Laserfiche WebLink
F771 <br />j'q <br />Send Payment To. - <br />2355 Road 192, Delano CA 93215 <br />Ph: 209-863-0888 Fax: 209-863-0887 <br />1FPA& <br />CAL000367042 ID # 46-0727047 <br />JPED P <br />Site LIC. ANDINSUIZED RANSPORTERP 3458 MCP# CA 130615 <br />:NERATOR 'P A <br />a EPA [D# M <br />Invoice No. <br />ntact Person <br />rnpany Name Bill To: <br />dress I J, Name <br />y,State, Zip Address <br />3 Phone N C4, State, Zip <br />IntervalNet <br />30/C.O.D./Cash/Check <br />Drivers TrucWName <br />/-7 <br />PRODUCT <br />Wastel CA Manifest # <br />CA <br />Quantity <br />Units <br />Price <br />Pric <br />Amount <br />,-,RCP,A Hazardous Waste Liquid (Used Oil) <br />221 <br />Ga <br />,RCRA Hazardous Waste Liquid (Oil & Water) <br />223 <br />Gal <br />,RCRA Hazardous Waste Liquid (Used Automotive An <br />ffreue) <br />133 <br />Gal <br />MCRA Hazardous Waste Solids Contaminated <br />D*s) <br />:-RCRA Hazardous Waste Solids Contaminated with U;ed 01 <br />D*s) <br />Oned Used Oil Fitter Drum (s) <br />Drum (s) <br />Eak <br />-spoiatiofl & Truck Time & Washout <br />rddous Testing <br />-7;2y El Customer Pays El <br />Ita <br />R (Invoice) Terms: Accounts due on the 10th d the month following <br />oesotherwise specified on ttus Consolidatedcharged <br />r.dTFj =AVE <br />TO I <br />I <br />r1h cf purchase- Past due accounts, , CHARGE at the PERIODIC RATE of 1.5% per month, which is the <br />PA.:,AL PERCENTAGE RATE OF IS%- <br />reby certify that I have not mixed this waste with any I other waste that the total halides are less than 1000 PPM, and that the waste does not contain <br />?CB's. further to th charges for legal disposal If this, waste is over 1000 PPM, total halides, or contains any PCB's <br />I agree accept additional <br />4ERATOR or <br />DRIVER SIGNATURE <br />US -INVOICES OVER 30 DA 0 RE SVi�JECTT6A 1.5% SERVICE CHARGE CU REE6T6PAYALL LEGAL FEES OF COURT <br />-wON BECOMES NECESSARY TO COLLECT THIS INVOICE_ <br />7 Oil here by advises the above Generator that Generators shipment of used oil may be transported to a fatality that is required to comply with feder-. <br />L-,aucr;s applicable to management of used oil. But that is not required to comply with the more stringent requirements applicable to hazardous wast <br />r�age,rriant facilities. Kern Oil Filter Recycling is authorid to file a request for EPA# from DTSC. California facilities that handle or process used oil an <br />to meet those more stringent requirements, and some out -of -slate facilities that process used oil & also meet those requirements, engineerin, <br />Mos of tank integrity, and financial assurances f�r closure an accidental releases. It is lawful to send used oil to out-of-state facilities that oompi <br />hath federal used oil management standards and notthose more stringent requirements By signing the invoice the generator certifies that the generate <br />established a program to reduce the volume or quantity and toxicity of the hazardous waste to the degree, as determined by generator, to b, <br />glom catty practicable- By both parties signing this inv6iceit will serve as an agreement that Kern Oil will submit confirmations for (certain waste streams <br />3e generator that their waste has been transported to a I licenced treatment or transfer facility. <br />PjvAxbank Oil Transfer EJ NAME F1 NAME <br />5XIC Claus Rd, Bldg 11 ADDRESS ADDRESS <br />Riverbank, CA 95387 C11 -Y I CITY <br />?h209-863-0888 Fax: 209-863-0887 SATE' Z1P_ STATE, LIP <br />:.PAN GAL0130 131M 16 <br />PEON4 PHONE <br />EPA 10 <br />