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� g i <br /> Job Site : 2355 RD. 192 DELANO, CA 93215 <br /> GENERATOR Ph.: (209) 863-0888, FAX (661) 725-0654 <br /> Site EPA ID# _ f ID#46-0727047 / CAL000367042 <br /> LIC_AND INSURED TRANSPORTER#3468 <br /> Contact Person <br /> Invoice No. M <br /> Company Nam '/0 Bill To <br /> Address / ,/ ` Name <br /> City, State, Zip '��,t; C;29 Address <br /> Site Phone ?-AS-SS".- -7-2 V City, State,Zip <br /> Date Customer PO Interval Net 30/C.O.D./Cash/Check D ,vers Truck/Name <br /> PRODUCT I Code CA Manifest# Quantity Units Price Amount <br /> Non-RCRA Hazardous Waste Liquid(Use Oil) 221 Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil 8 Water) 223 Gal <br /> Non-RCRA Hazardous Waste Liquid(Use Automotive Antitreeze) 133 Gal <br /> Non-RCRA Hazardous Waste Solids Cont urinated <br /> Non-RCRA Hazardous Waste Solids Cont minaled wfttl Used Oil DIAS) <br /> Drained Used Oil Filter Drum(s) DUOS) <br /> Empty Drum(s) <br /> Transportation&Truck Time&Washout H(t <br /> Hazardous Testing <br /> We pay ❑ Customer Pay!LD <br /> Unless otherwise specified on this 0onsolidatd Manifest Receipt(invoice)Terms:Accounts due on the 10th of the month following <br /> month of purchase.Pas!due accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1.5%per month,which is the Total <br /> ANNUAL PERCENTAGE RATE OF 18%- <br /> I hereby certify that I have not mixed this aste with any other waste that the total halides are less than 1000 PPM,and that the waste does not contain <br /> any PCB's.I further agree to accept th ditiQnal charges for legal disposal If this,waste is over 1000 PPM,total halides,or contains any PC8's <br /> GENERATOR or �� Z f <br /> AUTHORIZED: f DRIVER.SIGNATUP<.� <br /> TERMS.INVOICE OVER 30 DAY E SUBJECT TO A 1.5%SERVICE CHARGE CUST6MER AGREED TET t'AY ALL LEGAL FEES OF COURT <br /> ACTION BECOMES NECESSARY T�C LLECT THIS INVOICE. <br /> Kern Oil here by advises the above Gener r 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 t at is not required to comply with the more stringent requirements applicable to hazardous waste management facilities. <br /> Kern Oil Riter Recycling is authorized to fil a request for EPA#from DTSC.Gaiifomia facalilies that handle or process used oil are required to meet those more <br /> stringent requirements,and some out-of-s a facililies that process used oil&also meet those requirements,engineering certifications of tank integrity,and financial <br /> assurances for closure an accidental releasles.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 slgnN 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 dree,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 confirm ons for(certain waste streams)to the generator that their waste has been transported to a licenced treatment or transfer <br /> facility. <br /> Riverbank Oil Transfer 11 Yum Environmental Services ❑ Global Material Managefnent ❑ KIWE <br /> 5.300 Claus Rd,SId9 11 273 E- 13th Street, ADDRESS_ — <br /> Riverbank,CA 95387 Y AZ 85365 CITY.: <br /> Ph:209-863-0888 Ph.: 28-642-8938 STATE,ZIP— <br /> Fax: <br /> IPFax:209-863-0887 s Fax:928-344-9828 PHONE <br /> EPA#CAL000190816 EPA D:AZR000515924 FPAin <br />