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Mailing:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kiernan Court,Salida,CA 95368 <br /> Phone:209545-0791 FAX 209-545-2241 <br /> George W. Lowry, Inc. <br /> Environmental Services Division EPA#CAR000047019 <br /> CA Transporter Number 3844 <br /> CA License#758518 <br /> GENERATOR: / Consolidated Manifest Invoice: <br /> Site EPA ID#:ell L G 1 Shipment Date: q <br /> Contact Person: <br /> p Driver Signature(Printed): " <br /> Name:P ! <br /> Address: T t X': )) Truck# <br /> City,State,Zip: ` / &'fa sr{ • F PO# <br /> Site Phone: <br /> ProductWaste CA Manifest#0 Quantity units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 Gal <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Industrial 221 Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 352 ¢f <br /> Drained Used Oil Fitter Drum(s) Drurr(s) <br /> Empty Drum(s) Each <br /> Transportation&Truck Time <br /> Hazardous Test <br /> Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Temts: Accounts due on the 10th of the month following month of purchase_ Past due Total <br /> - <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-12%per month,which is the ANNUAL PERCENTAGE RATE of 18%. t <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 /> itlote: George W. Lowry, Inc. hereby advises the GenoteAcr that: `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. California facilities that handle or <br /> process used oil are required to meet those more stringent requirements,and some out-0f-state 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 faciti6e6Wtfii3t comply only with the,fe&iN used oil management stan- <br /> dards and not these more stringent requirements. , <br /> This notification is for information only. Lowry Driver Si�natgre X �"7 <br /> Signature of Generator, Representative or Agent of Generator: X <br /> 0 <br /> Bakersfield Transfer Global Material Management <br /> 1620 E.Brundage Lane 7244 Varna Ave. <br /> Bakersfield,CA 93307 Hollywood,CA 91605 Name: <br /> 661322-8258 818-900.8476 <br /> CAL000282598 CAL000384844 Address: <br /> Recycling <br /> Sr Disposal 1= City,state,Zip: <br /> FBCIIItIeS Riverbank Oil Transfer 5300 Ramos Environmental <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 ane: <br /> 209-863-8181 9163715747 <br /> CAL0000190817 CAD004003556 EPA ID: <br /> REV.12-14 <br />