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i <br /> i <br /> i <br /> VE LIM <br /> Job Site : 2355 RD . 192 DELANO , CA 93215 <br /> GENERATOR Ph . : (209 ) 863-08881 FAX (661 ) 725- 0654 I <br /> Site EPA ID#1 ID# 46 -0727047 / CAL000367042 { <br /> 4 I LIC , AND INSURED TRANSPORTER # 3468 <br /> Contact Person Invoice No . ' <br /> Company Name r'' � > � , , . . ,, , � . . �. <br /> Bill To <br /> i <br /> AddressName i <br /> City, State , Zip Address <br /> Site Phone City, State , Zip <br /> i <br /> Date Customer PO Interval Net 30/C . O . D ./Cash/Check Drivers Truck/Name <br /> t <br /> PRODUCT waste CA Manifest # Quantity Units Price Amount <br /> Code <br /> i <br /> Non-RCRA Hazardous Waste Liquid (Used Oil) 221 Gal <br /> Non-RCRA Hazardous Waste Liquid (Oil & Water) 223 il ll Gal <br /> Non-RCRA Hazardous Waste Liquid (Used Automotive Antifreeze) 133 4 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated ' ` D@m(s) { <br /> Non-RCRA.-Hazardous Waste.Solids Contaminated with-Used OlIll Drum(s) <br /> t 47i <br /> Drained Used Oil Filter Drum (s) Drums) <br /> Empty Drum (s) Evil <br /> 4 Z <br /> Transportation & Truck Tme &-Was#iout- t t HR. <br /> Hazardous Testing <br /> y i t <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 <br /> month of purchase. Past due accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1 .5% per month, which is the TotF <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 les§.than 1000 PPty , and that the waste does not contain-' j <br /> any PCB's. I further agree to accept the additional charges for legal disposal if this , waste is over 1Q00 PPM , totallhalides , or contains any PCB'sYT ' <br /> GENERATOR or <br /> AUTHORIZED: DRIVER SIGNATURE : <br /> TERMS : INVOICE OVER 30 DAYS ARE SUBJECT TOA 1 . 5% SERVICE CHARGE CUSTOMER AGREED TO PAYALL LEGAL FEES OF COURT <br /> ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE . i <br /> IKern 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 j <br /> applicable to management of used oil. But that 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-state facilities that process used oil & also meet those requirements , engineering certifications of tank integrity, and financial <br /> assurances for closure an accidental releases . 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 signing 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 /> agreementthat Kern oil will submit confirmations for (certain waste streams) to the generator that theirwaste has been transported to a licenced treatment or transfer <br /> facility, <br /> i <br /> L <br /> t ( d P <br /> El California Oil Transfer ❑ BTI ' EllNAMEi , <br /> 5300 Claus Rd , Bldg 11 1620 E Brundage Ln -� ' _ ADDRESS1t � . si <br /> jModesto, CA 95357 Bakersfield , CA 93307 CITY <br /> - 1 �t <br /> i <br /> Ph :209-863-8181 CAL000282598 - STATE, ZIi <br /> i Fax: 209-863-8171 t l. 7 t _. PHONE - <br /> EPA# CAL000190816 EPA ID 1 <br /> i <br />