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9 <br />Send Payment To: <br />k� <br />I <br />2355 Road 192, Delaw CA 93215 <br />y <br />Oh: 209-863-0888. - F2)c 209-8634J887 <br />FPA#CAUO@03b784z ID:# 46=0727047 <br />Job Site: <br />Acro INSUREBTRANSPOR11 R#3468 MCR# CA 130615 <br />GENERATOR <br />Site EPA 10#314, <br />Invoice Ilia. M <br />CmW Person <br />i <br />tscxf�paity tvarrte <br />Bill `Yo <br />f <br />Address Fly.'. 1 .I-. ... <br />ftj rFr�t�f r f-; i:� <br />)Value - <br />.. . <br />City, State, ZIP <br />s -j � 'S =" <br />Address <br />Site Phone . 1 - <br />yam',- <br />Cft State, Zip <br />Date// Y ' <br />Customer Pd <br />Interval <br />Piet 301C.O.DJCastJCheck <br />Drivers TruddName <br />PRODUC <br />waste Code <br />. CA Maras # <br />Quantity <br />Units <br />Price <br />Amount: <br />.Gal <br />r. <br />j <br />- <br />..:.. <br />A�'�,,,,,,,, ar���+pp�� ��) ;,, � wry{ <br />_.Nm-RCRAl ass{Tasha LigWd <br />p �}q <br />Q.""�•) <br />j <br />.lfJ <br />-. .... <br />_ <br />_ <br />r , <br />f Lam.• <br />ido 40A t mrdous.WadD UqW j* <br />A*mofive.Auffiam). -133 <br />Gal <br />1 }= Hmffdm Waste SMs <br />Dt e) <br />NoIrRG#tA HuNdmmst SOWS <br />twmatedwilhLisedol <br />S) <br />DmDW Used Of Filth Dtm (S). <br />J <br />Em* Dmm (s) <br />7laaisptxiatiortTntckTstie8l�asliout: <br />`' <br />HR. <br />hazardous T <br />_ <br />Wepayo a <br />- <br />Ualm olive wed rxr tilts i arso <br />.Manilesl Receipt (om) Terms :Accaarts-due otr the 101h of ow-nnAh **a tno <br />Total <br />y4 <br />month ufpstimm Past due accafnrs vriB <br />:dxargeti a FMANCE CHARGE at 1> P132lOi5NC RATE of 15% per noon h. wtich is ft <br />- , <br />ANNUALPt�avrAGE.EriOF % <br />I hetes tettity Out 1 have r mored <br />wade arty OW waste thaft m totatfiaiides are less titan 1000 and tFiat ttiewaste does not contain <br />any PCB's: I accept <br />chargecfioriegat pos�.lt 6tis, vrsste is over 1000'PPkr total t ,;moa ine:any PC6's <br />GENERATO Ar:' <br />�., <br />AUTH <br />DRIVER SIGNATURE: <br />TERMS : NtV ICES OVER 301 DAYS <br />SUBJECTTO A-1:5% SERVICE CHARGE CUSTOMER AGREED TO PAYALL LEGAL FEES OF COURT <br />ACTION BECOMES NECESSARY TO COLLECT THS R(MCE: <br />Kern OR here by advises the above <br />not C'eneanrs shipment of used ori may be.transported to a fagTily that is required to c=* with ftderat <br />idle tD : of used oil.. Batt #►at is not to wititthe mare stringent recta appGcabie tQ Dos wastE <br />_ regulaUorts apps near reen regl�ed 9 <br />managementfacilities. Kern ON Filter <br />g is aW�ed w tie a requesttor EPA9 imm, Enw. _ C4warnia fzici ides that harrdleor.pror ess of are <br />required to meet t mse more stringent and sons out restate taches ttrat.ptooess used oa 8 oleo rrresR those"n:9rssemerris. <br />tartrfications of tank integrity,; and <br />assn tar cosine an arm rum. itis lawful to send used ora to of of-state facoes that comply <br />orrlywith federal used oilmanagernent anddot�emoresbirgWtrequirernentsBy gtheinvoi sl begermaborcertifieslhatthegerie►ator <br />hasa program to reduce. the volume or gti s*ty and y of the ttazankk s waste to the dem, as.de%rrti�i try g�afor to be <br />.established <br />�ypracticatt�Byboth <br />eerdogthis6nraeer%wrllsetvtesanagne ttihatKaemORwZmbmit�for{certaattvastestreamsJ <br />tpthe9 tleratorthatlheawaswhas <br />transpatediaakenr�d#eaUnentortr. faa'ity <br />mvei +k oa-Transler <br />5300 Claus Rd, Bldg. 11 <br />NAME: � .NAi� <br />ADDRESS ADDRi�S <br />Rivesberlk1t9s3B7 <br />. <br />crit CITY <br />STATE, ZP STATE Z1P <br />EPA# CAL�Q19l1$1& <br />PHOiVE PHONE <br />EPA ID EPA JD <br />s <br />_ <br />