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i <br /> Send Payment To: <br /> 2355 Road 192, Delano CA 93215 <br /> -- Ph : 209-863-0888 - Fax: 209-863-0887 <br /> LuEPA{#CAL000367042 ID#46-0727047 <br /> Job Site : UC.AND INSURED TRANSPORTER#3468 MCP#CA 130615 <br /> GENERATC, <br /> Slie EPA Pk r Invoice No. M- — <br /> Conta-�L=ersof3 <br /> i Cornp iy Name 7.¢ to <br /> AgidreSS , ��`D f..J, fr f Name <br /> '-'v Ctate,ZIP ` r ! t Address <br /> i to ?hone %/k: -1'3v f City,State,Tp <br /> Cate stomer PO Interval Net 30/C.O.D./Cash/Check Drivers TrucW/Name <br /> PF ODUCT ase CA Manifest# Quantity Units Price Amount <br /> `i::�RCRA Hazardous Wast( Liquid(U d Oil) 221 �' �i '� Gal <br /> Nan-RCRA Hazardous Wast{ Liquid( ' &Water) 223 Gal <br /> i Nan-RCRA Hazardous Wast Liquid d Automotive Anfifreeze) 133 Gal <br /> Non-RCRA Hazardous Wast.,Solids coritamirlaw fhum(s} <br /> Nan-RCRA Hazardous Wast.,Solids Gr�taminated with Used 07 Oros) <br /> Drairred Used Oil Fib.Drum(s) Dtlu>s s) <br /> Empty Drum(s) At Esq <br /> Transpoftation&Truck Time Washout <br /> Hazardous Testing <br /> We pay 0 Customer I ays <br /> Unless otherwise specified on this Gorrsolii lated Manifest Receipt(Invoice)Terms:Accounts due on the loth of the month following <br /> month of purchase.Past due:rcounts wnl be charged a FINANCE CHARGE at the PERIODIC RATE of 1.5%per month,which is the Total <br /> ANNUAL PERCENTAGE RAT=OF 18°k. <br /> I hereby certify that I have r at mixed Ut waste with any other waste mat the total halides are less than-1000 PPM,and that the wasto does not contain <br /> any PCB's.I further agree 1 s accept the additional charges for legal disposal If this,waste is over 10 ,totai hatid�s,or ton ins any PCB's <br /> GENERATOR �i 1 � - E' 7 Z <br /> AUTHORIZE C - DRIVER SIGNATURE <br /> TERMS:INVOICES OVEF 30 DAYSAE SUBJECT TO A 1.5%SERVICE CHARGE CUSTOMER AGREED T A`(ALL LEGAL FEES OF COURT <br /> ACTION BECOMES NECE 35ARY TOi COLLECT THIS INVOICE. <br /> Kern Ori here by advises tt a above Generator that Generators shipment of used oil may be transported to a facility that is required to comply with federal <br /> regulations applicable to n anagement of used oil.But that is not requrred to comply with the more stringent requirements applicable to hazardous waste <br /> management facilties.Ker.i Oil Filterecycling Is authorized to file a request for EPA#from DTSC_California facilities that handle or process used all are <br /> required to meet those n1c E sirirtgen�requirements,and some out-of-state facilities that process used oil&also meet those requirements,engineering <br /> certifications of tank integr ty,and financial assurances for closure an accidental releases.It is lawful to send used oli to out-of-state facilities that comply <br /> ontywlth federal used oil m inagementjstandards and not those more stringent requirements By s(gning the invoice Me generatorcertifres that the generator <br /> has established a prograi i to reduce the volume or quantity and toxicity of the hazardous waste to the degree,as determined by generator,to be <br /> economically practicable.I:y both parties sighting this invoice itwill serve as an agreement that Kem Oil will submit confirmations for(certain waste streams) <br /> to the generator that their v.ante has been transported toa licenced treatment ortransferfactlrity. <br /> Riverbank Oil Transfer L__J NAME El NAME <br /> 5300 Claus Rd,Bldg 1' ADDRESS ADDRESS <br /> Riverbank,CA 95387 CITY CITY <br /> Ph:209-863-0888 Fax:209-863-0,387 STATE,Zip STATE 7�P <br /> EPA GAL040194816 PHONE PHONE <br /> Er A l0 EFA ID <br /> r <br />