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7XE7" . . R 1 Xr�!, 1 Job Site : Clty, State, Zip GENERATOR Customer PO Site EPA ID# Yuma, AZ 85365 Contact Person _ Company Name • Fax : 928-344-9828 Address EPA ID: AZR000515924 City, State, Zip Site Phone IA 7 , 2355 RD. 192 DELANO, CA 93215 Ph.: (209) 863-0888, FAX (661) 725-0654 1D# 46-0727047 / CAL000367042 LIC. AND INSURED TRANSPORTER # 3468 `„Bill To . Invoice No. M . _...., . ? / Name Address _ -- Clty, State, Zip Date Customer PO Interval Yuma, AZ 85365 Ph:209-863-0888 Ph.: 928-642-8938 Fax: 209-863-0887 Fax : 928-344-9828 EPA# CAL000190816 EPA ID: AZR000515924 Net 30/C.O.D./Cash/Check Drivers Truck/Name PRODUCT waste Code CA Manifest # Quantity Units Price Amount Non-RCRA Hazardous Waste Liquid (Used Oil) Non-RCRA Hazardous Waste Liquid (Oil & Water) 221 223 r=/� K '� ''nr��. Ct 7 C- Gal Gal Non-RCRA Hazardous Waste Liquid (Used Automotive Antifreeze) 133 Gal Non-RCRA Hazardous Waste Solids Contaminated Drum(s) Non-RCRA Hazardous Waste Solids Contaminated with Used Oil Drum(s) Drained Used Oil Filter Drum (s) Drums(s) Empty Drum (s) Each Transportation & Truck Time & Washout HR. Hazardous Testing We pay ❑ Customer Pays following which is the Unless otherwise specified on this Consolidated Manifest Receipt (Invoice) month of purchase. Past due accounts will be charged a FINANCE CHARGE ANNUAL PERCENTAGE RATE OF 18%. Terms at the : Accounts due on the 10th of the month PERIODIC RATE of 1.5% per month, Total . / - .” cuy car ury mar i nave not mixed this waste with any other waste that the total halides are less than 1000 PPM, and that the waste does not contain 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 GENERATOR or AUTHORIZED: r DRIVER SIGNATURE: / TERMS: INVOICE OVER 30 DAYS ARE SUBJECT TO A 1.5% SERVICE CHARGE CUSTOMER AGREED TO PAY ALL LEGAL FEES OF COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. 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 DTSC. California facilities that handle or process used oil are required to meet those more stringent requirements, and some out-of-state facilities that process used oil & also meet those requirements, engineering certifications of tank integrity, and financial 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 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 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 agreement that Kern Oil will submit confirmations for (certain waste streams) to the generatorthat their waste has been transported to a licenced treatment ortransfer facility. ❑'Riverbank Oil Transfer ❑ Yuma Environmental Services ❑ Global Material Management 5300 Claus Rd, Bldg 11 2730 E. 13th Street, Riverbank, CA 95387 Yuma, AZ 85365 Ph:209-863-0888 Ph.: 928-642-8938 Fax: 209-863-0887 Fax : 928-344-9828 EPA# CAL000190816 EPA ID: AZR000515924 ❑ NAME — ADDRESS. CITY STATE, ZIP PHONE _ EPA ID t