Laserfiche WebLink
z. <br /> � a �F 1 <br /> .9"-)D <br /> `�rr <br /> Send Payment To <br /> 2355 Road 192, Delano CA 93215 <br /> _ I <br /> ti y - r , Pin : 209-863-0888 - Fax : 209-863-0887 <br /> t , <br /> EPA#C AL0003670d2 I D#466-0727047 <br /> Job Site ; LIC.AND INS RED TRANSPORTER#3468 MCP#CA 130615 <br /> ENERATOP. l <br /> Site EPA ID# �- « ! <br /> Invoice No. M <br /> Sontact Person <br /> Companv Name , > 1 Bill To ' <br /> address f }0 ;', Lt:�, dame <br /> Ci.t,. State Zip ,� 3 Address <br /> sitz Phone � -- -77 City, State, Zip <br /> =a'. ' ! Customer PO interval I Net K/C.O.D./Cash/Check Drivers Truck/Name <br /> 1.7 <br /> PRODUCT Waste! <br /> Code ricCA Manifest# Quantity Units Pe Amo nt <br /> Cad <br /> -,CliA Hazardous Waste Liod(Used Jilt 221 Gal All <br /> sC�A Hazardous 1^laste Liquid(Oil&Water) _ 223 _ Gal <br /> Hazardous Waste Liquid(Used Autometi�,eAntifreeze) 133 Gal <br /> v--!K-,RA Hazardous Waste Solids Contaminated! Diurgs! <br /> >r,-KRAA Hazardous Waste Solids Contaminated ith Used Oil I Drwrgsj <br /> em=u-fined Used Oil Filter Orin-a(s) -y gt lsl <br /> ;rum is) l E <br /> rys;,orkation&Truck .Time&Washout fiR <br /> -:��iaus Testing <br /> any❑ Customer Pays <br /> ..•?- 5 otherwise specified on this Consolidated Manirest eceipt(Invoice)Temis.Accounts due on the 101h of the month following Total <br /> -wm cf purchase.Past dui(accounts will be charged a INANCE CHARGE at the PERIODIC RATE or 1.5%per month,which is the <br /> PERCENTAGE RATE OF 18%. <br /> 1�aebv certify that I have not mixed this waste witH any other waste that the total halides are less than 1000�M, nd that the does not contain <br /> 8,-==C3 s.I further agree to accept the ad ititxtai d arges for Legal disposal If this,waste is over 1000 P4 tote,or ains any PCB's <br /> r, TOR or <br /> _" iRtZED 1 ORIVER SIGNATURE: f <br /> _?M.S_INVOICES OVER 30 DAYS AE SUBJE T TO A 1.5%SERVICE CHARGE CUSTOMER AGREED TO PAY ALL LEGAL FEES OF COURT �} <br /> ;-! iON BECOMES NECESSARY TO COLLECTT}iIS INVOICE. <br /> Oil here by advises tate above Generator that enerators ship,;nent of used oil may be transporied to a facility that is required to comply with federal i- <br /> aliens applicable to management of used oil.But that is not required to comply with the more stringent requirements applicable to hazardous waste <br /> ,a:acement facilities.Kern Oil Filter Recycling is authorized to file a request for EPA#from DTSC.Califomia facilities that handle or process used oil are i- <br /> yu red to meet those more stringent requirement ,and some out-of-state facilities that process used oil&also meet those requirements,engineering <br /> x~5cations of tank integrity,and financial assuran s for closure an accidental releases.It is lawful to send used oil to out-of-state facilities that comply j— <br /> :*.,4 tih Federal used oil management standards an rtoi chose more stringent requirements By signing the invoice the generator certifies that the generator f <br /> .mss established a program'to reduce the volume r quantity and toxicity of the hazardous waste to the degree, as determined by generator, to be { <br /> Hcorcmically practicable.By both parties signing th4 Invoice it will serve as an agreement that Kern Oil will submit confirmations for(certain waste streams) _ <br /> 1-j.r t1?e 3eneratorthattheirwaste has been transported to a licenced treatment or transfer facifity. i <br /> ' a verbank Oil Transfer ❑ NE F1 NAME <br /> �" 33 r0 Claus Rd,Bldg 11 ArDRESS — ADDRESS—Riva*bank.CA 95387 C — CITY <br /> ":209-863-0888 Fax:209-863-D887 3E.ZIP STATE,ZIP— <br /> =-;PA9 ZIP-CAL000190516 PH011E PHONE <br /> E 10 EPA ID <br />