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lY 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 Company Name Bill To : Address Name City, State, Zip Address Site Phone City, State, Zip Date Customer PO Interval Net 30/C.O.D./Cash/Check Drivers Truck/Name PRODUCT Codee CA Manifest# Quantity Units Price Amount Non-RCRA Hazardous Waste Liquid(Used Oil) 221 Gal 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 i' (, - Dmm(S) , Non-RCRA Hazardous Waste Solids Contaminated with Used Oil Drum(s) Drained Used Oil Filter Drum(s) Dmms(s) Empty Drum(s) Each Transportation&Truck Time&Washout HR. Hazardous_Testing RCRA Hazardous Waste-Solid/Liquid We pay❑ Customer Pays❑ Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Temis:Accounts due on the 111th 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 18%. - 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 any PCB's.I further agree to accept the additional charges for legal disposal If this,waste is over 1000 PPM,total halides,or contains any PCB's GENERATOR or ' AUTHORIZED:. DRIVER SIGNATURE: TERMS:INVOICE OVER 30 DAYS ARE'SUBJECT TO A 1.5%SERVICE CHARGE CUSTOMER AGREED TO PAYALL LEGAL FEES OF COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. Kern 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 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 both parties signing this Invoice itwill serve as an agreement that Kern Oil will submit confirmations for(certain waste streams)to the generator that theirwaste has been transported to a licenced treatment or transfer facility. ❑ California Oil Transfer ❑ Heritage-Crystal Clean LLC ❑SUS Ecology ❑ NAME^^^ 5300 Claus Rd,Bldg 11 1620 E Brundage Ln Hwy 95 11 mi S of Beatty - - Modesto,CA 95357 Bakersfield,CA 93307 Beatty,NV 89003 Kern Oil Filter Recycling Ph:209-863-8181 Ph:661-322-8258 Ph:775553-2203 2355 Road 192 Fax:209-863-8171 EPA#CAL000282598 EPA#NVT330010000 Delano,CA 93215 EPA#CAL000190816 (661)721-8739 CAL000327867