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ISend Payment To: AUG 15 2016 <br /> 2355 Road 192, Delano CA 93215—rrn„tpdC <br /> .,1'-_ <br /> r r Ph : 209-863-0888 - Fax : 209-863-4887 <br /> EPA#CAL000367042 ID #46-0727047 <br /> Job Site . LIG.AND INSURED TRANSPORTER 3468 MCP#CA 130615 <br /> GENERATOR <br /> Site EPA ID# r ! / P Invoice No. M 'J t ?; <br /> Contact Person I <br /> Company Name J ,C i T ill To <br /> Address <br /> G/ C l!(! 1 /�Y i1 Name <br /> / � ,. <br /> City,State,Zip iritf 64 r.9 Address <br /> City,State, Zip <br /> Delta Customer PO trite Net 30/C.O.DJCash/Check Drivers Truck/Name <br /> 7l PRODUCT case CA Manifest# Quantity Units Price Amount <br /> Nan-RCRA Hazardous Waste Liquid(Used Oil) 221 c Gal f / `c <br /> Non-RCRA Hazardous Wase Liquid(Oil&Water) 223 Gal <br /> Nan-RCRA Hazardous Waste Liquid(Used Automotive Alltitieeze) 133 Gal <br /> Non-RCR4 Hazardous Waste Solids Contaminated <br /> NOS) <br /> Non-RCRA Hazardous Waste Solids Coldaminated with Used Oil DNm s <br /> Drained Used Oil Filler Drum(s) <br /> Empty Drum(s) <br /> Transportation&Trudc1i&Washout <br /> Hazardous Testing <br /> ------------ <br /> We pay❑ CustomerlPays 4� <br /> unless avis wise sped do on thla wlidated Manifest Receipt(Invite)Terns:Acmun%due on the 1 Dlh of the month rdlowing Total <br /> month or purchase.Pest due exountc will be charged a FINANCE CHARGE a<the PERIODIC RATE of 1.5%permonth,which is the )Z�^ <br /> ANNUAL PERCENTAGE RATE OF 18%. / <br /> I hereby certify,that I have not mbced 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 Into acpept the additional chargee for legal disposal If this,waste Is over 100000'PPM,,'total <br /> halides,or contains any PCB's <br /> GENERATOR or <br /> AUTHORIZED:--41. DRIVER SIGNATURE: <br /> TERMS:INVOICES OVER 30 DAYSARE SUBJECT TOA 1.5%SERVICE CHARGE CUSTOMER-ACG , E, TO PA XUL LE15AL 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 mote stringent requirements applicable to hazardous waste <br /> 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 <br /> required to meet those more stringent regwremonts,and some out-of-state facilities that process used oil&also meet those requirements,engineering <br /> certifications of tank integrity,and financial assurances for closure an accidental reloases.It Is lawful to send used oil to outof-state facilities that comply <br /> only with federal used oil management standards and not those more stringent requirements By signing the invoice the generator certifies that the generator <br /> 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 <br /> economically precticableyBy both parties signing this invoice itwlll serve as an agreementthat Kern Oil will submit confirmations for(certain waste streams) <br /> to the generatorthattheirwaste has been transported to alicenced treatment ortransferfaciliry. <br /> NAME <br /> Riverbank Oil Transfer NAME ADDRESS <br /> Rive 0. <br /> Claus Rd,Bldg Q1 ADDRESS CITY <br /> Riverbank,- 95387 <br /> Ph20>1e63-OSa6 Fats 209-ee3-0e87 STATE,ZIP STATE,LP <br /> EPA#CAL000190816 PHONE PHONE <br /> EPA ID EPA ID <br />