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J/J/lf <br /> Job Site : 2355 RD. 192 DELANO, CA 93215 <br /> GENERATOR Ph.: (209) 863-0888, FAX (661) 725-0654 <br /> 1 , ID# 46-07270471 CAL000367042 <br /> Site EPA ID# <br /> ) S� �� f` LIC.AND INSURED TRANSPORTER#3468 <br /> Contact Person Biu To Invoice No. Wil <br /> Company Name / !rr I,r = 1 . <br /> . <br /> : <br /> Address Name <br /> City, State, Zip c_ Address <br /> Site Phone City, State, Zip <br /> Date _ , Customer PO Interval Net 301C.O.D.ICash/Check Drivers TrucklName <br /> PRODUCT Waste CA Manifest# Quantity Units Price Amount <br /> Code <br /> felon-RCRA Hazardous Waste Liquid(Used Oil) 221 Gal <br /> Nan-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gal <br /> Nan-RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 133 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated Ontm�s) <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil Orum�s` <br /> Drained Used Oil Filter Drum(s) l ' <br /> Empty Drum(s) Each <br /> Tran spa itation&Truck Time&Washout HR. <br /> Hazardous Testing <br /> We pay ❑ Customer Pays Q <br /> Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Terms Accounts due on the 10th of the month following r [�f <br /> month of purchase.Past due accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1.5%per montlr-which is the _) <br /> ANNUAL_PERCENTAGE RATE OF 18%- <br /> I hereby certify that i have not mixed this waste with any other waste that the total halides are less than 100,PPM,a that the wa re-does-raofroritain <br /> any PCB's.I further agree to accept the additional charges for legal disposal If this,waste is over 1000 7A/ <br /> tal h Ldes,or contains any PCB's <br /> GENERATOR or <br /> AUTHORIZED: DRIVER SIGNATURE, <br /> TERMS:INVOICE ER 30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE CUSTOMER GREED 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 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 management facilities. <br /> Kern ail Filter 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 facilities that process used oil&also meetthose 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 parties signing this invoice it will serve as an <br /> agreement that Kern ail will submit confirmations for(certain waste streams)to the generator that their waste has been transported to a licenced treatmentor transfer <br /> facility. <br /> ❑ California Oil Transfer ❑ BTI ❑ ❑ NAME <br /> 5300 Claus Rd,Bldg 11 1620 E Brundage Ln ADDRESS <br /> Modesto,CA 95357 Eakersfeld,CA 93 30 7 CITY <br /> Ph:209-863-8181 CAL000282598 STATE,ZIP <br /> Fax:209-863-8171 PHONE <br /> EPA#CAL000190816 EPAID q <br />