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oLFEDI <br /> � <br /> r19 Send Payment To: <br /> 2355 Road 192, Delano CA 93215 <br /> {71�AD <br /> Ph : 209-863-0888 - Fax: 209-863-0887 <br /> EPA#CAL000363253 ID#77-0379490 <br /> Job Site : LIC.AND INSURED TRANSPORTER#3468 CA 130615 <br /> GENERATOR <br /> Site EPA ID# Invoice No. <br /> Contact Person <br /> Company Name Bill To <br /> Address ; Name <br /> City,State,Zip Address <br /> Site Phone- > City,State,Zip <br /> Date Customer PO Interval Net 30/C.O.D./Cash/Check Drivers Truck/Name <br /> PRODUCT waste Code CA Manifest# Quantity Units Price Amount <br /> Non-RCRA Hazardous Waste Liquid(Used Oil) 221 Gal <br /> Non-RCRA Hazardous Waste Liquid(Gil&Water) 223 Gal <br /> Non-RCRA Hazardous Waste Liquid(Used Automotive Antitreeze) 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) Drums(s) <br /> Empty Drum(s) Fad <br /> Transportation&Truck Time&Washout HR. <br /> Hazardous Testing <br /> We pay❑ Customer Pays❑ <br /> Unless oMenvise specified 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 he charged a FINANCE CHARGE at the PERIODIC RATE of 1-5%per month,which is the - <br /> ANNUAL PERCENTAGE RATE OF 18%. - <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 the additional charges for legal disposal If this,waste is over 1000 PPM,total halides,or contains any PCB's <br /> GENERATORor';' <br /> AUTHORIZED/" - DRIVER SIGNATURE: 1 -' <br /> TERMS:INVOICES OVER 30 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 /> managementfacilities.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 orquantity and toxicityof the hazardouswaste to the degree,as determined by generator,to be <br /> economically practicable.By troth 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 ❑ NAME ( NAME <br /> 5300 Claus Rd,Bldg 11 ADDRESS ADDRESS <br /> Riverbank,CA 95387 - CITY CIN <br /> Ph:209-863-0888 Fax:209-863-0887 STATE,ZIP STATE,ZIP <br /> EPA#CAL000190816 <br /> PHONE PHONE <br /> EPA ID EPA ID ��'_ <br />