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a Send Payment To: <br /> 2355 Road 192, Delano CA 93215 <br /> Ph : 209-863-0888 - Fax: 209-863-0887 <br /> LLLLLLU EPAE CALe❑0363259 ID#77-0379490 EGLIV <br /> ..loci Site : LIC.AND INSURED TRANSPORTER#3468 MCP#CA 130615 ED <br /> GENERATORr .. <br /> ;,, . . = r ; - DEC 04 2015 <br /> siteEPalD# <br /> invoice Na. M1; -s `,t i <br /> Contact:Person h ,. ,; r-'= ENVIRONMENTAL <br /> Company Name;, ;,, ,.tl., ,.i, i, .;•. .... Bill TO : HFAITN.nFP44TIUFNT <br /> Address', ,tl y; i .; Name <br /> City,State, Zip Address <br /> Site Phone City, State,Zip <br /> Date _ Customer-PO Inlerv9fNet 30/C.O.D./Cash/Chock DriversTruck/Name <br /> , ,% f •' rI 1 J � , <br /> PRODUCT Coae CA Manhast# Quantity Units Price \Amount <br /> Nan-RCRA Hazardous Waste Liquid(Used Oil) 221 Gal r 3 ( ) <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 UNm(s) <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil aum(s) - <br /> Drained Used Oil Filter Drum(s) pis) <br /> Empty Drum(s) <br /> Transportation&Truck lime&Washout HR <br /> Hazardous Testing <br /> We pay 4 1 Customer Pays El <br /> unless,Ctnenvise steed on this Consolidated Manaest Recelix(Invoice)Tema:Acmunts due on me loth of the month following <br /> month of purchase.Pastclue accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1.5%per marsh,which Is the Totel - -""� <br /> ANNUM-PERCENTAGE RATE OF 19%. / i r <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 ale edditl6rill charges for legal disposal If this.waste is over 1000 PPM,total halides;or contains any PCB's <br /> "GENERATOR or i + <br /> AUTHORIZED: DRIVER SIGNATURE <br /> TERMS:INVOICES OVER a0 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 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 <br /> regulations applicable to management of used oil.But that is not required to Comply with the more stringent requirements applicable to hazardous waste <br /> management facilities.Kern Oil Filter Recycling is authorized to file a request for EPA#from CTSC.California facilities that handle or process used oil are <br /> required to meet those more stringent requirements, and some out-otstate facilities that process used oil&also meet those requirements, engineering <br /> certifications of tank irr iity,and financial assurances for closure an accidental releases.It LC lawful to send used oil to out al state facilities that comply only <br /> with federal used oil management standards and not those more stringent requirements By signing the Invoice the generator certifies that the generator has <br /> established a program to reduce the'volume or quantity and toxicity of the hazardous waste to the degree,as determined by generator,to he economically <br /> practicable.By both parties signing the invoice it will serve as an agreement that Kern Oil will submit confirmations for(certain waste atmamsl to the generator <br /> that theirwasta has been transported to a licenced treatment ortransferfaciiity. <br /> Riverbank oil Transfer ❑ NAME NAME <br /> 5300 Claus Rd,Bldg 11 ADDRESS ADDRESS <br /> Riverbank,CA 95387 CITY CITY <br /> Ph:209-883-0888 Fax:209.863.0887 STATE,ZIP iCAL000190818 STATE,ZIP <br /> PHONE PHONE <br /> EPAID EPAID <br /> r. <br />