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-_... ,Y 7 <br />, d <br />. �; - NX <br />1; _18 <br />Job Site : 1 2355 RD, 192 DELANO, CA 93215 <br />GENERATOR Ph.: (209) 863-0888, FAX (661) 725-0654 <br />Site EPA 1D# iD# 46-0727047 / CAL000367042 <br />LIC. AND INSURED TRANSPORTER # 3468 <br />Contact Person _ Invoice No. M <br />Company Namef c:44—e– ' '' I C`Y�' �Bill To: <br />,,!�. <br />Address. ,%> _ )� ,..t, . ` <br />Name <br />City, State, zip r- 1 <br />Address <br />City, State, Zip --- — -- <br />Date <br />ttomer PO <br />Interval <br />Net 30/C.O.D./Cash/Check <br />Drivers TrucklName <br />l <br />'Amount <br />tel_ PRODUCT <br />gee <br />CA Manifest # <br />Quat ty <br />Units <br />Price <br />Mon-RCRA Hazardous Waste Liquid (Uso Oil) <br />221c, <br />Gal <br />hon-RCRA Hazardous Waste Liquid (Oil Water) <br />%'on-RCRA Hazardous Waste Liquid (Us Automotive Antifreeze) <br />223 <br />133 <br />Gal <br />Gal <br />Non-RCRA Hazardous Waste Solids Can minated <br />togs) <br />Non-RCRA Hazardous Waste Solids Con minated with Used Oii <br />Dan!f s) <br />Drained Used Oil Filter Drum (s) <br />ln�aisj <br />Empty Drum (s) <br />Eadi <br />Transportation & Trucki ime & Washout <br />NR <br />Hazardous Testing <br />We pay [] Customer Pays <br />Unless otherwise specified on this Consolidatod Manifest Receipt onvcice) Terms: Accounts due on the 101h of the month Wowing <br />month of purchase. Past due accounts will be rged a FINANCE CHARGE at the PERIODIC RATE of 1.5% per month. which is the <br />ANNUAL PERCENTAGE RATE OF 18%. <br />Total <br />I hereby certify that I have not mixed this waste vnth any other waste that the total halides are less than 1000 PPhA, a that th waste does not contain <br />any PCB's. I further agree,6- crept the ditional charges for legal disposal If this, waste is over 10Q[) -P fatal , titfes,� mains any PCB's <br />GENERATOR or (��7 ' <br />AUTHORIZED L ---- DRIVER SIGNATURE <br />TERMS : INVOICE OVER 30 DAYS ARE sUBJECT TO A 1.5% SERVICE CHARGE CUST&A'E-F AGR LEGAL FEES OF COURT <br />ACTION BECOMES NECESSARY TO CgLLECT THIS INVOICE. <br />Kem Oil here by advises the above Generator that Generators shipment of used oil may be transported to a facility that is required io comply with federal regulations <br />applicable to management of used oil- But Wat is not required to comply with the more stringent requirements applicable to hazardous waste management facilities - <br />Kern Oil Filter Recycling is authorized to filea request for EPA# from DTSC. California facilities that handle or process used oil are required to Meet those more <br />stringent requirements, and some out-of-stafacilities that process used oil 8 also meet those requirements, engineering certifications of tank integrity, and financial <br />assurances for closure an accidental rel ' . It is lav -Jul io send used oil to out-of-state facilities that comply only with federal used oil management standards and <br />not those more stringent requirements By sining the invoice the generator certifies that the generator has established a program to reduce the volume or quantity <br />and toxicity of the hazardous waste to the de ree, as determined by generator, to be economically practicable. By both parties signing this invoice it will serve as an <br />agreement that Kern Oil will submit confirmat its for (certain waste streams) to the generator that fheir waste has been transported to a licenced treatment or transfer <br />facility. <br />/ Oil Transfer ❑ YUM nvironmental Services ❑ Global Material Management ❑ NAME <br />J x"5300 Claus Rd. Bldg 11 2730 . 13th Street. ADDRESS <br />Riverbank, GA 95357 Yumal AZ 85365 CITY <br />Ph:209-863-0888 Ph.: 8-642-8938 STATE, ZIP <br />Fax: 209-863-0887 Fax. 28-344-9828 PHONE <br />EPA# CAL000190816 ` EPA :AZR000515924 EPAID —.– <br />