Laserfiche WebLink
1-79-11-11-1 <br />job Site <br />EPA # CAL000367042 <br />Lic. AND IN URED TRANSPORTER 9 3468 <br />GENERAL Ofd <br />-- <br />Site EPA1D# CSD <br />Contact Person <br />Company Named08,�4 L., <br />Address <br />City, State. Z_ip, <br />Site Phone` <br />Date . i % 1 Customer PO Interval <br />— Yt:©Otic ! Waste <br />Code <br />--n-RCRA Hazardous "Waste Liquid (Used Oil) 221 <br />`,on RCRA Hazarduis 1r1taste Liquid (51 & Water)223 <br />' n-RCRA Hazardous Waste Liquid (Used huton five Antifreeze) 1 133 <br />`,1 -RCRA Hazardous Waste Solids Contaminat <br />XI <br />•on-RCP,A Hazardous Waste Solids Contaminated with Used Oil <br />-J <br />fes;` <br />Yr <br />Send Payment To: <br />2355 Road 192, Delano CA 93215 <br />Ph: 209-863-0888 - Fax: 209-863-0887 <br />ID # 46-0727047 <br />MCP# CA 130615 <br />Invoice No. <br />Name <br />Address <br />City, State, Zip <br />Net 30/C.0D.lCash/Check Drivers Truck/Name <br />CA Manifest # Quantity Units Price Amount <br />?,�Z QET( `j G rf r / i G' Gal i <br />Gal <br />Gal <br />Dos) <br />rained Used Oil Filter Dnlrn (s',�` t)lunl:!sj <br />+ty Drum (s) I Earn <br />i . sporiation & T ruck Time & Washout tiR <br />:azardous Testing <br />'Ne pay ( J Customer Pays <br />1n!ess otherwise specified on this Consolidated h ay -i" Rept (Invoire) Terms: Aocounts direon the 10th f the month following � � l��l � � J� <br />of owchase. Past due accounts vAil he c: FINANCE CHARGE at the PERIODIC RATE of 15% pet mono, which is the !{/ <br />ANNUAL PERCENTAGE RATE OF 18%. <br />rtereby certify that I have not mixed this waste 41h any other waste that the total halides are less than 1000 PPM, and that the waste does not contain <br />a -v PCB's. I further agre0 to accept the add'tion11 charges for legal disposal If this, waste is over . O// PM, to ides, or contains any PCB's <br />--ENEP.ATOR or <br />=. T iORIZED : • – --f` 1`v DRIVER SIGNATURE <br />ARMS : INVOICES OVER 30 DAYS . SERVICE CHARGE CU ;TUMER AGREED TO PAYALL LEGAL FEES OF COURT <br />:�`lON BECOMES NECESSARY TO COLLEC71 HIS INVOICE <br />- <br />,efn Oil here by advises the above Generator t Generators shipment of used oil may be transported to a facility that is required to comply with federal <br />-awgulations applicable to management of used o 1. but that is not required to comply with the more stringent requirements applicable to hazardous waste <br />^=nagement facilities. Kern Oil Filter Recycling' i authorized to file a request for EPA# from DTSC. California facilities that handle or process used oil are <br />-Ouired to meet those more stringent requirernents. and some out-of-state facilities that process used oil & also meet those requirements, engineering <br />cert rtcations of tank integrity, and financial assui ances for closure an accidental releases. It is lawful to send used oil to out-of-state facilities that comply <br />crlywith federal used oil management standardsnd not those more stringent requirements By signing the invoice the generator certifies that the generator <br />es established a program to reduce the volu e or quantity and toxicity of the hazardous waste to the degree, as determined by generator, to be <br />_.,c: ,omically practicable. By both parties signing this irvoice It will serve as an agreement that Kem Oil will submit confirmations for (certain waste streams) <br />the generator that their waste has been transpo .ed to a licenced treatment or transfer facility_ <br />I Riverbank Oil Transfer F] AME NAME <br />• 5300 Claus Rd, Bldg 11 DDRESS ADDRESS <br />Riverbank, GA 95387 -ITY _— CITY <br />Ph:209-863-0888 Fax: 209-s63-0887 TATE ZiP STATE ZIP <br />EPAft CALD0019N16 HONF _ PHONE -- <br />�PA 10 EPA ID , <br />