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Send Payment To: <br /> 2355 Road 192, Delano CA 93215 <br /> ^ � <br /> Ph :209-863-0888 - Fax:209-863-0887 <br /> LU L �LJL�L:.LU EPA#CAt.000367oaz ID#46-0727047 <br /> Job Site : Lit,AND INSURED TRANSPORTER#3468 MCP#CA130615 <br /> iGENER,_,TCR / ff <br /> l r ' <br /> Site EPA 1L� Invoice No. M1 C ' A <br /> i— <br /> i Contact person, <br /> Company Name woyofflio <br /> Address /(p1 I y+ ,l�/C y i f y Name <br /> City. State. Zip Address <br /> City,State, .Tap <br /> !Date Customer PO Interval Net 301C.O.D.lCash/Check Dniyei3s Truck/Nyme <br /> _ <br /> PR:)DUCT Waste CA Manifest# Quantity Units Price Amount <br /> Code <br /> Non RCRA Hazardous Wast( Liquid(Used Oil 221 Gal <br /> N'on-RCRA Hazardous Wast( Liquid( &Water) 223 Gal <br /> Non-RCRA Hazardous Wast( Liquid(UlsedAutomotive Antifreeze) 133 Gal <br /> Non-RCRA Hazardous Waste Solids C ntaminated Dnmi(s} <br /> Non-RCRA Hazardous Wast(;Solids Contaminated vrith Used Oil ) <br /> Drained Used Oil Filter Drum(s) <br /> Empty Drum(s) Eaal <br /> Transportation&Truck Time k Washou <br /> Hazardous Testing <br /> We pay❑ Customer Fays <br /> Unless otherwise specified on this Consolideted Monlfest Receipt(invoice)Terms Accounts due on the tette of the rnonUi fotlowil <br /> month of purchase.Past due;iccounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1.5%per month,which is the Total <br /> ANNUAL PERCENTAGE W=OF I I I IV/C <br /> I hereby Certify that I have r of mixed this waste with any other waste that the total h-Wides are:less than 1000 PPM,and that the waste does not contain <br /> any PCB's.1 further agree t a accept a additional charges for legal disposal If this,waste is ever 1000 PPM, tai ,or contorts any PCB's <br /> GENERATOR or 1 <br /> AUTHORIZED:. IVER SIGNATURE <br /> TERMS:INVOICES OVEF 30 DAYS ARE SUBJEC i-5%a SERVICE CHARGE CUSTO AGREED TO PAYALL LEGAL FEES OF COURT <br /> ACTION BECOMES NECESSARY TOCOLLECT THIS INVOICE. <br /> Kern Oil here by advises u ie above Generator that Generator3 9h1prnont of used oil may be transported to a facility that is required to compty with federal <br /> regulations applicable to n ranagem6rd of used oil.But that Is not required to comply with the more stringent requirements applicable to hazardous waste <br /> management facilities.Ke n OII Filter Recycling is authorized torile a request for EPA#frarn DTSC.Califomla facilities that handle or process used oil are <br /> required to meet those mr re string t requirements,and some out-of-state facilities that process used oU&also meet ttwse requirements,e <br /> Certifications of tank Integrity,arid fir�arlcial assurances for closure an accidental releases.It is lawful to send used oil to out-cif-state facilities thcomplyt <br /> onlywith federal used oil rr anageme standards and not those more stringent requirements Syslgning the invoice the generator certifies that the generator <br /> has established a progra n-to reduce the volume or quantity and toxicity of ft hazardous waste to the degree,as determined by getrerator, to be <br /> economically practicable.t 3y both parties signing this invoice ft will serve as an agreement that Kern Oil will submit confirmations for(certain waste streams) <br /> to the generatorthat thairy paste has h transported to a licenced treatment or transfer facility. <br /> Riverbank 00 Transfer NAME NAME <br /> 5300 Claus Rd,Bldg 1 I ADDRESS ADDRESS <br /> tit Riverbank.CA953137 CrrY CITY <br /> Ph_209-863-08>38 Fa:.209-86097 STATE,ZIP STATE,ZJP <br /> F-P&*CAL000190816 PHONE PHONE <br /> FPA 10 EPA ID <br />