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z r, <br /> Send Payment To: - <br /> 2355 Road 992,Delano CA 93215 <br /> Ph:209-863-0N8 - Fax:209-863-0887 <br /> MASCALM38764. ID#46-0727(}47 <br /> Job Site : ctc. )NSUREOTRANSPOMRS348�::: MCP#CA 130615 <br /> GENERATOR <br /> Site EPA 1Q#. <br /> Invoice Ni <br /> Contact Person <br /> Company Name - f f NlGrir.� To <br /> Address J�f '/? r ✓�� r - -Name <br /> /+ �y� TT <br /> city,State,Lip ` ✓'_ ! "� Address <br /> I Site Phone ;rt, — j city,state,Zip <br /> Date C4 mlimler PO Interval Net 30IC_0_DJCash/Cheek DcAfers Tn WNarne <br /> PRODUCT GA Manifest# Quantity. Units Price ArnoL u t <br /> Non RGRA Hazardous Waste LqW Pw N 221 tial ' �I <br /> Non wm Huardous Waste Liquid(Ch1&Water) 713 Gal <br /> Non-RCRA Hazwdous Waste Liquid CS Automotive Wfflreem) 133 Gal <br /> tion-RCRA Haza*us Waste Sd ds Contamirraled ) <br /> NoFt lPt`} zarclous Waste Solids Conta <br /> ed wdh Used 08 ) <br /> Drained used Oil Fitter Drum(s) y bura�s} <br /> Empty Drum(s) Ed <br /> Transportation&Truck Tune&Washctrt. <br /> I Hazardous Testing <br /> We pay❑ Customer Pays <br /> Unless otrtawise specified on Oris Consolidated Manifest Receipt(Invoice)Terris:AccourZ cue on the 10th of the month foltowing i <br /> uronth of purchase-Past due accounts will be a FINANCE GiARGE at the PER1O91C RATE of 1.5%per month,which Is the Total <br /> ANNUAL PERCENTAGE RATE OF 1896 <br /> I herebyaerfify.that I#lave not mbled ftewaste with any other waste that the total halides are less than 1000 PPM,and that the Waste does not contain <br /> any PCB's t further agree to acceptthe a c1clibonal charges for legal disposal If this.waste is over 1000 PPM,total halides,oriaritains any PCB's <br /> GENERATOR <br /> AUTliOr2 ` DRIVER SIGNATURE <br /> TERMS:INVOICES OVER 30 DAYS AR SUBJECT TO A 1.5%SERVICE CHARGE CUSTOMER AGREED TO PAYALL LEGAL FEES OF COURT <br /> ACTION BECOMES NECESSARY TO C LLECTTHIS iNVOICE. <br /> Kern Oil here by advises the above Ge or that Generators shipment of used oil may be transported to a faciTity that is required to comply with federal <br /> regulations applicable to martagement of used od-But that is not required to comply with the more stringent requirements applicable to hazardous waste <br /> management fa&1ities_Kern Oil Fuer R.Oalng is authorized to Re a request for EPA#from OTSC.California facilities that handle or process used oil are <br /> required to meet those more stringentre uirements,and tmrne out-of-state facxN s that process used oil&also meet those requirernents,ertgineering <br /> certiftatiors of tank integrity,and furan " assurances for closure an accidental releases"It is lawful to send used of to out-of-state facilities that oompty <br /> onlywith federal used oil management standards and nottfmse more stringent requirements By signing the invoice the generatorceltifies thatthe generator <br /> has established a program to reduce fl-e volume or quantity and tirAcity of the hazardous waste to the degree,as determined by generator,to be <br /> economically practicable.By both parties signtirVIhis invoice it will serve as an agreement that Kam Oil will submit confit mations for(certain waste streams) <br /> to the gene,atorilhattheirwastehas been kanspoded to a Licenced treatmentortransferfaclity" <br /> Riverbank Oil Transfer NAME a NAME <br /> 5300 Daus Rd,Bldg 11 ADDRESS ADDRESS <br /> Riverbank.CA 95387 CITY CrTv <br /> Ph:2094863-0888 Fax 209-863-D STATE.aP BITE.ZIP <br /> EPA#CALOO lSM16 <br /> 'PHONE PHONE. <br /> EPA ID EPA iD <br /> s <br />