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LEE <br />J7Fr6Ph : 209-863-0888 - Fax: 209-863-0887 <br />EPA # C AL000367042 <br />OFJ Site : LIC. AND INSlJRED TRANSPORTER # 3468 <br />vENERATOP, <br />Site EPA ID# <br />;intact Person <br />Company Name {�,roaal , i Bt}I To <br />I D # 46-0727047 <br />MCP# CA 130615 <br />Invoice No. Mr a�, <br />,=address Ylvi <br />1 dame <br />C ,Y, State, Zip <br />sitz Phone �-- - <br />fit"-�b^�� . 'T <br />i,' <br />i Customs PO <br />` <br />Send Payment To, <br />PRODUCT <br />2355 Road 192, Delano CA 93215 <br />J7Fr6Ph : 209-863-0888 - Fax: 209-863-0887 <br />EPA # C AL000367042 <br />OFJ Site : LIC. AND INSlJRED TRANSPORTER # 3468 <br />vENERATOP, <br />Site EPA ID# <br />;intact Person <br />Company Name {�,roaal , i Bt}I To <br />I D # 46-0727047 <br />MCP# CA 130615 <br />Invoice No. Mr a�, <br />,=address Ylvi <br />1 dame <br />C ,Y, State, Zip <br />sitz Phone �-- - <br />Address <br />City, State, Zip <br />i Customs PO <br />interval I Net 3t7/C.O.D./Cash/Check <br />Drivers Truck/Name <br />17 <br />PRODUCT <br />waste!CA <br />Code <br />Manifest # <br />QuantityUnits <br />Price <br />Amo nt <br />ZA hiazardous Taste Liquid (Used Oil) <br />_ 1 <br />221 <br />1rl�yl�i� LIF>r <br />Gal <br />) <br />,o p -RORA Hazardous IVaste Liquid (Oil & Water) _ <br />223 <br />� _ <br />Gal <br />Hazardous Waste Liquid (Used Autmcl eArliiireeze) <br />133 <br />Gal <br />v-- —RA Hazardous Waste Solids Contaminated <br />Dr r sl <br />HazardoJs Waste Solids Contaminated <br />ith Used OilI <br />4s1 <br />:v red Used Oil Filter L�rulti (s) _ <br />[kurlsl <br />inlet is) <br />i <br />Ell <br />-1ryspodation & Truck .Time & Washout <br />ttR <br />:z aus Testing <br />ra oay ❑ Customer Pays <br />—?-e:5 otherw;^,e stw_cified on this Consolidated Manifest <br />- — to :r tnuchase. Past due accounts mil be ctarged a <br />�•-` I' -AL PERCENTAGE RATE OF 18%, <br />ectipt (Invoice) Temis . Accounts due on the 101h of the month totlov;ing <br />ltL,%NGE CHARGE at Ure PERIODIC RATE or 1.5% pef month, which is the <br />Total <br />j ,t <br />b i <br />e eLy certify that I have not mixed this waste witH any other waste that the total halides are less than 1000 ¢fiM, and that the does not contain <br />--_ =C3 s. I further agree to accept the ad ititxtai r iarges for legal disposal If this, waste is over 1000 PP&J to , or ains any PCB's <br />_NEP TOR Ot <br />ORiVER SIGNATURE <br />SMS _ INVOICES OVER 30 DAYS AE SUBJECT TO A 1.5% SERVICE CHARGE CUSTOMER AGREED TO PAY ALL LEGAL FEES OF COURT <br />iON BECOMES NECESSARY TO COLLECT TIS INVOICE_ <br />Oil here by advises the above Generator that Generator-- shipzfent of used oil may be transported to a facility that is required to comply with federal <br />w:::ations applicable to management of used oil. But that is not required to comply with the more stringent requirements applicable to hazardous waste <br />:acement facilities. Kern Oil Filter Recycling is orized to file a request for EPA# from DTSC. California facilities that handle or process used oil are <br />yrred to meet those more stringent requirementl;, and some out-of-state facilities that process used oil & also meet those requirements, engineering <br />^5 a ions of tank integrity, and financial assuran s for closure an accidental releases. It is lawful to send used oil to out-of-state facilities that comply <br />r:^ ,vith federal used oil management standards an riot those more stringent requirements By signing the invoice the generator certifies that the generator <br />.� established a program to reduce the volume r quantity and toxicity of the hazardous waste to the degree, as determined by generator, to be <br />;>r:;arcmically practicable. By both parties signing thi invoice itwill serve as an agreement that Kern Oil will submit confirmations for (certain waste streams) <br />^*e generator that their waste has been transporte to a licenced treatment ortrarisfer facTty. <br />Pcverbank Oil Transfer NE NAME <br />S� r0 Claus Rd, Bldg 11 ADDRESS — ADDRESS — <br />Rrvarbank. CA 95387 C tt yy — CiTY <br />":209 863-0888 Fax: 20963-0887 3TiTE, ZIP STATE, ZIP_ <br />A CAL000190516 PHONE PHONE <br />EFNID <br />EPA iD <br />,Y`8fs. <br />