Laserfiche WebLink
George W. Lowry, Inc. <br />Environmental Services Division <br />GENERATOR: ry �gy <br />SMO EPA ID #: <br />Contact Person: <br />tZ <br />Name: <br />City, State, zip: C'e')l I - <br />Site Phone: <br />Mailing: P.O. Box 176, Salida, CA��- <br />4612 Kiernan Court, Salida, CA 95368 ,SEP 1 4 2016 <br />Phone: 209545-0791 FAX 299-545-224 <br />EPA # CAR000W7019 n <br />CA Transporter Number 3844 <br />CA License 111758518 <br />Consolidated Manifest Invoice: 25718 <br />Shipment Date: <br />Driver Signature (Printed): <br />Truck # ) <br />PO # 1 <br />By signing this receipt, the Generator certifies that a program has been established to reduce the volume or quantity and toxicity of the hazardous waste to a degree as <br />determined by the generator, to be economically practicable. <br />Generator certifies that all Hazardous Waste listed on this Consolidated Manifest Receipt is profiled to meet the Waste Codes as listed above. <br />Note: George W. Lowry, Inc. hereby advises the Generator that X 's (Generator's signature) <br />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 <br />not required to comply with the more stringent requirements applicable to hazardous waste management facilities. Cafdomia facilities that handle or <br />process used oil are required to meet those more stringent requirements, and some out-o"tate facilities that process used oil also meet those require- <br />ments These include more stringent leak detection and prevention requirements, engineering certifications of tank integrity, and financial assurances <br />for closure and accidental releases. It is lawful to send used oil to out of state faa'litieethat-campy only with the Federal used oil management stan- <br />dards and not these more stringent requirements. - �, --"7--- <br />This <br />_,_:._ <br />This notification is for information only. Lowry Driver Signature—X <br />Signature of Generator, Representative or Agent of Generator: <br />Product <br />waste <br />Code <br />CA Manifest #0 <br />Quantity <br />Units <br />Price <br />Amount <br />-Non-RCRA Hazardous Waste Liquid (Used 011) :Lubricating <br />221 <br />�'? - w. ,' C <br />Recycling <br />Y 9 <br />Gal <br />& Disposal 1®' <br />Facilities <br />Non-RCRA Hazardous Waste Liquid (Used Oil) : Industrial <br />221 <br />Claus Road <br />Gal <br />209-863-8181 <br />Non RCRA Hazardous Waste Liquid (Used Automotive Antifreeze) <br />134 <br />Gat <br />Non-RCRA Hazardous Waste Liquid (Oil 8 Water) <br />223 <br />Gm <br />Non-RCRA Hazardous Waste Solids Contaminated with Used Oil <br />352 <br />Drano.) <br />• <br />-Drained Used Oil Filter Drum(s) <br />onaryal <br />r j'� <br />f [+ <br />Empty Drum(s) <br />FxA <br />Transportation $ Truck Time <br />HR <br />Hazardous Test <br />Unlasa otherwise specified on this Consdal ted Manifest Receipt (Invoice) Terms: A,,,ums due on the loth of the month following month of purchase. Past tlue <br />accounts will be Merged a FINANCE CHARGE at Me PERIODIC RATE of 1-12% per month, whkh is the ANNUAL PERCENTAGE RATE of 18W <br />Total <br />+ <br />By signing this receipt, the Generator certifies that a program has been established to reduce the volume or quantity and toxicity of the hazardous waste to a degree as <br />determined by the generator, to be economically practicable. <br />Generator certifies that all Hazardous Waste listed on this Consolidated Manifest Receipt is profiled to meet the Waste Codes as listed above. <br />Note: George W. Lowry, Inc. hereby advises the Generator that X 's (Generator's signature) <br />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 <br />not required to comply with the more stringent requirements applicable to hazardous waste management facilities. Cafdomia facilities that handle or <br />process used oil are required to meet those more stringent requirements, and some out-o"tate facilities that process used oil also meet those require- <br />ments These include more stringent leak detection and prevention requirements, engineering certifications of tank integrity, and financial assurances <br />for closure and accidental releases. It is lawful to send used oil to out of state faa'litieethat-campy only with the Federal used oil management stan- <br />dards and not these more stringent requirements. - �, --"7--- <br />This <br />_,_:._ <br />This notification is for information only. Lowry Driver Signature—X <br />Signature of Generator, Representative or Agent of Generator: <br />Global Material Management <br />7244 Varna Ave. <br />Hollywood, CA 91605 <br />818.900-8476 <br />CAL000384844 <br />�os Environmental <br />1515 S. River Road <br />West Sacramento, CA 95691 <br />91"715747 <br />CAD0040036W <br />Name: <br />Address: <br />City, State, zip: <br />Phone: <br />EPA 10: <br />REV 12-14 <br />0 <br />Bakersfield Transfer <br />1620 E. Brundage Lane <br />Bakersfield, CA 93307 <br />661J22-8258 <br />C1AL000282598 <br />Recycling <br />Y 9 <br />& Disposal 1®' <br />Facilities <br />Riverbank Oil Transfer 5300 <br />Claus Road <br />Riverbank, CA 96367 <br />209-863-8181 <br />CAL0000190817 <br />Global Material Management <br />7244 Varna Ave. <br />Hollywood, CA 91605 <br />818.900-8476 <br />CAL000384844 <br />�os Environmental <br />1515 S. River Road <br />West Sacramento, CA 95691 <br />91"715747 <br />CAD0040036W <br />Name: <br />Address: <br />City, State, zip: <br />Phone: <br />EPA 10: <br />REV 12-14 <br />