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I <br />Job Site : <br />GENERATOR <br />Site EPA ID# <br />Contact Person <br />< <br />Company Name <br />Address <br />i2' - %;' <br />,' <br />City, State, Zip <br />Site Phone <br />D. 192 DELANO, CA 93215 <br />Ph.: (209) 863-0888, FAX (661) 725-0654 <br />ID# 46-0727047 / CAL000367042 <br />LIC. AND INSURED TRANSPORTER # 3468 <br />Invoice No. M <br />Bill To <br />Name <br />Address <br />City, State, Zip <br />Date ustomer PO Interval Net 30/C.O.D./Cash/Check Drivers Truck/Name <br />Z PRODUCT <br />Non-RCRA Hazardous Waste Liquid (U Oil) <br />Non-RCRA Hazardous Waste Liquid (Oil & Water) <br />Non-RCRA Hazardous Waste Liquid (Us,,d Automotive Antifreeze) <br />Non-RCRA Hazardous Waste Sofiids taminated <br />Non-RCRA Hazardous Waste Solids Contaminated with Used Oil <br />Code <br />'oCA Manifest # <br />221 <br />223 <br />133 <br />Quantity I Units ( Price I Amount <br />Gal <br />Gal <br />Gal <br />tt'fUrtl(5) <br />Drained Used Oil Filter Drum (s) <br />Empty Drum (s) <br />Transportation & Truck Time & Washout NR <br />Hazardous Testing <br />We pay " Customer Pays <br />Unless otherwise specified on this Consolided Manifest Receipt (Invoice) Terms : Accounts due on the 10th of the month lollo�nng <br />month (f purchase. Past due accounts viii b1 charged a FINANCE CHARGE at the PERIODIC RATE of 1.5% per month, which is the Total <br />ANNUAL PERCENTAGE RATE OF 18%. _ <br />I hereby certify that I have not mixed thio <br />any PCB's. I further agree to �ccept then <br />GENERATOR or '\,) <br />AUTHORIZED: <br />TERMS: INVOICE OVER 30 DA�S ARI <br />ACTION BECOMES NECESSARY TO <br />Kern Oil here by advises the above Genen <br />applicable to management of used oil. But <br />Kern OiiFilter Recycling is authorized to 1 <br />stringent requirements, and some out -of -s' <br />assurances for closure an accidental relee <br />not those more stringent requirements By <br />and toxicity of the hazardous waste to the <br />agreement that Kern Oil will submit confirrr <br />facility. <br />Oil Transfer ❑ Yur <br />5300 Claus Rd. Bldg 11 27; <br />' Riverhank. CA 95387 Yur <br />Ph:20()" 3-0!388 Ph - <br />Fox. 209-863-0887 Fa) <br />t:VAP QAL000190016 ER <br />waste with any other waste that the total halides are less than 100. and that the waste does not contain <br />tdd– nal charges for legal disposal if this, waste is over 1Qpg pP 9 halides, or contains any PCB's <br />DRIVER SIGNATURE <br />SUBJECT TO A 1.5% SERVICE CHARGE CUSTi&Mt� -TO PAY ALL LEGAL FEES OF COURT <br />OLLECT THIS INVOICE. <br />lar that Generators shipment of used oil may be transported to a facility that is required to comply with federal regulations <br />hat is not required to comply with the more stringent requirements applicable to hazardous waste management facilities. <br />le a request for EPA# from DTSC. California facilities that handle or process used oil are required to meet those more <br />3tefacilities that pror..ess used oil & also meet those requirements, engineering certificabons of tank integrity, and financial <br />yes. It is lax4ul to send used oil to cut -0f -state facilities that comply only with federal used oil management standards and <br />signing the invoice the generator certifies that the generator has established a program to reduce the volume or quantity <br />egree, as determined by generator, to be economically practicable. By both parties signing this invoice it will serve as an <br />rfions for (certain waste streams) to the generator thattheirwaste has been transported to a licenced treatment or transfer <br />a F-nv+ronmentat serviCeS <br />I E. 13th Street, <br />a, AZ 85365 <br />928-642-8938 <br />;925-344-8528 <br />ID : AZao0O516024 <br />❑ Global Material klanagement NAME — <br />ADDRESS. <br />CITY <br />STATE, ZIP <br />PHONE — <br />EPA ID- - <br />