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f;? <br />°i <br />t�RN ��iL Fii�TRR <br />Job Site <br />EPA# CAL000367042 ' <br />LIC. AND INSul�EI)TRANSPORTER#3 68 <br />GENERATOR <br />Site EPA ID# CRLE00 91 <br />Contact Person <br />_ i <br />Company NameZ f. ), i % I <br />Address r,�f •i s rr"',� �; f E i' <br />City, State, ZipSite Phone <br />Date Customer PO Interval <br />Send Payment To: <br />2355 Road 192, Delano Ctt 93215 <br />Ph. 209-863-0888 - Fax: 209-863-0887 <br />1D ## 46-0727047 <br />MCP# CA 130615 <br />Invoice No. M1 0 2 '13 3 <br />Name <br />Address <br />City, State, Zip <br />Net 30/C.O.DJCash/CheckDt-7,T"'I <br />ck/Name <br />PRODUCT vva a CA Manifest # Quantity Units Price Amount <br />titx -RCRA Hazardous Waste Liquid (Used 09) 221 - OHO Gal NX, <br />4w,RCRA Hazardous Waste Liquid (Oil & Water) 223 Gal <br />htx� MCRA Hazardous Waste Liquid (Used Autamotiv# Antifreeze) 133 Gal <br />*rt-RCRA Hazardous Waste Solids Contaminated DOS) <br />W,--RCRA Hazardous Waste Solids Contaminated wi n Used Oil t tis) ; <br />wined Used Oii Filter Drum (s) f Do*) <br />"v Drum (s) Eah <br />iansperratim & Truck Time & Washout HR <br />Testing <br />we pa� F] Customer Pays <br />_rte oft"Ase specified on thts Consolidated Manliest iitecelpt (Invoice) Terms : Accounts due on the 10th or the month fd{owing <br />a(purchase- Past due accounts wM be charged a NANCE CHARGE at the PERIOTIC RATE or 1.5% per month. which is the Total <br />?kVd xAL PERCENTAGE RATE OF 1B% ILI <br />I r%ereby Certify that I have not mixed this waste wrlft any other waste that the total halides are less than IWO PPM, and that the y�aste does not contain <br />arw +"'CB's_ I Furth e t thea ort rges for legal disposal If this, waste Is over 1000 PPM total halides, or co stains any B's <br />'i J .Z' <br />A-T-K)RIZED�r -J - DRIVER SIGNATURE : �," "? `' <br />-F.sRMS : INVOICES OVER 30 DAYS ARE SUBJE TO A 1.5% SERVICE CHARGE CUSTOM REED TO PAY ALL LEW L FEES OF COURT <br />tz'?ION BECOMES NECESSARY TO COLLECTINS INVOICE. <br />Kffn Oil here by advises the above Generator tttat enerators shipment of used of maybe transported to a facility that is requi ad to comply with federal <br />regucatons applicable to management of used o8>ut that is not required to comply with the more stringent requirements appli :able to hazardous waste <br />-ar r*a face ties. Kern 00 Fitter Recycling Is 6uthorQed to file a request for EPA# from DTSC. California facilities that hanr Is or process used off are <br />In sheet those more stringent requiremenlO. and some out-of-state fac irdies that process used oil & also meet those r .quirements, engsrsering <br />Sons of tank integrity, and financial assurances for closure an accidental releases. It is lawful to send used oil to out -of We facilities that comply <br />ortjwh federal used oil managementstandards not those more stringentrequiremttS By signing the invoice the generator �riifies thatthegenerator <br />;as established a program to reduce the volumeleror quantity and toxk* of the hazardous waste to the degree, as detem ined by generator, to be <br />ecorarv;allv practicable. By both parties signing this invoice it will serve as an agreement that Kern oil will subm+t confirmations f rr (certain waste streams) <br />Ic',m- orRa.orthattheirwaste has been transporWd to a licenced treatment ortransferfadTity. <br />09TransferNi ME � NAME <br />5w:, t ciaRd, Bldg 11 Af1DRESS ADDRESS <br />=0yvibanit, CA 85387 C,fy CITY <br />_~ zt?s ---ossa Fax: 209 -U53 -M7 STATE, iP STATE, ZIP <br />-��. CALD06190816 PHONE PHONE <br />FOA tt) EPA ID <br />r, <br />