONE PHONE <br /> EPA ID EPA ID <br /> s <br />