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RECEIVED AY 13 M2 aili _EN ttt Job Site : DEgORS T92 DELANO , CA 93215 GENERATOR Ph . : ( 209 ) 863 - 08881 FAX ( 661 ) 725 - 0654 Site EPA ID# 7 r ID # 46 - 0727047 1 CAL000367042 Contact Person LIC . AND INSURED TRANSPORTER 0 3168 r4 ` Invoice No . M 2 rj 5 4 6 Company Name 'S 7 .1 Bill To : Address 7 y 2j 04� Coe 1C Name City, State , Zip T - Address Site Phone � _ U City, State , Zip Date Customer PO Interval Net 30/C . O . D . /Cash/Check Drivels Tri..lck/Name PRODUCT wC dee CA Manifest # Quantity Units Price Amount Non -RCRA Hazardous Waste Liquid (Used Oil) X21 Gai Non•RCRA Hazardous Waste Liquid (Oil & Water) 223 Gal Non-RCRA Hazardous Waste Liquid ( Used Automotive Antifreeze) 133 . Gal Non-RCRA Hazardous Waste Solids Contaminated DIul1(s) Non•RCRA Hazardous Waste Solids Contaminated with Used Oils) yrs 35 o06129 ? LS Z Drained Used Oil Filter Drum (s) r Onins(s) Empty Drum (s) Each Transportation & Truck Time & Washout IIR Hazardous Testing RCRA Hazardous Waste - Solid 1 Liquid We pay ❑ Customer Pays Unless other Also specified on this C6nsolidated Manifest Receipt (Invoice) Terms : Accounts due on the 10th of the month following Total month of purchase . Past due accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1 .5% per month, which Is the ANNUAL PERCENTAGE RATE OF 185'x . ••� �� 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 ntain al charges f legal disposal If this, waste is:overany PCB's . I further agree. to accept t e additio ` 1000 PPM; tal halide or contains any P GENERATOR or �� AUTHORIZED : - DRIVER SIGNATURE : TERMS : INVOICE OVER 30 DAYS ARE SUBJECT TO A 1 .5% SERVICE CHARGE CUSTOMER AGREED TO PAY ALL LEGAL FEES OF COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. Kem 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 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 file 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 meetthose requirements, engineering certifications of tank integrity, and financial assurances for closure an accidental releases . It is lawful to send used oil to out-of-stale 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 both parties signing this invoice it will serve as an agreement that Kern oil will submit confirmations for (certain waste streams) to the generatorthat their waste has been transported to a licenced treatment or transfer facility. ❑ California Oil Transfer 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