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x M Q- Z i N M � po0 0 y�—yam rt#sozz 0 No o a ma 1Q �� .¢�AL HEALTH DEPARTMENT xk I` *k N C7 _ �' Facility Information for CERS Comparison as of 1012812020 Date run:1 012 812 0 2 0 O v p O � CD Ui tU 7 l2 Sv CDt o N 0 2355 RD. 192 QELANO, CA 93215 Job Site:GENERATORCo Ph.: (209)863-0888, FAX(661)725-0654 0 o GENERATOR IDS#46-0727047 1 CAL000367042 Site EPA it 3 LIC,AND INSURED TRANSPORTER#34668q MContact Person invoice No. 21 5 6 4 0 M LU Company Name BIII TO Address ` Name cD City,State,Zip Address Site Phone Ci Date Customer PO Interval Ne 301C.3�P37O,D./Cash`Ch l Driv r Truck/ ame 0 1 s PRODUCT Waste Code CAM Quantity Units Price Amount Non-RCRA Hazardous Waste Liquid(Used Cil) 221 3B Gal Alii✓ q � Non-RM Hazardous Waste Liquid(Oil&Water) 223 Gal Non-RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 133 Gal Non-RCRA Hazardous Waste Solids Contaminated Dlulns) Non-RCRA Hazardous Waste Solids Contaminated with Used oil Drum s) Drained Used Oil Filter Drum(s) Dnms(s} imply Drum(s) Each Transportation&Truck Time&Washoul HR. Hazardous Testing We pay D Customer Pays Unless otherwise specified on this Consolidated Manifest Receipt(invoice)Terms:Accounts due on the 10th of the month foucwing Total month of purchase.Past due accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1.5%per month,which is the ANNUAL PERCENTAGE RATE OF 18%. I hereby certify that I have not mixed this waste with any other waste that the total halides are less than 1000 PPM,and that the waste does not contain any PCB's.I fu her gree to accept the a itional charges for legal disposal If this,waste Is over PPM,total h pr co ny,PCB's GENERATOR c AUTHORIZED: DRIVER SIGNATURE rD TERMS:INVOi E OVER 30 AY n1 o SERVICE CHARGE CUSTOMER AGREED TO PAY ALL LE AL FEES OF COURT ACTION BECOMES NECES RYTO COLLECT THIS INVOICE. Kern oil hereby advises the above Generator that Generators shipment of used oil maybe transported to a facility that is required to comply with federal regulations applicable to management of used oil.But that is not required to comply with the more stringent requirements applicable to hazardous waste management facilities. Kern Oil Filler Recycling is authorized to file a request for EPA#from DT5C.California facilitles that handle or process used oil are required to meet those more �7 stringent requirements,and some out-of--state facilities that process used oil&also meet those requirements,engineering certifications of tank integrity,and financial O assurances for closure an accidental releases.it Is lawful to send used oil to out-of-state faeklttles that comply only with federal used all management standards and 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 N and toxicity of the hazardous waste to the degree,as determined by generator,to be economically practicable.By both parties signing this invoice Itwill serve as an w agreement that Kern Oil will submit confirmations for(certain waste streams)to the generator that their waste has been transported to a licenced treatment or transfer S2 facility. Caltfornla Oil Transfer ❑ BTI ❑ ❑ NAPE 5300 Claus Rd,Bldg 11 1620 E Brundage Ln ADDRESS Modesto,CA 95357 Bakersfield,CA 93307 CITY Ph:209.863.8181 CAL000262598 Fax:209-863-6171 STATE,ZIP 0 EPA#CAL00019OB16 PHONED -----------EPA ID cc .. m = o