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RECEIVED <br /> OCT 2 0 NZI <br /> _ <br /> NTA4 HE <br /> TIONME <br /> — e <br /> I _i_ - 1 - 9 <br /> 44 4 4 40 <br /> -- i <br /> 1-15 <br /> � 00 363 =0338 , FAX 1 725- 654 <br /> .� <br /> --�— - -- i 46- A <br /> 0727047 / C L 3670 2 <br /> v .tc '"-- PA IL)# <br /> LIC. AND INSURED TRANSPORTER # 3468 <br /> Contact Person <br /> ! _ _ _ invoice No . � <br /> _ . . Ml To . <br /> Address Name <br /> City, State , Zip Address <br /> Site Phone ' City, State , Zip <br /> � , _ . <br /> ,a i : :_; .. 1 lame <br /> PRODUCT Waste CA Manifest # Quantity Units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid (Used Oil) 221 Gal <br /> v WIFVi vn i W&UIUVua "CloLU -UgUIv tVu ix vvmer) _ Gal <br /> Non-RCRA Hazardous Waste Liquid (Used Automotive Antifreeze) 133 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated Drum(s) <br /> Nnn-RCRA Ha7a . dnip3 Uyaste Snlids Cnntaminated lgith Used Oil Drum(s) <br /> Drained Used Oil Filter Drum (s) Drums(s) <br /> Empty Drum (s) Each <br /> Transportation & Truck Time & Washout HR, <br /> Hazardous Testing <br /> RCRA Hazardous Waste Solid I Liquid <br /> We pay ❑ Customer Pays <br /> I -< n t! L T A 41th of lh a 1 f h following <br /> i � i Vi ru. M iuJ�. . . uvu JJV JVVv V. . .J . . ..i 4u t�liuryuJ Y ' . .. v it..>. Ya i. 'ailVL Vii ,V 1 V. a.YV1Y r <br /> I Total-, .V � i ir .V alt, rvr i,i.i „o u :e "� <br /> ANNUAL PERCENTAGE RATE OF 18%. <br /> I hereby certify that i have not r nixed 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 further agree to accept the additional charges for legal disposal If this , waste is over 1000. PPM , total halides , or contains any PCB's <br /> GENERATOR or <br /> ALIT !l1'� 17C1"� d • ' '., E'1t^]t f3^ Y7 C ! / AtATIInC _ <br /> _ . Ti <br /> TERMS : INVOICE OVER 30 DAYS ARE SUBJECT TO A 1 .5% SERVICE CHARGE CUSTOMER AGREED TO PAY ALL LEGAL FEES OF COURT <br /> ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE, <br /> Kern O's! here by 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 of used oil . But that is not required to comply with the more stringent requirements applicable to hazardous waste management facilities. <br /> sof from DISC. California facilities that handle or process used oil are required to meet those more <br /> _ 'a_ faciltles that process used oil & also meet those requirements, engineering certifications of tank integrity, and financial <br /> =nd 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 /> 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 Oil Transfer 1:1BTI El NAME <br /> 5300 Claus Rd , Bldg 11 1620 E Brundage Ln ADDRESS <br /> Modesto, CA 95357 Bakersfield , CA 93307 CITY <br /> Ph :209-863-8181 CAL000282598 STATE, ZIP <br /> Fax: 209-863-8171 PHONE <br /> EPA# CAL000190816 EPA ID <br />