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Malting:P.O.BOX 176,Salida,CA 953$8 <br /> t�U 4632lGemsn Court,Salida,CA 85366 <br /> Georgie W. Lowry, Inc. E Phors:209-a45-0791 FAX 200446-2Z41 <br /> Environmental Services Division .,., EPA#CARoaoa47049 <br /> CATransporter Number 3844 <br /> oShn <br /> se#158518 <br /> GENERATOR: Manifest Invoice: r <br /> Site EPA ID <br /> e: "";' 1±„f T <br /> Contact Person: <br /> Name; 1�� �r _{, r” ' ° r re(Printed): Ile �,it <br /> Address: . ,fi +,„ � i� 'city,&tate,Zip: � 0.4 <br /> � •y�� , <br /> Product Waste CA Manifest#0 Quantity Units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(used Oil)lubricating 221 : '� �: ,-�.:- '_�'�^� Gat <br /> a on RCRA Haraitious Waste Liquid(Used Oil):lndustriaf 22I r cat <br /> .° <br /> Non RM Hazardaus Wasle Liquid(Used Automotive Antif em) 134 Gar <br /> Nan-RCRA Hazardous Waste liquid(001 i£Water) 223 Get <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used 011 352 n+umlsl <br /> Drained Used 011 Fifter Drums) txumt:} <br /> Empty Drum(s) Each <br /> Transportation&Truck Time HR <br /> Hazardous Test <br /> Untess Wmwise wec&ed on tits Cansoiidpted Manitast Receipt(lnvok*)Team., Accounts due on the 40th orthe month fcllpyring month of pErd>asa- Pest due Teta . <br /> sccaxmts wtil be deruged a FINMCE CtMGE at the PERMIC RATE of 1-1!296 pormonth,which is the ANNUAL PERCENTAGE RATE qf 1a96, ” <br /> By signing this receipt,the Generator cedfies that a program has been established to reduce the volume orquanbly 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 Godes as listed above. <br /> Note: George W. Lowry, Inc. hereby advises the Generator that x_ 11LD. J6 IWO'S _`s(Generator's signature) <br /> shipment of used ail 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. Califomia facilities that handle or <br /> process used oil are required to meta those more stringent requirements,and some out-of-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 ofsfate faalities that empty only with the Federal used oil management stan- <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Lowry Driver Signature X - � s )�� <br /> `i <br /> Signature of Generator, Representative or Agent of Generator: X J. <br /> Bakersfield Transfer Yuma Environmental <br /> 1820 E.Brundage Lane 2730 E.13th <br /> Bakersfield,CA 93307 Yuma,AZ 85365 Harm-, <br /> 661322-9258 928.344,9825 <br /> Recycling CAL000282588 AZR00051$924 Aftew <br /> FacilitiesCity,state,23P: <br /> Rfvarbank Oil Transfer 5390 Ramos Environmental <br /> Claus Road ISIS&.River Road <br /> Riverbank,CA 96367 Wed Sacramento,CA 95691 Pham: <br /> 20"63-8181 9193715747 <br /> CAL000190816 CAD0040035W EPA e1: <br /> REV.4-17 <br />