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Send Payment To: <br /> Road 192, Delano CA 93215 <br /> Ph : 209-863-0888 Fax : 209-863-0887 <br /> EPA#CAL000367042 ID#46-0727047 <br /> Site LIC.AND INSURED 'RANSPORTEff;T 3458 MCP#CA 130615 <br /> :NERATOR <br /> D EPA ID# <br /> Invoice No. M <br /> ntact Person <br /> mpany Name "' Bill To : <br /> o L 14 <br /> dress Name <br /> State, zip Address <br /> City, State,Zip <br /> 3 Phone <br /> Customer P Interval Net 30/C.O.D./Cash/Check Drivers Truck/Name <br /> PRODUCT wasteCodeCA Manifest# Quantity Units Price Amount <br /> i-RCRA Hazardous Waste Liquid(Used Oil) 221 Gal <br /> �-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gal <br /> ,RCRA Hazardous Waste Liquid(Used Automotive Anlikeeze) 133 Gal <br /> r-RCRA Hazardous Waste Solids Contaminated <br /> --?GRA Hazardous Waste Solids Contaminated with U Oil <br /> re-d Used Oil Filter Drum(s) Drums(s) <br /> y Drum(s) Eal1i <br /> sortation&Truck Time&Washout <br /> rddous Testing <br /> p2f 0 Customer PaysE] <br /> aesotherwise specified on this Consolidated Manifest Race pt(invoice)Terms:Accounts due on the 10th of the month following <br /> r*of purchase-Past due accounts will be charged a RKW Cr CHARGE at the PERIODIC RATE of 1.5%per month,which is the Total <br /> 0AIAL PERCENTAGE RATE OF 18%- i <br /> reby certify that I have not mixed this waste with any,other waste that the total halides are less than 1000 PPM,and that the waste does not contain <br /> I further agree to accept th additional charges for legal disposal If this,waste is over 1000 PPM,total halides,or contains any PCBs <br /> 4ERATOR or I X <br /> 'rAORVED n-'t DRIVER SIGNATURE.,'— 41A"�_' �.,-"- <br /> _�EliAG ' T6PAY ALL LEGAL FEES OF COURT <br /> US-INVOICES OVER 30 DA�S,ARE SQ,31JECT TOA 1.5%SERVICE CHARGE CUSY6 REED <br /> NON BECOMES NECESSARY TO COLLECT THIS INVOICE. <br /> -:ail hereby advises the above Generator that Generators shipment of used oil maybe transported to a facility that is required to comply with federal <br /> L;�—�.s applicable to management of used oil.But that is not required to comply with the more stringent requirements applicable to hazardous waste <br /> ^agemant facilities.Kern Oil Fitter Recycling is autho wid to file a request for EPA#from DTSC.Cafforria facilities that handle or process used oil are <br /> rik-ed <br /> to meet those more stringent requirements.and some out-of-state facilities that process used oil&also meet those requirements,engineering <br /> Mons of tank integrity,and financial assurances f�r closure an accidental releases.It is lawful to send used oil to out-of-state facilities that 00mpty <br /> wfth federal used oil management standards and notthose more stringent requirements By signing the invoice the generator certifies that the generator <br /> established a program to reduce the volume or quantity and toxicity of the hazardous waste to the degree, as determined by generator,to be <br /> nomncaily practicable-By both parties signing this inv�iceit will serve as an agreement that Kern Oil will submit confirmations for(certain waste streams) <br /> v generator that their waste has been transported to a I licenced treatment or transfer facility. <br /> Piverbank Oil Transfer F] NAME NAME <br /> 5-13N Claus Rd,Bldg 11 ADDRESS ADDRESS <br /> Riverbank,CA 95387 C11-y I CITY <br /> ?h209-863-0888 Fax:209-863-0887 STATE 71p- STATE,LIP <br /> ZPAN GALOGO 131M 16 PHON PHONE <br /> EPA 10 EPA 10 <br />