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� III <br /> hF_ <br /> Send Payment To: <br /> 2355 Road 192, Delano CA 93215 <br /> Ph <br /> :2 - <br /> 09 <br /> -8 <br /> 6 Fax : <br /> 209-863-0887 08 - <br /> _= Fax • 209-863-0887 <br /> Job Site : EPA#CAL000367042 ID#46-0727047 <br /> L, •AND INSURED TRANSPORTEti#346g <br /> GENERATOR MCP#CA 130615 <br /> Site EPA ID# <br /> Contact Person Invoice No, M . <br /> Company Name z ` <br /> Address ��^ 'moi Bill To : <br /> Name <br /> City, State,Zip - <br /> ' Address <br /> . Site Phone <br /> Date -City, State,'Zip <br /> __.. -- <br /> �c w ustomer PO Interval Net 30/C.O.D./Cash/Check Drivers Truck/Name <br /> PRODUCT Waste - `7 <br /> Code CA Manifest# Quantity Units Price <br /> Non-RCRA Hazardous Waste Liquid(U Oil Amount <br /> 221 - <br /> Non-RCRA Hazardous Waste Liquid(Oil�Water) Gal 223 <br /> Gal <br /> Non-RCRA Hazardous Waste liquid(Use I Automotive Antifreeze) 133 <br /> Non-RC RA Hazardous Waste SONS Conturinated Gal <br /> Norl-RCRA Hazardous Waste Solids Contaminated with Used Oil DruqS) <br /> Drums) <br /> Drained Used Oil Filter Drum(s) <br /> Empty Drum(s) <br /> Each <br /> TiansgorAn&Truck Time&Washout <br /> Hazardous Testing <br /> r <br /> We Day n r>rLShw be i <br /> Unless otherwise speciried solida Manifest Receipt(l voice)Tenns:Accounts due on the 10th or the mvn0i foflomn <br /> month of purchase.Past due amounts will be'.eha <br /> rged a FINANCE CHARGE at the PERIODIC RATE of 1.5%per month,which is the <br /> he Total ^ h`. <br /> ANNUAL PERCENTAGE RATE OF 18%. ~ <br /> any vub s.I turther agree to accept the additional charges for legal disposal If this,waste is over 1000,PPM,total.tia s,or contains any PCB's <br /> GENERATOR or �` ^ ; �'�' �� ` <br /> AUTHORIZED DRIVER SIGNATURE: <br /> TERMS:INVOIC S OVER 30 DAYSAA SUBJECT TO A 1.5%SERVICE CHARGE CLjSTOMER AGREED TO PAY ALL LEGAL FEES OF COURT <br /> ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. - <br /> Kem Oil here by advises the above Gen rator that Generators shipment of used oil may be transported to a facility that is required to comply with federal <br /> regulations applicable to management used oil.But that is not required to comply with the more stringent requirements applicable to hazardous waste <br /> management facilities.Kern Oil Fitter RE ding is authorized to file a request for EPA#from DTSC.California facilities that handle or process used oil am <br /> required to meet those more stringent r uirements,and some out-of-state facilities that process used oil&also meet those requirements,engineering <br /> cortifications of tank integrity,and finan aI assurances for closure an accidental releases.It is lawful to send used oil to out-of-state facilities that comply <br /> only with federal used oil management s ndards and not those more stringent requirements By signing the invoice the generator certifies thatthe generator <br /> has established a program to reduce t e volume or quantity and toxicity of the hazardous waste to the degree,as determined by generator, to be <br /> economically practicable.By both part signing this invoice it will serve as an agreement that Kem Oil will submit confirmations for(certain waste streams) <br /> to the generator that their waste has bee transported to a licenced treatment or transfer facility. <br /> Riverbank Oil Transfer NAME NAME <br /> L5300 Claus Rd,Bldg 11 ADDRESS ADDRESS <br /> Riverbank,CA 95387 Cn-y CITY <br /> Ph:209-863-0885 Fax:209-86 7 STATE,ZIP STATE,ZIP <br /> EPA#CAL000190916 PHONE PHONE <br /> EPA ID EPE\ID <br />