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s 3 Send Payment To: <br /> 2355 Road 192, Delano CA 93215 <br /> r 1 Ph : 209-863-0888 - Fax : 209-863-0887 <br /> EPA#CAL000367042 ID#46-0727047 <br /> job Site Lie.AND IN URED TRANSPORTER 9 3468 MCP#CA130615 <br /> GENERAI Ofd -- <br /> :Site EPA ID# C✓ ?D / - s = <br /> Invoice No. <br /> Contact Person <br /> Company Namef-j_0 ,4L Bili To : <br /> Address Name <br /> City, State.Zip {: / < Address <br /> s rah. _ <br /> Site Phone /f ��`f` City, State,Zip <br /> Date Customer PO Interval Net 30/C.0-D.lCash/Check Drivers Truck/Name <br /> PRODUG l 5h'aste CA Manifest# Quantity Units Price Amount <br /> Code <br /> p-RCRA Hazardous`Waste Liquid(Used Oil) 221 01 Z Cl Gal <br /> `on RCRA Hazardous%liasto Liquid(Oil&Water) 223 Gal <br /> ' n-RCRA Hazardous Waste Liquid(Used badorl tine Antifreeze) 1133 Gal <br /> `.on-RCRA Hazardous Waste Solids Contaminat tktgn(sl <br /> Non-RCP,A Hazardous Waste Solids Contaminate %ith Used Oil D*S) <br /> Drained Used Oil Filter Drurn(s', <br /> pty Drum(s} I Earn <br /> r:nspoliation&!ruck Time&Washout tiR <br /> azardous Testing <br /> A"e pay Customer Pays <br /> ^!ass otherwise specified on this Consolidated A4ari Rem-pt(invoice)Terms:Aocounts dire on the 10th of the month folloyartg Total <br /> -3 r th o.pt-rchase-Past due accounts vAil he charged FINANCE CHARGE at IhL PERIODIC RATE of 1-5%per month,which is the <br /> ANNUAL PERCENTAGE RATE OF 18%- <br /> hereby certify that I have not mixed this waste 4ith any other waste that the total halides are less than 1000 PPM,and that the waste does not contain <br /> a,v PCB's.I further agree?to accept the add'ion lcharges for legal disposal If this,waste is over OOOpPM.to ides,rdes,o r contains any PCB's <br /> _- NERATOR orDRNEft SIGNATURE4'2iORIZED Uy <br /> ARMS:INVOICES OVER 30 DAYS.(RE SUBJ CT ' SERVICE CHARGE CUS,OMERAGREED TO PAY ALL LEGAL FEES OF COURT <br /> :�`iON BECOMES NECESSARY TO COLLEC71 HIS INVOICE <br /> %em..Oil here by advises the above Generator that Generators shipment of used oil may be transported to a facility that is required to comply with federal <br /> regulations applicable to management of used o 1.But that is not required to comply with the more stringent requirements applicable to hazardous waste <br /> ^anagement facilities.Kern Oil Filter Recycling'i authorized to file a request for EPA#from DTSC-California facilities that handle or process used oil are <br /> =cuired to meet those more stringent requirernents.and same out-of-state facilities that process used oil&also meet those requirements,engineering <br /> ec'stcations of tank integrity,and financial assuty ances for closure an accidental releases.It is lawful to send used oil to out-of-state facilities that comply <br /> Crlywith federal used oil management standards and not those more stringent requirements By signing the invoice the generator certifies thatthegenerator <br /> es established a program to reduce the volu a or quantity and toxicity of the hazardous waste to the degree, as determined by generator,to be <br /> ,omically practicable.By both parties signing this invoice it will serve as an agreement that Kern Oil will submit confirmations for(certain waste streams) <br /> the generator that their waste has been transpo.ed to a licenced treatment or transfer facility_ <br /> I Riverbank Oil Transfer AME NAME <br /> • 5300 Claus Rd,Bldg 11 DDRESS ADDRESS <br /> Riverbank,GA 95387 -ITV _— Ci T Y <br /> Ph:209-863-0888 Fax:209-863-0887 TATE ZtP STATE ZIP <br /> EPA#CALDD019M16 HONE_ PHONE -- <br /> PA JL) EPA to , <br /> • <br />