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r <br /> � 1 � <br /> Job Site : 2355 RD. 192 DELANO, CA 93215 <br /> GENERATOR Ph.: (209) 863-0888, FAX (661) 725-0654 <br /> D# 46-0727047 / CAL000367042 <br /> Site EPA ID# C- A LIC.AND INSURED TRANSPORTER#3468 <br /> Contact Person Invoice No. I�A <br /> Company Nameh'' I Bill To : M <br /> Address ` Name <br /> City, State, Zip Address <br /> Site Phone City, State, Zip <br /> Date Customer PO Interval Net 30/C.O.D./Cash/Check Drivers Truck/Name <br /> PRODUCT waste CA Manifest# Quantity Units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used Oil) 221 / % f Gal <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 Drum(s) <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil Drums) <br /> Drained Used Oil Filter Drum(s) Drums(s) <br /> Empty Drum(s) Each <br /> Transportation&Truck Time&Washout HR. <br /> Hazardous Testing <br /> We pay ❑ Customer Pays <br /> Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Terms:Accounts due on the 10th of the month following <br /> month of purchase.Past due accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1.5%per month,which is the Total - <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 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 c�(, r DRIVER SIGNATURE: r <br /> 1 <br /> AUTHORIZED r tio <br /> TERMS : INVOICE OVER.30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE CUSTOMER AGREED TO PAY ALL LEGAL FEES OF COURT <br /> ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. <br /> s the above Generator that Generators shipment of used oil may be transported to a facility that is required to comply with federal regulations <br /> Kern Oil here by advise <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 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 meet those requirements,engineering certifications of tank integritynt ,and financial <br /> ilities <br /> ndards and <br /> ent requirements le signing the invoice the generator certifies that the generator has established a program to reduce the volume or quantity <br /> assurances for closure an accidental releases.Itis lawful to send useene ator,to bd oil to e econoate cmicall thaacti ablleOBY b thwith f arties sderal s nan ilth s n voiceeit will serve as an <br /> not those more string <br /> Y P 9 <br /> and toxicity of the hazardous waste to the degree, r determine y g <br /> a regiment that Kern Oil will submit confirmations for(certain waste streams)to the generator that theirwaste has been transported to a licenced treatment or transfer <br /> g.. <br /> facility. ❑ ❑ NAME <br /> ❑ BTI ADDRESS <br /> California Oil Transfer 1620 E Brundage Ln CITY <br /> Bldg 11 Bakersfield,CA 93307 STATE,ZIP <br /> 5300 Modesto, <br /> ClausA 95357 CAL000282598 PHONE <br /> Modesto, ID <br /> Ph:209-863-8181 EPA <br /> -8171 <br /> Fax:2C <br /> EPA# AL000190816 <br />