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COIWKDM6V (2)
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2500 – Emergency Response Program
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COIWKDM6V (2)
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Entry Properties
Last modified
1/5/2022 3:28:30 PM
Creation date
1/5/2022 3:26:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COIWKDM6V
PE
2546
STREET_NUMBER
9100
Direction
W
STREET_NAME
PELTIER
STREET_TYPE
RD
City
THORNTON
Zip
95686
APN
01106024
ENTERED_DATE
5/4/2021 12:00:00 AM
SITE_LOCATION
9100 W PELTIER RD
RECEIVED_DATE
5/3/2021 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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LdLL4 )13 tRaAEILIC <br />2355 RD. 192 DELANO, CA 93215 <br />[UT, <br />Job Site: <br />GENERATOR Ph.: (2U9) titij-UOC.10, rptA koo i i 1 - <br />/ CAL000367042 ID# 46-0727047 Site EPA ID# CdCcr_io 37r LIC. AND INSURED TRANSPORTER # 3468 <br />Contact Person 141 ..,.12,-...5 „, Invoice No. M - 2 ., . . <br />Company Name Z.,) C-<4. .‹- ,.. ,-; .,......X Bill To : <br />_2 l' 27 Address 2 j,2:-C4 r-L.--" / c.. ; <br />Name <br />City, State, Zip L,._,,,..a, Address <br />Site Phone _:?G9,.. C79 3 9c- City, State, Zip / <br />Date <br />/ c..., - c. ..- • I_ / <br />Customer PO Interval ' Net 30/0.0.0./Cash/Check Drivers Truck/Name <br />PRODUCT PRODUCT Waste <br />Code CA Manifest # Quantity Units Price Amount <br />Non-RCRA Hazardous Waste Liquid (Used Oil) 221 Gal <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 <br />Non-RCRA Hazardous Waste Solids Contaminated with Used Oil <br />0, 76. 1,2 X-. • 372- 0665- w6<-1/-7 /-- 0/ <br />c.. 3 s-0 <br />Drained Used Oil Filter Drum (s) /1•1 c.'t c / C—/ Z___ .-- 7 3C) — <br />Empty Drum (s) c) i E2dl 1S Gc <br />Transportation & Truck Time. & Washout <br />Hazardous Testing <br />RCRA Hazardous Waste - Solid! Liquid <br />We pay i 1 Customer Pays ?-- <br />Unless otherwise specified on this Consolidated Manifest Receipt (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 mon h, which is the <br />ANNUAL PERCENTAGE RATE OF 18%. Total <br />LL(j- <br /> <br />1- <br />3TI <br />-,j1620 E Brundage Ln <br />Bakersfield, CA 93307 <br />CAL000282598 <br /> <br />California 011 Transfer <br />5300 Claus Rd, Bldg 11 <br />Modesto, CA 95357 <br />Ph:209-863-8181 <br />Fax: 209-863-8171 • <br />EPA# CAL000190816 <br /> <br />NAME <br />ADDRESS <br />CITY <br />STATE, ZIP <br />PHONE <br />EPA ID <br /> <br />20 Ou <br /> <br />i nereby 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 further agree to accept the additional charges for legal disposal If this, waste is over 1000 PPM, total halides, or c taintiY PCB's <br />GENERATOR or E N r; ) o u c C ‘--) A \ i z_ ----------._-:::_.--i, AUTHORIZED: :5,1_,..--,. -_-_ -. •,..- - - ---.1-- _ ,.._.--- -- DRIVER SIGNATURE : ' -7:7-- <br />ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. <br />TERMS : INVOICE OVER 30 DAYS ARE SUBJECT TO A 1.5% SERVICE CHARGE CUSTOMER AGREED TO PAY ALL LEGAL FEES OF COURT <br />Kern Oil here by advises the above Generator that Generators shipment of used oil may be 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 Filter Recycling is authorized to file a request for EPA# from DISC. California facilities that handle or process used oil are required to meet those more stringent requirements, and some out-of-state fac ilities that Process used oil & also meet <br />thoserequirements, engineering certifications of tank Integrity, and financial assurances for closure an accidental releases. i It s awfull to send used oil to out-of-state facilities that comply only with federal used oil management standards and not those more stringent requirements By signing the invoice the generator certifies that the generator has established a program to reduce <br />the volume or quantity <br />and toxicity of the hazardous waste to the degree, as determined <br />by generator, to be economically practicable. By both parties signing this invoice it will serve as an <br />facility. agreement that Kern Oil will submit confirmations for (certain waste streams) to the <br />generator that their waste has been transported to a licenced treatment or transfer
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