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2494 E. Fremont St, Stockton, Ca 95205 <br /> 05/25/2021 Program: HW <br /> PHOTO 1: <br /> Fuel contaminated water incorrectly documented as "oil &water" and is ineligible to consolidate manifesting procedures <br /> . . <br /> i Job Site <br /> GENERATOR 2355 RD.192 DELANO,CA 93215 <br /> Ph.:(209)863-0888,FAX(661)725-0654 <br /> Site EPA ID# ID#46-0727047/CAL000367042 <br /> Contact Person LIC.AND INSURED TRANSPORTER#3468 <br /> Company Name ) Bill To: Invoice No. M `. <br /> Address 7 <br /> Name <br /> City,State,Zip <br /> Address <br /> Site Phone ` — 2J City,State,Zip <br /> Date Customer PO Interval Net 30/C.O.D./Cash/Check Drivers Truck/Name <br /> PRODUCT waste <br /> Code CAManifest# Quantity Units Price Amount <br /> Non-RCRA Hazardous Waste Liquid(Used Oil) 221 Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 yS - /S Gal /L S <br /> i <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 Dmm(s) <br /> Drained Used Gil Filter Drum(s) Dmms(s) <br /> Empty Drum(s) ��' E6 <br /> Transportation&Truck Time&Washout HR. <br /> Hazardous TestingZZ <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 Total ��S- = <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 <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 cqq 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 AGREED TO PAY ALL LEGAL FEES OF COURT <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 facilitythat <br /> i tohazado compllwasf with <br /> federal <br /> eme tgulations <br /> applicable to management of used oil.But that is not required to comply with the more stringent requirements app <br /> Kem 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 finds and <br /> ancial <br /> nassurances ot those more csltringent requi emenits By signintis lawful to g the invoice che generatnd used oil or certifies that thelities that generatoh aslestablished awith deral prog prooil gram eement standar <br /> duce9he 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 1 <br /> certain waste streams)to the generatorthat theirwaste has been transported to a licenced treatment ortransfer <br /> agreement that Kern Oil will submit confirmations for( <br /> facility. <br /> ❑ �NAME <br /> '�A Calff.mla Oil Transfer ❑ BTI ADDRESS <br /> — <br /> K.( Bld 11 1620 E Brundage Ln CITY <br /> 5300 Claus Rd, 9 Bakersfield,CA 93307 <br /> Modesto,CA 95357 STATE,ZIP <br /> Ph:209-88 <br /> 3-8181 CAL000282598 PHONE <br /> Fax:209-863-8171 EPAID <br /> EPA#CAL000190816 <br /> VICKY VANG-LEE, EHS Page 1 of 1 <br />