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YY <br /> Job Site : 2355 RD. 192 DELANO, CA 93215 <br /> GENERATOR Ph.-. (299) 863-0888, FAX (661) 725-0654 <br /> Site EPA 10#1`1111 ; ; �L t} c.I�k -L— ID# 46-0727047 1 CAL000367042 <br /> LIC.AND IN5L1RE1]TRANSPORTER#3468 <br /> Contact Person <br /> Invoice No. M <br /> Company Name •-: s Bili To : <br /> Address , r -1 Name <br /> City, State, Zip -, Address <br /> Site Phone City, State, Zip <br /> Date Customer PC Interval Net 30/C.O.D./Cash/Check Drivers Truck/Name <br /> � <br /> t <br /> PRODUCT Waste <br /> Code CA Manifest# Quantity Units Price Amount <br /> Non-RCRA Hazardous Waste Liquid(Used Oily 221 IEZ Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 - Gal <br /> Non-RC RA Hazardous Waste Liquid(Used Automotive Antifreeze) 133Gal <br /> r' <br /> Non-RCRA Hazardous Waste Solids Contaminated t]Itlm(s) <br /> Nan-RCRA Hazardous Waste Solids Contaminated with Used Oil Drum(s) , <br /> Drained Used Oil Filter Dram(s) <br /> Emp# Drum(s) Each <br /> Transportation&Truck Time&Washout HR <br /> Hazardous Testing <br /> We pay❑ Customer Pays 0 <br /> Unless otherwise specified on this Consolidated Manifest Receipt(Invoice]Terms:Accounts due on the 117th of the month following <br /> month of purchase.Past due accounts will he charged a FINANCE CHARGE at the PERIODIC RATE of 1.5%per month,which is the Total. <br /> ANNUAL PERCENTAGE RATE OF 18%. 1 <br /> i <br /> I hereby certify that I have not mixed this waste with any other waste that the total halides are less than 1000 P M,and that the waste doe not contain <br /> any PCB's.I further agree to accept the additional charges for legal disposal If this,waste is over1¢00 PP ,tobil halides,or contains any PCB's <br /> GENERATOR or , <br /> AUTHORIZED: t <br /> `yl7RIVER SIGNATURE: � <br /> TERMS: INVOICE OVER 30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE CUSTOM R AGREED TO PAY ALL LEGAL FEES OF COURT <br /> ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. <br /> Kern Oil here by advises the above Generatorthat Generators shipment of used oil may be transported to a facility that is required to comply with federal regulations <br /> applicable to management of used oil.But that is not required to comply with the more stringent requirements applicable to hazardous waste rnanagementfaciiities. <br /> Kern Oil f=ilter Recycling is authorized to file a 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-state facilitiesthat process used oil&also meet those requirements,engineering certifications of tank integrity,and financial <br /> assurances for closure an accidental releases.It is lawful to 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 signing 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 degree,as determined by generator,to be economically practicable.By both garties signing this invoice it will serve as an <br /> agreementthat Kern Oil will submit confirmations for(certain waste streams)to the generatorthat their waste has been transported to a licenced treatment ortransfer <br /> facility. <br /> i <br /> ❑ California Oil Transfer ❑ BTI ❑ ® NAME=o <br /> 5300 Claus Rd,Bldg 11 1620 E Brundage Ln ADDRESS i <br /> Modesto,CA 95357 Bakersfield,CA 93307 CITY 3; <br /> Ph:209-863-8181 CAL000282598 STATE,ZIP <br /> Fax:209-863-8171 <br /> EPA#CAL000190816 PHONE__ <br /> EPA ID /f r I "r 4 rI•a I <br /> I <br />