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rn <br /> �l 20o < <br /> t O < <br /> z Ni1� N <br /> 71 oD 0 7 <br /> rt#5022 - 0 CD o Q <br /> DEPARTMENT <br /> M3Ffl9 JUiNlJitO t tfLf1019�{�) �St�l��f�i L f it ACTH *k N 0 <br /> Facility information for CERS Comparison as of 10 <br /> 12812020 Date run:1012872020 O v <br /> Ui v <br /> CD7 <br /> fi �I 1 <br /> v <br /> H• <br /> N <br /> Ln -0 <br /> 1:31Job Site : 2355 RD- 192 DELANO, CA 93215 � <br /> FAX(661)725-0654 <br /> 1 Pli (209)863-0888, CD <br /> 0 Gr NERATOR 11 46-0727047 1 CAL000367042 C:) <br /> Site EPA It7# p 3 LIC,AND INSURED TRANSPORTER#3466LL MContact Person Invoice No. M 21 J 6 f' <br /> v <br /> Company Name Bill TO <br /> Address ` ` Name cD <br /> City,State.Zip zp Address <br /> Site Phone _ Ci <br /> Date Customer PO Interval Ne 301C.O.D./CashlCh Y 0 i r Truck! an-le <br /> 0 <br /> 1337 <br /> s <br /> PRODUCT waste CAM Quantity Units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used Oil) 221 36 Gal A-111/ q ` <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gal <br /> Non-RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 133 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated Divi <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil i s) <br /> Drained Used Oil Filler Drum(s) �lums)s) <br /> Empty Drum(s). Each QS <br /> Transportation&Truck Time&Washout HR. <br /> Hazardous Testing <br /> We pay❑ Customer Pays <br /> Unless otherwise spedfied on this 2brisofidated Manifest Recelpt(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 TOta4 <br /> ANNUAL PERCENTAGE RATE OF 19%. <br /> 1 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 <br /> any PCB's.I fu her gree to accept the a itional charges for legal disposal If this,waste isover PPM,iota!h or ca ny PCB's <br /> GENERATOR o <br /> AUTHORIZED: DRIVER SIGNATURE <br /> TERMS:INVOI E OVER 30 AY U6J %SERVICE CHARGE CUSTOMER AGREED TO PAY ALL LE AL FEES OF COURT <br /> ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. <br /> 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 <br /> applicable to management ofaused oil.But that is not required to complywfih 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 �7 <br /> stringent requirements,and some out-of-state facilities that process used oil&also meet those requirements engineering certifications oftankintegrity,and financial o <br /> assurances for closure an accidentai releases.It Is lawful to send used all to out-of-state faclllues 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 N <br /> and toxicity of the hazardous waste 10 the degree,as determined by generator,to be economically practicable.By both parties signing this Invoice It will serve as an <br /> 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 <br /> facility. <br /> California oft Transfer ❑ BTI ❑ ❑ NAf�E <br /> 5300 Claus Rd,Bldg 11 1620 E Brundage Ln AD RESS <br /> Modesto,CA 95357 Bakersfield,CA 93307 CITY <br /> Ph:209-863.8181 CAL000282598 STATE,ZIP <br /> Fax:209-863.8171 <br /> EPA!CALOOOI90816 PHONE D <br /> EPA ID <br /> cn .. <br /> m = <br /> o <br />