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Job11 Site : 2355 RD . 192 DELANO , CA 93215 <br /> GENERATOR ; Ph . : (209 ) 863-08881 FAX (661 ) 725-0654 <br /> Site EPA ID# ;' j / ' ; ID# 46-0727047 / CAL000367042 <br /> Contact Person LIC, AND INSURED TRANSPORTER # 3468 <br /> Com an Name Invoice No . M ; <br /> p y 0 Vr i . , Bill To <br /> Address , , C ; ; Name <br /> City, State , Zip , i Address <br /> Site Phone City, State , Zip <br /> Date Customer PO Interval Net 30/C . O . D ./Cash/Check Drivers Truck/Name <br /> f 1f <br /> i <br /> PRODUCT Codee CA Manifest # Quantity Units Price Amount <br /> Non-RCRA Hazardous Waste Liquid (Used Oil) 221 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 <br /> Drum(s) <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil Drums) <br /> . <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%a per month, which is the7�ToW!VANNUAL 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 doe's ncf contain <br /> any PCB 's. I further agree to accept-the additional charges for legal disposal If this, waste is over 1000OPM , tot I halides , or contains any PCB's <br /> GENERATOR or <br /> AUTHORIZED DRIVER SIGNATURE : <br /> TERMS : INVOICE ; OVER 30 DAYS ARE SUBJECT TO A 1 .5% SERVICE CHARGE CUSTOMER AGR' ED TO PAY ALL LEGAL` FEES OF COURT <br /> ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE , <br /> Kern Oil hereby advises the above Generator that Generators shipment of used oil maybe 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 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 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 Oil will submit confirmations for (certain waste streams) to the generatorthat their waste has been transported to a licenced treatment ortransfer <br /> facility. <br /> California Oil Transfer Flo BTI EJ NAME <br /> 5300 Claus Rd , Bldg 11 1620 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# CAL000190816 <br /> EPA ID <br />