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JlJ <br /> Job Site : 2355 RD. 192 DELANO, CA 93215 <br /> GENERATOR Ph.: (209) 863-0888, FAX (651) 725-0654 <br /> Site EPA ID# ID# 46-07270471 CAL000367042 <br /> LIG.AND INSURED TRANSPORTER#3465 <br /> Contact Person <br /> Company Name ;,.�- Bill To : <br /> I°Vol°� No. M <br /> Address . .f= o , r,.- Name <br /> City, State, Zip Address <br /> Site Phone City, State, Zip <br /> Date ¢� Customer PO Interval Net 301C.O.DJCashlCheck Drivers Truck/Nalne <br /> PRODUCT Waste CA Manifest# Quantity Units Price ` Amount <br /> Code <br /> Non-RW Hazardous Waste Liquid(Used Oil) 221 Gal ; m <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gal <br /> Non-RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 133 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated Drurn(5) <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil Drum(s) <br /> Drained Used Oil Filter Drum(s) Diilms(s) <br /> Ernp# Drum(s) W <br /> Transportation&Truck Time&Washout HR. <br /> Hazardous Testing <br /> We pay❑ Customer Pays❑ <br /> Unless otherwise specified on[his Cphsolidated Manifest Receipt(Invoice)Terms:Accounts due on the 10th of Me month following <br /> month of purchase.Past due accounts will be charged a FINANCE CHARGF at the PERIODIC RATE of 1-5%per month,which is the T°tal,, <br /> ANNUAL PERCENTAGE RATE OF 18% A �: <br /> 1 hereby certify that I have not 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 to accept the additional charges for legal disposal If this,waste is over 1000 PPM,total halides,or contains any PCB's <br /> GENERATOR.�J <br /> AUTHORIZEDRIVER SIGNATURE: <br /> TERMS: INVOICE OVER 30 DAYS ARE SUBJECT TO A 1-5%SERVICE CHARGE CUSTOMERAGREED TO PAY ALL LEGAL FEES OF COURT <br /> ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. <br /> Kern Oil here by advises the above Generator that Generators shipment of used ail 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 management facilities. <br /> Kern Oil Filter Recycling is authorized to file a request for EPA#from OTSC.California facilities that handle or process used oil are required to meet those more <br /> stringent requirements,and some out-of-state facilities that process used ail&also meetthose requirements,engineering certifications eftank 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 parties signing this invoice Itwill serve as an <br /> agreement that Kern Dd will submit confirmations for(certain waste streams)to the generator that theirwaste has been transported to a licenced treatment or transfer <br /> facility. <br /> ❑ California Oil Transfer ❑ BTI ❑ ❑ NAME <br /> 5300 Claus Rd,Bldg 11 1520 E Brundage Ln ADDRESS <br /> Modesto,CA 95357 Bakersfield,CA 93307 CITY <br /> Ph:209-863-8181 CAL000282598 STATE,ZIP <br /> Fax:209-863-8171 PHONE <br /> EPA#CALo00190B16 EPA ID <br />