Laserfiche WebLink
j <br /> 'll�f i <br /> rr h <br /> i <br /> 1 <br /> 6 <br /> i <br /> fLLI J <br /> Job Site : 2355 RD . 192 DELANO , CA 93215 1 <br /> GENERATOR Ph . : (209 ) 863-08881 FAX ( 661 ) 725-0654 <br /> ID# 46 -0727047 / CAL000367042 <br /> Site EPA ID# r LIC , AND INSURED TRANSPORTER # 3468 <br /> Contact Person Invoice No . M <br /> Company Name 1Bill TO . 7 <br /> J' <br /> AddressName <br /> -; i <br /> , r . <br /> City, State , Zip ». , -f . , ; j Address I <br /> Site Phone t : , ,, c City, State , Zip <br /> DateCustomer PO Interval Net 30/C . O . D ./Cash/Check Drivers Truck/Name <br /> i <br /> Waste <br /> PRODUCT Code 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 GalP RP 44 <br /> E <br /> Non-RCRA Hazardous Waste Liquid (Used Automotive Antifreeze) 133 Gal I <br /> Non-RCRA Hazardous Waste Solids Contaminated a ' ,' Drum(s) <br /> Non-RCRA.-HazardousWaste,Solids Contaminated -with-Used Oil Drum(s) t <br /> 1 <br /> s I <br /> 3 <br /> DN s <br /> Drained Used Oil Filter Drum (s) msO <br /> Empty Drum (s) i, Each 2 j <br /> Transportation &TruckTme-&-Washout- E - F �; : t t HR <br /> i <br /> HazardousNTesting <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 i <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 wil: any other waste that the total halides areaess,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 or <br /> AUTHORIZED : DRIVER SIGNATURE : <br /> TERMS : INVOICE OVER 30 DAYS ARE SUBJECT TO A 1 .5% SERVICE CHARGE CUSTOMER / GREED TO PAYALL LEGAL FEES OF COURT j <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 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 i <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 /> i <br /> agreement that Kern Oil will submit confirmations for (certain waste streams) to the generator that their waste has been transported to a licenced treatment or transfer <br /> facility. <br /> i <br /> ❑ California Oil Transfer ❑ BTIEJ r <br /> NAME <br /> j 5300 Claus Rd , Bldg 11 1620 E Brundage Ln ` .t t r ' - '"- ADDRESS .1 )t ` ' t � <br /> j Modesto, CA 95357 Bakersfield , CA 93307 r CIN <br /> Ph :209-863-8181 CAL000282598 STATE, ZIP. 1 i <br /> Fax: 209-863-8171 t r PHONE <br /> 5 ; <br /> i <br /> EPA# CAL000190816 �' . t '. . ` EPA 11) <br /> t <br /> w j <br />