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� En <br /> CD N <br /> (.71(D n N O <br /> CD <br /> 3 cn <br /> n• O <br /> 77, O r _ <br /> M -' N <br /> = _ <br /> (Diel (O <br /> C U) <br /> O <br /> C/) ~ 0 <br /> t C O <br /> n <br /> Jib Site 2355 RD. 192 DELANO, CA 93215 CD (" <br /> GENERATOR - <br /> Ph.: (209) 863-0888, FAX (661) 725-0654 C <br /> CL <br /> Site EPA ID# ID#46-0727047 1 CAL000367042 <br /> LIC.AND INSURED TRANSPORTER#3468 <br /> Contact Person invoice No. M <br /> UQ <br /> Company Name Bill To : ?y <br /> Address Name <br /> City, State,Zip Address <br /> Site Phone City, State,Zip <br /> Date Customer PO Interval Net 301C.O.D.ICashlCheck Drivers TrucklName CD <br /> l_. <br /> PRODUCT Waste CA Manifest# Quantity Units Price Amount <br /> Code Gal <br /> Non-RC RA Hazardous Waste Liquid(Used Oil 221 % <br /> q � Gat � <br /> � <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gat <br /> z <br /> Non-RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 133 pNm(s) <br /> Non-RCRA Hazardous Waste Solids Contaminated CD <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil <br /> Drained Used Oil Filter Drum(s) Each <br /> Empty Drum(s) XR. cn <br /> o <br /> �CD <br /> Transportation&Truck Time&Washout a. <br /> 0 <br /> Hazardous Testing <br /> 0 <br /> We pay ❑ Customer Pays❑ Total/ <br /> Unless othe wise specified on this Consolidated Manifest Receipt(Invoice}Terms:Accounts due on the 10th of the month following ' �7 <br /> month of purchase.Past due accounts will be charged a FINANCE CHARGE at the PEMMC RATE of 1.5%per month,which is the /{ <br /> ANNUAL PERCENTAGE RATE QF 18"�°- pi <br /> tional charges for legs!disposal If this,waste is over 1000 PPM,total halides,or contains any PCB's p <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 oes C <br /> any PCB's.I further agree to accept the <br /> i <br /> GENERATOR or i DRIVER SIGNATURE <br /> AUTHORIZED: - � AR�3UgJECT TO A 1.5%SERVICE CHARGE CUSTOMER AGREED TO PAY ALL LEGAL FEES OF COI, <br /> TERMS: INVOICE OV R30 p with -0 ;l <br /> ACTION BE NECESSARY TO COLLECT THIS INVOICE. that iso m <br /> be transported to a faciiit 1 cable to required <br /> waste manageme � <br /> with the more stringent requirements app <br /> applicable ern Oiero maadvises the albove Generator nagement of used oil.But that'sanoteequaired to ciomply nt of used al may <br /> requirements,engineering certifications of tank integrity,a Q <br /> 4 only with federal used oft management stt <br /> ate facilities that process used oil&also m[ateifacilities that comp y Y reduce the volum <br /> Kern Oil Filter Recycling is authorized t sfle a request for EPA#from DISC.Calf Srnia facilities that handle of process used oil are require o mea <br /> Ker <br /> stringent requirements,and some al re it <br /> generator,to be economically practicable.By both parties signing this invoice it will = -U <br /> assurances for closure an accidental releases.It is lawful to send used oft to out-of-state <br /> not those more stringent requirements By signing the invoice the generator certifies thatono generator has le sbs e a prog <br /> ZJ <br /> � and toxicity of the hazardous waste to the degree,as determined by 9 0 <br /> to the <br /> treame <br /> (Sl <br /> cQ agreement that Kern Oil will submit confirmations for(certain waste streams NAME v <br /> N facility. CO <br /> ADDRESS <br /> o ❑ BTI <br /> 0 p California Oil Transfer 1620 E Brundage CITY <br /> 5300 Claus Rd, Bldg 11 Bakersfield,CA 9333 07 STATE,Z;P�- <br /> 8Modesto,CA 95357 PHONE <br /> __ .,,,., .,na CAL00028259ice In 1 <br />