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s e s <br /> Job Site : 2355 RD. 192 DELANO, CA 93215 <br /> GENERATOR Ph.: (209) 863-0888, FAX (661) 725-0654 <br /> Site EPA 1D# ID#46-0727047 / CAL000367042 <br /> LIC.AND INSURED TRANSPORTER#3468 <br /> Contact Person Invoice No. M <br /> Company Name/'%� :,, Bill To <br /> Address : :i j_ 7� , 4 Name <br /> City, State, Zip r- i Address <br /> Ci <br /> ty, State, Zip <br /> Date �' ttomer PO Interval Net 30/C.O.D-/Cash/Check Drivers TrucklName <br /> I W PRODUCT Cassie CA Manifest# Qua t ty Units Price 'Amount i <br /> ode <br /> Mon-RCRA Hazardous Waste Liquid(Us Oil) 221 Gal <br /> hon-RCRA Hazardous Waste Liquid(Oil Water) 223 Gal <br /> %'on-RCRA Hazardous Waste Liquid(Us Autorroti~e Antifreeze) 133 Gal <br /> Non-RCRA Hazardous Waste Solids Can urinated D,�r(s) <br /> Non-RCRA Hazardous Waste Solids Con minated with Used Oil Dora{s) <br /> Drained Used Oil Filter Drum(s) Dti+ Sj <br /> Empty Drum(s) <br /> Transporiation&Truck Time&Washout NR <br /> Hazardous Testing <br /> We pay E] Customer Pays C <br /> Unless otherwise specified on this Consolidato Manifest Receipt(Invoice)Terms:Accounts due on the 10th of the month following Total <br /> month of purchase.Past due accounts will be rged a FINANCE CHARGE at the PERIODIC RATE of 1.5%per month.which is the <br /> ANNUAL PERCENTAGE RATE OF 18%. <br /> I hereby certify that I have not mixed this Waste with any other waste that the total halides are less than 1007 PPhA,a that th waste does not contain <br /> any PCB's.I further agreeAo`Iccept the elitional charges for legal disposal If this,waste is over 109.0 P fatal (i6es,�)ntains any PC6's <br /> GENERATOR or t ' <br /> AUTHORIZED: ' — DRIVER SIGNATURE: , " <br /> TERMS: INVOICE OVER 30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE CUSTt�iER RGR y�FAY LL LEGAL FEES OF COURT <br /> ACTION BECOMES NECESSARY TO CgLLECT THIS INVOICE. <br /> Kern11 <br /> 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 regulations <br /> applicable to management of used oil-But that is not required to comply with the more stringent requirements applicable to hazardous waste management facilities- <br /> Kern Oil Filter Recycling is authorized to fiJ a request for EPA#from DTSC.California facilities that handle or process used oil are required to Meet those more <br /> stringent.requirements,and some out-of-sta�facilities that process used oil 8 also meet those requirements,engineering certifications of tank integrity,and financial <br /> assurances for closure an accidental releas .It is lawful to send used oil to out-of-state facilities that comply only with federal used oil management standards and <br /> not those more stringent requirements By si Hing the invoice the generator certifies that the generator has established a program to reduce the volume or quantity <br /> and toxicity of the hazardous waste to the de ree,as determined by generator,to be economically practicable.By both parties signing this invoice it will serve as an <br /> agreement that Kern Oil will submit confirmat ns for(certain waste streams)to the generator that ftteir waste has been transported to a licenced treatment or transfer <br /> facility. <br /> / Oil Transfer ❑ Yuma Environmental Services ❑ Global Material Management ❑ NAME <br /> J x"5300 Claus Rd.Bldg 11 2730 E-13th Street. ADDRESS <br /> Riverbank,GA 55357 Yuma AZ 85365 CITY <br /> Ph-209-863-0888 Ph.: 8-642-8938 STATE,ZIP <br /> Fax:209-863-0887 Fax: 28-344-9828 PHONE <br /> EPA#CAL000190816 ` EPA :AZR000515924 EPAID --- <br />