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Job Site : <br />cN1=F A71 OR <br />Si e EPA iD# <br />Contact Person <br />i Company Name <br />Address <br />City, State, Zip <br />Site Phone <br />Date C tomer PO Interval <br />Date T <br />PRODUCT Waste <br />Code <br />Non-RCRA Hazardous Waste Liquid (UsedOil) 221 <br />Non-RCRA Hazardous Waste Liquid (Oil & <br />Non-RCRA Hazardous Waste Liquid (Used <br />Non-RCRA Hazardous Waste Solids <br />Non-RCRA Hazardous Waste Solids <br />223 <br />Antifreeze) 1 133 <br />with Used Oil <br />Ph <br />5R4 � <br />EQYN;160"N�G� <br />D. 192 DELANO, CA 93215 <br />(209) 863-0888, FAX (661) 725-0654 <br />I D# 46-0727047 / CAL000367042 <br />LIC. AND INSURED TRANSPORTER # 3468 <br />Invoice No. M <br />Bili To: <br />Name <br />Address <br />City, State, Zip <br />Net 30/C.O.D./Cash/Check I Drivers Truck/Name <br />CA Manifest # Quantity Units Price Amount <br />Gal <br />Gal <br />Gal <br />Grumps; <br />Dnlm(s; <br />Drained Used Oil Filter Drum (s) Dnims(sl <br />Empty Drum (s) Eads <br />Transportation & Truck Time & Washout HR. <br />Hazardous Testing <br />We pay ❑ Customer Pays <br />Unless otherwise specified on this Consolidate J Manifest Receipt (Invoice) Terms : Accounts due on the 10th of the month following Total <br />month of purchase. Past due accounts will be arged a FINANCE CHARGF at the PERIODIC RATE of 1.5% per month, which is the <br />ANNUAL PERCENTAGE RATE OF 18%. <br />I hereby certify that I have not mixed this <br />any PCB's. I further agree to accept the <br />GENERATOR or <br />AUTHORIZED: <br />TERMS: INVOICE OVER 30 DAYS ARE <br />ACTION BECOMES NECESSARY TO C <br />Kern Oil here by advises the above Genera <br />applicable to management of used oil. But t <br />Kern Oil Filter Recycling is authorized to fi <br />stringent requirements, and some out-of-stE <br />assurances for closure an accidental relea� <br />not those more stringent requirements By s <br />and toxicity of the hazardous waste to the d <br />agreement that Kern Oil will submit confirmz <br />facility. <br />❑ Yuma Environmental Services ❑ Global Material Management <br />2730 E. 13th Street, <br />Yuma, AZ 85365 <br />Ph.: 28-642-8938 <br />Fax:928-344-9828 <br />tPA-AZR000515924 <br />❑ Riverbank Oil Transfer <br />5300 Claus Rd, Bldg 11 <br />Riverbank, CA 95387 <br />Ph:209-863-0888 <br />Fax 209-863-0887 <br />ENA# GAL00019Ud16 <br />with any other waste that the total halides are less than 1000 PPM, and that the waste does not contain <br />tat charges for legal disposal if this, waste is over 1000 PPM, total halides, or contains any PCB's <br />DRIVER SIGNATURE: <br />T TO A 1.5% SERVICE CHARGE CUSTOMER AGREED TO PAY ALL LEGAL FEES OF COURT <br />THIS INVOICE. <br />that Generators shipment of used oil may be transported to a facility that is required to comply with federal regulations <br />it is not required to comply with the more stringent requirements applicable to hazardous waste management facilities. <br />a request for EPA# from DTSC. Califomia facilities that handle or process used oil are required to meet those more <br />facilities that process used oil 8 also meet those requirements, engineering certifirations of tank integrity, and financial <br />>. It is lawful to send used oil to out-of-state facilities that comply only with federal used oil management standards and <br />ning the invoice the generator certifies that the generator has established a program to reduce the volume or quantity <br />Tree, as determined by generator, to be economically practicable. By both parties signing this invoice it will serve as an <br />ins for (certain waste streams) to the generator that their waste has been transported to a licenced treatment or transfer <br />❑ .SAME <br />ADDRESS.— <br />CITY <br />STATE, ZIP <br />PHONE <br />FPA in <br />