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C_ <br /> N Oo O <br /> fn 0 O <br /> ! O W O <br /> (7 Np <br /> T) <br /> 7 CD <br /> O <br /> N <br /> m � <br /> _ o <br /> C/) ,lob Site : 2355 RD. 192 DELANO,CA 93215 � <br /> GENERATOR Ph.:(209)863-0888, FAX(661)725-0654 - 0 <br /> Site EPA ID# 146-0727047 1 CAL000367042 <br /> Contact Person LIC.AND INSURED TRANSPORTER#3466 <br /> Company Name Invoice No. M rip <br /> p Y �- Bill To : ` '� � <br /> Address �t <br /> City,Slate,Zip xi Address <br /> Site Phone <br /> City,State.Zip r-y <br /> CD <br /> Date Customer PO Interval Nei 301C.O.D.lCash)Check Drivers Truckil <br /> U <br /> PRODUCT Code CA Manifest# Quantity Units Price Amount O <br /> Non-RCRA Hazardous Waste Liquid(Used Oil) 221 Gal N <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gal O <br /> Non-RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 133 Gal <br /> Non-RCRA Hazardous Waste Solids Conlamirlatad flNm(s} p <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 3Nm{s} <br /> N <br /> Drained Used Oil Filter Drum(s) )nms{s) <br /> Empty Drum(s) Fath <br /> Transportation&Truck Time&Washout liR <br /> Hazardous Testing <br /> cD <br /> We pay❑ Customer Pays <br /> Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Terms:Accounls due on the 10th of the month following <br /> month of purchase.Past due accounts wiii be charged a FINANCE CHARGE al the PERIODIC RATE of 1.5%per month.which is the Otat -7 <br /> ANNUAL PERCENTAGE RATE OF 18%. <br /> I hereby certify that)have not mixed this waste with any other waste that the total halides are less than 1000 PPM,and that the was does notCD <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 an It <br /> N <br /> GENERATOR or O <br /> AUTHORIZED: DRIVER SIGNATURE: <br /> TERMS:IN VOICE OVER 30 DAYS ARE SUBJECT TOA 1.6 SERVICE CHARGE CUSTOMER AGREED TO PAY ALL LEGAL FEES OF COURT O <br /> ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE_ <br /> Kam 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 /> appbcabfe to management of used oil.But that is not required to comply with the more stringent requirements applicable to hazardous waste management facilities. N <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 P- <br /> stringent requirements,and some out-of-state facilities that process used oil&also meetthose requirements,engineering certifications of tank integrity,and f ranciat <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 in reduce the volume or quantity NO <br /> and toxicity of the hazardous waste to the degree,as determined by generator,to be economically practicable.By both patties signing this invoice it will serve as an <br /> agreement that Kern Oil will submit confirmations for(certain waste streams)to the generator that their waste has been transported to a licenced treatmentor transfer <br /> facility, <br /> El <br /> NAME <br /> California Oil Transfer ❑ BTI ADDRESS <br /> u 5300 Claus Rd,Bldg 11 1620 E Brundage Ln <br /> Modesto,CA 95357 Bakersfield,CA 93307 CITY <br /> Ph:209-863-8181 CAL000282598 STATE,ZIP - CD <br /> Fax:209-863-8171 PHONE tQ 0 <br /> EPA#CAL000190816 EPA!D Q <br /> 2 � <br /> O <br /> CJi <br /> N � <br /> CD cfl <br /> N <br /> O <br /> N <br />