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Aug 09 16 07:35a • . p.2 <br /> AUG 1 9 20`16 <br /> "" <br /> f� �a���' <br /> E HTEREF) . <br /> Send Payment To., <br /> 2355 Road 192, Delano CA 93215 <br /> 1 , <br /> Ph : 209-863-0888 - Fax : 209-863-0887 <br /> EPA NCAL000367042 ID#46-0727047 <br /> ,JOb Site : LIC.AND INSURED TRANSPORTER lk 3468 MCP#CA 130615 <br /> GENERATOR- <br /> Site EPA ID .44 Invoice No. MQ 915 3 <br /> Contact Person <br /> Company Name Bill To <br /> Address Name <br /> City, State, ZipAddress <br /> Site Phan Gk City,State, Zip <br /> Date Customer PO Interval Net 30/C.O.D./Cash/Check Drivers TrucklNarne <br /> /it Ir, I j I C <br /> PRODUCT waste Code CA Manifest# Quantity Units Pri Amount <br /> Non-RCRA Hazardous Waste Liquid(Used Oil) 221 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 Sods Contaminated Dlum(s) <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil Drum(s) <br /> Drained Used Oil Filter Drum(s) ` D%05) <br /> Empty Drum(s) Each <br /> Transportation&Truck Time&Washout HP, <br /> Hazardous Testing <br /> We pay❑ Customer Pays <br /> Unless olherwise specified on this Consolidated Marl`est Receipt(I nvoice)Terms:Accounts due an the 1 Cth of the month folio wi19 TO ICIA <br /> month of purchase.Past due aaccunts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1.5%per month,vfhich is:he <br /> ANNUAL PERCENTAGE RATE OF 18'N. / <br /> I hereby certify that I have not ' d this v any other waste that the total halides are less thanyl 0 PPM,a d that the waste does not contain <br /> any PCB's.I further agT acc diff I charges far legal disposal If this,waste is r 100 M,to hal es,or contains any PCB's <br /> GENERATOR or 01� <br /> AUTHORIZE DRIVER SIGNATOR <br /> TERMS:I O CES ER 30 DAYS ARE SUBJECT TO A 1.5°10 SERVICE CHARGE C OM ER AG RAED TO PAY ALLAL FEES OF COURT <br /> ACTION BECOMES N CESSARY TO COLLECT THIS INVOICE. <br /> Kem Oil hereby advises the above Generator that Generators shipment of used oil maybe 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 mon:stringent requirements applicable to hazardous waste <br /> management facilities.Kern Oil Filter Recycling is authorized to file a request for EPA#from OTSC.Califomia facilities that handle or process used oil are <br /> required to meet those more stringent regturements,and some out-of-state facilities that process used oil&also meet those requirements,engineering <br /> certifications of tank integi-ty,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 notthose 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 practicable.Bylboth parties signing this invoice itwill serve as an agreemenittfiat Kern Oil will submit confirmations for(certain waste streams) <br /> to the generatorthattheir waste has been transporedto encedreatm ntortransferf Ity. <br /> Riverbank Oil Transfer NA NAME <br /> 5300 Claus Rd,Bldg 11 ADDRE S "l'� ADDRESS <br /> Riverbank,CA 95387 CITY /�- ! CITY <br /> Ph:2094163-0888 Fax:209-863-0887 STATE,ZIP - <br /> C STATE,ZIP <br /> EPA#CAL000190816 PHONE PHONE <br /> EPA ID EPA ID <br />