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Ph : 209-863-0888 - Fax : 209-863-0887 <br /> UEW NEPA4CAL000363253 I D#77-0379* <br /> OERE <br /> Job Site : LIC.AND INSURED TRANSPORTER#3468 CA 130615 <br /> GENERATOR RECEIVEL'-,, <br /> Site EPA ID# Invoice No. <br /> Contact Person APR 10 2015 <br /> Company Name Bill To : <br /> TNVIRON <br /> AddressCDR "TM <br /> Name TP 1, <br /> City, State,Zip ,_,3 Address LN <br /> Site Phone City, State, Zip <br /> Date Customer PO Interval Net 30/C.O.D./Cash/Check Drivers Truck/Name <br /> PRODUCT Waste CA Manifest# Quantity Units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used Oil) 221 r 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 Drum(s) <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil Drum(s) <br /> Drained Used Oil Filter Drum(s) Duos) <br /> Empty Drum(s) Each <br /> Transportation&Truck Time&Washout HR. <br /> Hazardous Testing <br /> We pay Customer Paysâť‘ <br /> Unless otherwise specked on this Consolidated Manifest Receipt(Invoice)Terms:Accounts due on the 10th of the month following Total <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 /> 1 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 1000 PPM,total halides,or contains any PCB's <br /> GENERATOR or - -' <br /> AUTHORIZED: 'J DRIVER SIGNATURE:- .. <br /> TERMS:INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE CUSTOMER AGREED TO PAYALL LEGAIUIFEESOF,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 DTSC.California facilities that handle or process used oil are <br /> required to meet those more stringent requirements,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 releases.It is lawful to send used oil to out-of-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 <br /> 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 <br /> economically practicable. By both parties signing this invoice it will serve as an agreement that Kern Oil will submit confirmations for(certain waste <br /> streams)to the generator that theirwaste has been transported to a licenced treatment or transfer facility. <br /> ( Riverbank Oil Transfer 0 NAME NAME <br /> 5300 Claus Rd,Bldg 11 ADDRESS ADDRESS <br /> Riverbank,CA 95387 CITY CITY <br /> Ph:209-863-0888 Fax:209-863-0887 STATE,ZIP STATE,ZIP ` <br /> EPA#CAL000190816 PHONE PHONE <br /> EPA ID EPA ID <br />