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I W <br /> W <br /> Job Site : 2355 RD. 192 DELANO, CA 93215 <br /> GENERATOR Ph.: (209) 863-0888, FAX (661) 725-0654 <br /> ID# 46-0727047 / CAL000367042 <br /> Site EPA ID# LIC.AND INSURED TRANSPORTER#3468 <br /> Contact Person ^ ^ 2 2 1 1 0 <br /> Invoice No. IV' G <br /> Company Nam Bill To : <br /> Address 0 { Name <br /> City, State, Zip ESQg Address <br /> Site Phone — City, State, Zip <br /> DateCustomer PO Interval Net 30/C.O.D./Cash/Chec Dri ers Truck/Na <br /> 421?Ls-le�// - <br /> PRODUCT Waste CA Manifest# Quany tit Units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used Oil) 221 22 20 Gal �yS` " <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 Druln(s� <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil Drlm(s� <br /> Drained Used Oil Filter Drum(s) Drums(s) <br /> Empty Drum(s) Each <br /> Transportation&Truck Time&Washout HR. <br /> Hazardous Testing <br /> RCRA Hazardous Waste-Solid I Liquid <br /> We pay ❑ Customer Pay <br /> Unless otherwise specified on Ih' Consolida ed 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%per month,which is the Tota �S� <br /> ANNUAL PERCENTAGE RATE OF 18W <br /> 1-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 1 0 PO��M,to�'a halides,or contains any PCB's <br /> GENERATOR or <br /> AUTHORIZED : DRIVER SIGNATU RE: _ _ <br /> TERMS:IN6 E OVF AYS ARE SU ECT TO A 1.5%SERVICE CHARGE CUSTOM . .TO PA ALL LEGAL FEES OF CQT <br /> ACTION BE OMEad CESSARY TO COLLE THIS INVOICE. <br /> Kern Oil h ie.oya/dvises the above Ganeratorthat Ge s(ators shipment of used oil may be transported to a facility that is required to comply with federal regulations <br /> applicableto management of used oil.But that is not requlr dtocomply <br /> with the more string, <br /> nt requirements applicable to hazardous waste management facilities, <br /> Kern Oil Filter <br /> Recycling is authorized to file a req uest for <br /> EPA#from DTSC.California facilities that handle or process used oil are required to meet those more <br /> stringent Jequirements,and some out-of-state facilities that process used oil 8,also meet <br /> those requirements,engineering certifications of tank integrity,and financial <br /> assurances for closure an accidental releases.It is lawful to send used oil toout-or-state facilities that comply only with federal used oil management standards and <br /> not those more stringent requirements By signing the invoice the generator c..bres that the generator has established a program to reduce the volume or quantity <br /> and toxicityof 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 generator that their waste has been transported to a licenced treatment or transfer <br /> facility. <br /> California Oil Transfer F-1BTF-1 ❑ NAME <br /> � 00 Claus Rd,Bldg 11 1620 E Brundage Ln ADDRESS <br /> vlodesto,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 />