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Job Site : 2355 RD. 192 DELANO, CA 93215 GENERATOR Ph.: (209) 863-0888, FAX (661) 725-0654 Site EPA ID# ID# 46-0727047 / CAL000367042 LIC.AND INSURED TRANSPORTER#3468 Contact Person Invoice No. M b 7 7 Company Name y A� c BIII TO Address -2 -:) I C-�- � rum �f Name City, State, Zip L Suq I v Address Site Phone cq-S'{ I— Co City, State, Zip Date Customer PO Interval Net 30/C.O.D./Cash/CWTruck/NamemePRODUCT wasteCA Manifest# e AmountCode Non-RCRA Hazardous Waste Liquid(Used Oil) 221 bF9SNon-RCRA Hazardous Waste Liquid(Oil&Water) 223 Non-RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 133 Gal Non-RCRA Hazardous Waste Solids Contaminated Dmm�s) Non-RCRA Hazardous Waste Solids Contaminated with Used Oil Drum(s) Drained Used Oil Filter Drum(s) Drums(s) Empty Drum(s) Eadl Transportation&Truck Time&Washout HR. Hazardous Testing We pay ❑ Customer Pays Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Terms:Accounts due on the 10th of the month following month of purchase.Past due accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1.5%per nth, hich is the Tota cls ANNUAL PERCENTAGE RATE OF 18%. I hereby certify that I have not this a to with any other waste that the total halides are le s than 1 0 P ,and that the waste does not contain any PCB's. I furtheragree to c t t dd ional c arges for legal disposal If this,waste is ov r 1000 P M, o I halides,or contains any PCB's GENERATOR or AUTHORIZED:- DRIVER SIGNATURE TERMS: INVOICE OVER 30SA ECTTO A 1.5%SERVICE CHARGE CUSTO ERA REED TO PAY ALL LEGAL FEES OF COURT ACTION BECOMES NECES O CT THIS INVOICE. Kern Oil hereby advises the above Generator that Generators shipmentof used oil maybe transport E) a facility that is required to comply with federal regulations applicable to management of used oil.But that is not required to comply with the more stringent requirements applicable to hazardous waste management facilities. Kern Oil Filter Recycling is authorized to fife a request for EPA#from DTSC.California facilities that handle or process used oil are required to meet those more stringent requirements,and some out-of-state facilities that process used oil&also meet those requirements,engineering certifications of tank integrity,and financial 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 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 and toxicity of the hazardous waste to the degree,as determined by generator,to be economically practicable.By bath parties signing this invoice:twill serve as an agreement that Kern Oil will submit confirmations for(certain waste streams)to the generator that their waste has been transported to a licenced treatment ortransfer facility. California Oil Transfer F-1 BTI ❑ NAME _ 5300 Claus Rd,Bldg 11 1620 E Brundage Ln ADDRESS Modesto,CA 95357 Bakersfield,CA 93307 CITY Ph:209-863-8181 CAL000282598 STATE,ZIP Fax:209-863-8171 PHONE EPA#CAL000190816 EPA ID