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Job Site : 2355 RD. 192 DELANO, CA 93215 GENERATOR Ph.; (209) 863-0888, FAX (661) 725-0654 Site EPA tD# iD# 46-07270471 CAL000367042 LIC,AND INSURE}TRANSPORTER#3468 Contact Person M 1 3 9 � Invoice No, Company Name K(<t Y- ,.�,n a /— BIII TO Address stjLo Name City, State, Zip 1,' Address Site Phone Gat- -412- 7 City, State,Zip Date Customer PO Interval Net 301C.0.D.ICash/Check I Drivers Trujjck/Name PRODUCT waste CA Manifest# Quantity Units Price Amount Cade Non-RCRA Hazardous Waste Liquid(Used Oil) 221 d �j`- J`j Gal �S Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gal Non-RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 133 Gal Non-RCRA Hazardous Waste Solids Contaminated Drys) Non-RCRA Hazardous Waste Solids Contaminated with Used Oil Dl>ls) Drained Used Oil Filter Drum(s) Dum(s) Empty Drum(s) Each Transportation&Truck Time&Washout HR. Hazardous Testing We pay ❑ Customer Pays [� Unless otherwise specked on this Consolidated Manifest Receipt(Invoice)Terms:Accounts due on the 10th of the month following month of purchase.Past due accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1.5%per month,which is the Tota 915 ANNUAL PERCENTAGE RATE OF 18%. I hereby certify that a not mixed this waste with any other waste that the total halides are ss t an 10 PPM,and that the waste does not contain any PCB's. I furth ag a to acc a additional charges for legal disposal If this,waste is ver 00 P total halides,or contains any PCB's GENERATOR AUTHORIZE DRIVER SIGNATURE TERMS:INV VER 30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE Cl! O RAGREED TO PAY ALL LEGAL FEES OF COURT kCTION BE ES NECESSARY TO COLLECT THIS INVOICE. Kern Oil here by advises the above Generator that Generators shipment of used oil maybe trap rted to a facility that is required to comply with federal regulations applicable to management of used oil.But that is not required to comply with the more stringent requirements applicable to hazardous waste management facilities. Kern Oil 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 stringent requirements,and some out-of-state facilities that process used oil&also meet those requirements,engineering certifications of tank integrity,and financial 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 :ot those more stringent requirements By signing the invoice the generator certifies that the generator has established a program to reduce the volume or quantity ind 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 agreement that Kern Oil will submit confirmations for(certain waste streams)to the generatorthat their waste has been transported to a licenced treatment or transfer acility. u Ue�Gil Transfer ❑ Yuma Environmental Services ❑ Global Material Management ❑ NAME 5300 Claus Rd, Bldg 11 2730 E.13th Street, ADDRESS Riverbank,CA 95387 Yuma,AZ 85355 CITY Ph:209-8630888 Ph.:928-642-8938 STATE,Z1P Fax:209-863-0887 Fax:928-344-9828 PHONE EPA#CAL000190816 EPA ID:AZROOD515924 EPA in .__..