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M <br /> Q- <br /> Z N OoNO � 5 <br /> M 7 o 0 <br /> o ONS m <br /> s *k IQIQ n <br /> C� yY.yy yah, rt#5022 <br /> � pate run.10128/2026 � <br /> "',I GUUN I Y orison as of 10!2812020 CP <br /> rn SHIv u lion for CERS Comp N to <br /> CCD Facility Informs Ink- C:) <br /> Matra chan9esl�ortecti4ns In 12E9 <br /> OL <br /> 0 <br /> Fit 0d <br /> :7" CA 93215 Cp <br /> 0 2355 R.D. 192 pELAN 661)725-0654 0 <br /> p 863 0888, FAX( 0 <br /> Job Site: Ph.: 209) m <br /> N _ ID#46-D727047 7 CP`L0003fi704 <br /> GENERATOR LIG.AND INSURED TRANSPORTER N 3ge8 n� �4 y� � <br /> Site EPA I[)# D 3 Invoice No. M L V 3 <br /> N <br /> Contact Person Bill TO <br /> CD <br /> Company Name Name <br /> (n <br /> Address ( Address <br /> City,State.Zip Q <br /> Ci ame p <br /> Site Phone k Driv r Truck! 0 <br /> interval Ne 301C.O.D.lCashlCh ` <br /> Date ! Customer PO V 3(e37 O <br /> `I'l Quantity Units Price Amount <br /> Was CAM <br /> PRODUCT Code Gal F�/ <br /> Non-RCRA Hazardous Waste Liquid(Used Oil) 221 Gal <br /> Non-RCR4 Hazardous Waste Liquid(Oil 8 Water) 223 Gal <br /> Non-RCRA Hazardous Waste Liquid(Used Automotive Antifreeze} 133 Drums} <br /> Non-RCRA Hazardous Waste Solids Contaminated Drums} <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil �l <br /> Omms(s} ' <br /> Drained Used Ofi Filter Drum{s) Each <br /> Empty Drum(s) HR. <br /> Transportation&Truck Time&Washout , <br /> Hazardous Testing <br /> f <br /> +s <br /> We pay❑ Customer Pays <br /> s onsolidated Manifest Receipt(Invoicst Terms:Accounts due on the 10th of the moth following Total <br /> Unless otherwise specrred on thiE at the PERIODIC RATE of 1.5%per month,which s t <br /> month of purchase.Past due accounts wiil be charged a FINANCE CHARGis the <br /> ANNUAL PERCENTAGE RATE OF 18%, <br /> l hereby certify that I have not mixed this we with any other waste that the total halides are less than 1000 PPM,and that the waste doesnotn <br /> any PCB's,)fu he gree to accept the a ditional charges for legal disposal If this,waste Is over PPM,total h or oo YPCB's <br /> GENERATOR o DRIVER SIGNATURE <br /> AUTHORIZED <br /> TERMS:INVOI E OVER 30 AY BJ %SERVICE CHARGE CUSTOMER AGREED TO PAY ALL LE AL FEES OF CO <br /> ACTION BECOMES NEC ES ARY TO COLLECT THIS INVOICE. �y that is required <br /> aKernppli�b a to maadvises the above Generatornagement of used ail.But than s not required to chat Generators omplytwith the more of used oil may <br /> trringent te transported <br /> quirements applicable to hazardous wasltewmanagement ffach tederal atities. <br /> Kern Orf Filter Recycling is authorized to file a request for EPA#from DTSC.Califomia 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 oll&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 facRltles 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 0 <br /> and toxicity ofthe hazardous waste to the degree,as determined by generator,to be economically practicable.By both parties signing this invoice it will sere ail N <br /> agreement that Kern Oil will submit confirmations for(certafn waste streams)to the generator that their waste has been transported to a licenced treatmentot Stisfer w <br /> facility. <br /> ❑ ❑ NAME <br /> California Ofl Transfer ❑ STI ADDRESS <br /> 5300 Claus Rd,Bldg 11 1620 E Brundage Ln CITY <br /> Modesto,CA 95357 Bakersfield,CA 93307 O <br /> Ph:209.663.818t CAL000282598 STATE,ZIP <br /> Fax:209-863.8771 PHONE D <br /> EPA#CAL000190616 EPA ID > <br /> CD <br /> CnM <br /> 0 E <br /> O W <br /> v � <br />