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r R-�-E R-' 6 ' <br />Job Site : <br />/2022{VIA EMAIL <br />2355 RD. 192 DELANO, CA 93215 <br />GENERATOR <br />Ph.: (111Jy) 863-U888, FAX (661) /25-Ubb4 <br />46-0727047 / CAL000367042 <br />LIC. AND INSURED TRANSPORTER 9 3468 <br />Invoice No. M 1 7 3 3 6 <br />BIII TO <br />Site EPA ID#ID# <br />Contact Person <br />Company Name <br />AddressName <br />City, State, Zip <br />Address <br />Site Phone — 4ff4 <br />City, State, Zip <br />Date —r��s <br />Date <br />Customer PO <br />Interval <br />Net 30/C.O.D./Cash/Check <br />Dr' rs Truck/Na <br />PRODUCT <br />waste Code <br />CA Manifest # <br />Quantity <br />Units <br />Price Amount <br />Non-RCRA Hazardous Waste Liquid (Used Oil) <br />221 <br />a� <br />Gal <br />` <br />Nan-RCRA Hazardous Waste Liquid (Oil & Water) <br />223 <br />Gal <br />Non-RCRA Hazardous Waste Liquid (Used Automotive Antifreeze) <br />133 <br />Gal <br />Non-RCRA Hazardous Waste Solids Contaminated <br />Drum(s) <br />Nan-RCRA Hazardous Waste Solids Contaminated with Used Oil <br />Drum(s) <br />Drained Used Oil Filter Drum (s) <br />arums(s) <br />Empty Drum (s) <br />Earn <br />'ransportation & Truck Time & Washout <br />HR. <br />azardous Testing <br />We pay ❑ Customer Pay <br />Unless otherwise specified on this Itionsolidated 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 month, which is the <br />ANNUAL PERCENTAGE RATE OF 18%. <br />Tot 74 <br />1 L� <br />I 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 further agree to accept the additional charges for legal disposal If this, waste is over PPM, total haI'I�r es.�contains any PCB's <br />9— <br />X7 <br />AUTHORIZOED� <br />DRIVER 51GNATtSTOM�ERA�GREEAYALLLE�GALFE�SOFC`OURT� <br />TERMS: INVOICE OVE 30 DAYS ARE SUBJECT TO A 1.5% SERVICE CHARGE <br />ACTION BECOMES NECESSARY TO COLLECTTHIS INVOICE. <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 <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 />Kern Oil 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 oil & 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 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 generatorthat their waste has been transported to a licenced treatment or transfer <br />facility. <br />L!X California Oil 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 />❑ BTI ❑ <br />1620 E Brundage Ln <br />Bakersfield, CA93307 <br />CAL000282598 <br />❑ NAME — <br />ADDRESS <br />CITY <br />STATE, ZIP <br />PHONE <br />EPA ID- <br />