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•x^,,, y� <br />,L <br />.Job Site : <br />EPA# CAL000367042 <br />iURED TRANSPORTER# 3468 <br />' GENERT^'- <br />r <br />Cer;;a� =anon <br />-AZ <br />t(1A3 <br />i Cft:j State, Zip <br />—7 jo F <br />f. <br />Dao ustomer PO Interval <br />1. <br />PR ODUCTI Waste e <br />Code <br />`; :;-KRA Hazardous Wast( Liquid (Used Oil) 221 <br />Nei-RCRA Hazardous Wash Liquid (�i & Water) 223 <br />Nan-RCRA Hazardous Wast Liquid (U 'ed Automotive Antifreeze) 133 <br />Non-RCRA Hazardous Wast- Solids Co tamirlated <br />Nan-RCRA Hazardous Wast: Solids CoptarriNted with Used 07 <br />Drained Used Oil Fdter Drum (s) <br />Empty Drum (s) <br />Transportation & Truck Time ; Washout <br />Hazardous Testing <br />'Ne pay Customer I ays <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. M,t t <br />Name <br />Address <br />City, State, Zip <br />Net 30/C.O.D./Cash/Check Drivers Truck/Name <br />�f in 1 1 <br />CA Manifest # Quantity Units IPrice Amount <br />Gal <br />Gal <br />Gal <br />t osul(s} � <br />Dlw»s;s} <br />Each <br />Unless otherwise specified on this Gonwk ated Mamrest Receipt Qnvolee) Terms : Acmurds due on the 10th of the month following <br />month of purchase. Past due: rcounts vAl be charged a FINANCE CHARGE at the PERIODIC RATE of 1.5% per month which is the <br />Total <br />ANNUAL PERCENTAGE RAT = OF 18%. <br />-- I hereby certify that I have r of mixed this waste with any other waste that the total halides are less than -1000 PPM, and that the waste does not contain <br />any PCB's. I further agree fZ s accept the additional charges for legal disposal If this, waste is ove710PPM, total hatid�s, or con)6ns any PCB's <br />GENERATOR . )i. n ff - <br />AUTHORIZE DRIVER SIGNATURE : <br />TERMS. INVOICES OVEF 30 DAYS kk SUBJECT A 1.5% SERVICE CHARGE CUSTOMER EED TOIRAY ALL LEGAL FEES OF COURT <br />ACTION BECOMES NECE 35ARY TOI COLLECT THIS INVOICE, <br />Kern Oil here by advises tt a above Generator that Generators shipment of used o8 may be transported to a facility that is required to comply with federal <br />regulations applicable to rT anagement of used oil. But that is not required to comply with the more stringent requirements applicable to hazardous waste <br />management facilities. Ker 1 Oil Fitterecycling Is authorized to file a request for EPA# from DTSC_ Caffomia factTities that handle or process used all are <br />required to meet those me E siringen�requirements, and some out -of --state fadities that process used ori & also meet those requirements, engineering <br />certifications of tank integr ty, and financial assurances for closure an accidental raleases. It is fawful to send used oil to out-of-state facilities that comply <br />only withfademlusedoilminagementstandardsandnotthosemorestringentrequirementslaysigx ngtt* Invoice the generator cerftiiesthat the generator <br />has established a prograi i to reduce the volume or quantity and toxicity of the hazardous waste to the degree, as determined by generator, to be <br />economically practicable. I :y both parties signing this Invoice itw81 serve as an agreementthat Kern Oil will submit confirmations for (certain waste streams) <br />to the generator that their v. astehas been transported toalicenced treatmentortransferfacilriy. <br />Riverbank Oil Transfer ❑ NAME El NAME <br />5300 Claus Rd, Bldg 1' ADDRESS ADDRESS <br />Riverbank, CA 95387 CITY CITY <br />Ph:2M-863-0888 Fax: 209-863-0a87 STATE, Zip STATF, ZIP <br />EPA# QAL000190816 PHONE PHONE <br />EPA iD EPA ID _--_ <br />