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rT <br /> � 1 1 <br /> Job Site : 2355 RD. 192 DELANO, CA 93215 <br /> -;zNEF A71 OR Ph.: (209) 863-0888, FAX (661) 725-0654 <br /> to _PA iD# ID# 46-0727047 / GAL000367042 <br /> LIC.AND INSURED TRANSPORTER#3468 <br /> Contact Person Invoice No. M <br /> Company Name Bili To : <br /> Address Name <br /> City, State, Zip Address <br /> Site Phone City, State,Zip <br /> Date Cu stomer PO Interval Net 30/C.O.D./Cash/Check Drivers Truck/Name <br /> PRODUCT waste CA Manifest# Quantity Units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(UsedOil) 221 Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gal <br /> Non-RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 133 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated Drums' <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil I Dnlm(s; <br /> Drained Used Oil Filter Drum(s) Dnims(sl <br /> Empty Drum(s) Each <br /> Transportation&Truck Time&Washout HR. <br /> Hazardous Testing <br /> We pay ❑ Customer Pays <br /> Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Terms:Accounts due on the 10th of the month following Total <br /> month of purchase.Past due accounts will be Charged a FINANCE CHARGF 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 1000 PPM,and that the waste does not contain <br /> any PCB's. I further agree to accept theadditional charges for legal disposal if this,waste is over 1000 PPM,total halides,or contains any PC;B's <br /> GENERATOR or <br /> AUTHORIZED: DRIVER SIGNATURE: <br /> TERMS: INVOICE OVER 30 DAYS ARESUBJECT TO A 1.5%SERVICE CHARGE CUSTOMER AGREED TO PAY ALL LEGAL FEES OF COURT <br /> ACTION BECOMES NECESSARY TOC LLECT THIS INVOICE. <br /> Kern 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 It at is not required to comply with the more stringent requirements applicable to hazardous waste management facilities. <br /> Kern Oil Filter Recycling is authorized to file 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 a facilities that process used oil&also meet those requirements,engineering certifirations of tank integrity,and financial <br /> assurances for closure an accidental releas s.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 sinning 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 degree,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 confirmallions 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 ❑ Yuma Environmental Services ❑ Global Material Management ❑ NAME <br /> 5300 Claus Rd,Bidq 11 2730 E. 13th Street, ADDRESS.— <br /> Riverbank, <br /> DDRESS.Riverbank,CA 95387 Yuma,AZ 85365 CITY <br /> Ph:209-863-0888 Ph.: 28-642-8938 STATE,ZIP <br /> Fax:209-863-0887 Fax:928-344-9828 PHONE <br /> ENA#GAL00019Ud16 k:PA -AZR000515924 FPA1n <br />