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� En <br /> CD N <br /> (.71(D n N O <br /> CD <br /> 3 cn <br /> n• i O <br /> 77, O r _ <br /> M -' N <br /> = _ <br /> (Diel (O <br /> C U) <br /> O <br /> C/) ~ 0 <br /> 7 C 0 <br /> n <br /> Jib Site 2355 RD. 192 DELANO, CA 93215 a (" <br /> GENERATOR - <br /> Ph.: (209) 863-0888, FAX (661) 725-0654 C <br /> Site EPA ID# ID#46-0727047 1 CAL000367042 <br /> LIC.AND INSURED TRANSPORTER#3468 <br /> Contact Person invoice No. M <br /> UQ <br /> Cornpany Name Bill To : ?y <br /> Address Name <br /> City, State,Zip Address <br /> Site Phone City, State,Zip <br /> Date Customer PO Interval Net 301C.O.D.ICashlCheck Drivers TrucklName CD <br /> l_. <br /> PRODUCT Waste CA Manifest# Quantity Units Price Amount <br /> Code Gal <br /> Non-RC RA Hazardous Waste Liquid(Used Oil 221 % <br /> q � Gat � <br /> � <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gat <br /> z <br /> Non-RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 133 pNm(s) <br /> Non-RCRA Hazardous Waste Solids Contaminated CD <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil <br /> I)Nms(s) o <br /> 0 <br /> Drained Used Oil Filter Drum(s) Each <br /> Empty Drum(s) XR. cn <br /> cn *k <br /> CD <br /> Transportation&Truck Time&Washout I � <br /> o C) <br /> Hazardous Testing -4 <br /> CD <br /> CDo <br /> We pay ❑ Customer Pays❑ Totat� <br /> Unless othe wise specified on this Consolidated Manifest Receipt(Invoice)Terms:Accounts due on the loth of the month following ' O <br /> C-l <br /> month of purchase.Past due accounts will be charged a FINANCE CHARGE at the PERkODIC RATE of 1.5%per month,which is the <br /> not <br /> ANNUAL PERCENTAGE RATE OF 1a% � N <br /> al charges for legs!disposal If this,waste is over 1000 PPM,total halides,or contains any PCB's p 00 <br /> I hereby certify that I have not mixed this waste sten with any other waste that the total halides are less than 1000 PPM,and that the waste does C <br /> any PCB's.I further agree to accept the add <br /> i <br /> GENERATOR or i (]RIVER SIGNATURE <br /> AUTHORIZED: - t AR�3UgJECT TO A 1.5%SERVICE CHARGE CUSTOMER AGREED TO PAY ALL LEGAL FEES OF COI, <br /> TERMS: INVOICE OV R30 p withfederal1 <br /> ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. Yicable to hazardous waste manageme p <br /> be transported to a factiity that is required to comply <br /> with the more stringent requirements app <br /> applicable ernitero maadvises the al nagement of used oil.But that ishove Generator anot required to comply ment of used of may <br /> requirements,engineering certifications of tank integrity,a a) <br /> 4 onl with federal used oit management sti <br /> ate facilities that process used oil&also mtfacslities that comp y Y reduce the velum <br /> Kern Oil Filter Recycling is authorized t site a request for EPA#from DISC.California facilities that handle or process used oil are require o mea <br /> Ker <br /> stringent requirements,and some out-of-state <br /> generator,to be economically practicable.By both parties signing this invoice it will = <br /> assurances for closure an accidental releases.It is lawful to send used oil to Out-of-state \ <br /> not those more stringent requirements By signing the invoice the by generator certifies tfiatthe generator has le.established a program <br /> v and toxicity of the hazardous waste to the degree,i r determined by g <br /> Kern Oil will submit confirmations for(certain waste streams)to the generator that their waste has been transported to a licenced trea me � <br /> agility. thatI-4 NAME <br /> N facility. 1J ADDHESS--� <br /> oBTI <br /> p California oil Transfer CITY <br /> 1620 E Brundage <br /> 5300 Claus Rd, Bldg 11 Bakersfield,CA 9333 07 STATE,Z;P�- <br /> 8Modesto,CA 95357 PHONE <br /> __ .,,,., o,Q4 CAL00028259moo&In 1 <br />