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r ' <br /> Job Site : 2355 RD. 192 DELANO, CA 93215 <br /> GENERATOR Ph.: (209) 863-0888, FAX (661) 725-0654 <br /> Site EPA ID# - - ID# 46-0727047 / CAL000367042 <br /> LIC.AND INSURED TRANSPORTER#3468 <br /> Contact Person invoice No. M <br /> Company Name o - ,;' Bill To <br /> Address f %f�, ��`?,,- f ( Name <br /> City, State,Zip �; Address <br /> Site Phone `'yr _ . "210-1 City, State, Zip <br /> Date Customer PO Interval Net 30/C.O.D./Cash/Check Drivers Truck/Name <br /> ` PRODUCT Codee CA Manifest# Quantity 'Units Price Amount <br /> Non RCRA Hazardous Waste Liquid(U Oil) 221 Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gal <br /> Non-RCRA Hazardous Waste Liquid(U d Automotive Antitfeeze) 133 Gal <br /> Non-RCRA Hazardous Waste Sofiids Colitaminated Dw(s) <br /> Non-RCRA Hazardous Waste Solids Cor laminated with Used Oil D;um(si <br /> Drained Used Oil Filter Drum(s) <br /> Empty Drum(s) Ed'. <br /> Transportation&Truck Time&Washout NR <br /> Hazardous Testing <br /> We pay ❑ Customer Pays <br /> Unless otherwise specified on this Consolidated Manifest Receipt(Inyoice)Terris:Accounts due on the 10th of the month following Total <br /> month of purchase.Pnst due accounts will charged 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 tht- waste with any other waste that the total halides are less than 1000 PP ,and that the waste does not contain <br /> any PCB's. I further agree to cept then ddijienai charges for legal disposal If this,waste is over 1 P otal halides,or contains any PCB's <br /> GENERATOR or <br /> AUTHORIZED: ' t DRIVER SIGNATURE /'% <br /> TERMS:INVOICE OVER 30 DA AR SUBJECT TO A 1.5°!SERVICE CHARGE CUST�AA�- 70 PAY ALL LEGAL FEES OF COURT <br /> ACTION BECOMES NECESSARY TO OLLECT THIS INVOICE. <br /> Kem Oil here by advises the above Gener tar 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 hat is not required to comply with the more stringent requirements applicable to hazardous waste management facilities. <br /> Kern OL,Filter Recycling is authorized to le a request for EPA#from DISC.California facilities that handle or process used oil are required to meet those more <br /> stringent requirements.and some out-of-st tefacilities that process used oil&also meet those requirements,engineering certifications of tank integrity,and financial <br /> assurances for closure an accidental relea s.It is lawful to send used oil to cut-0f-state facilities that comply only with federal used oil management standards and <br /> not those more stringent requirements By Signing 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 theegree,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 confirmations for(certain waste streams)to the generator that theirwaste has been transported to a licenced treatment or transfer <br /> facility. <br /> t n a NAME <br /> Oil Transfer L t Yu a env+ronmental SPfvICeS Giabai flAatet•iat�ltanagement <br /> 5300 Claus Rd.Bldg 11 273 E.13th Street, ADDRESS- <br /> 5300 <br /> CA 95387 Yu a,AZ 85365 CITY <br /> Ph:20A-863-0!388 Ph. 928-6412-8938 STATE.ZIP — <br /> Fox.209-863-0887 6 Fax.9zS 344-BSzs PHONE <br /> tPAP GAL000190016 EP ID:AZ11000515024 <br /> EPA ID-- _ .. -- <br />