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Mailing:P.Q.Box 176,Salida,CA 95368 <br /> 4632 ILleman Court,Salida,CA 95368 <br /> George W Lowry, Inc. Phone:288-545-0797 FAX 209-M-2241 <br /> Environmental Services oivision EPAC CAR00004701$ <br /> CA Transporter Number 3844 <br /> CA Lianse#758548 <br /> kAddress, <br /> RATOR; Consolidated Manifest Invoice.- <br /> Site-EPA <br /> nvoice: �+ •> <br /> A ID . , a: <br /> Shipment Date: r <br /> Person: <br /> j � _` Driver Signature(Printed): <br /> + d <br /> Truck# <br /> te,Zip: ,,SJI •c:/.y r" .y.._. <br /> Site Phone: !d 26 �5223 po# 'i ' w- <br /> Products CA Manifest#0quantity units Price Amount <br /> Code <br /> Non•RCRA Hazardous Waste Liquid(Used Orf):Lubricating 221 Gal <br /> Non-RCRA Hazardous Waste Liquid(Lased Oil):lndustriai 221 c <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antikleeze) 134 <br /> Nan-RCRA Hazardous Waste Liquid(pit&Water) 223 � <br /> F ;Non•RCRA He, <br /> Waste Solids Contaminated with Used Oil 352 ,• i i DR+n+I;l "� �y" <br /> Drained Used Oil Filter Drum(s) ororn(s) <br /> Empty Drum(s) <br /> Each <br /> Transportation 5 Thick Time <br /> Hazardous Test <br /> UnfesS otherw se spebfietl on this Conaoritlatad Marissa Receipt{Invoice}Tw=:Aoc-0unia dUe on tha hath or u*comm roliumng morslh or PLectme. Past due <br /> accounts will be charged a FINANCE CHARGE at Iha PER10oIC RAT€4nf f-if2%per month,whicdr is 0%ANNUAL PERCENTAGE RATE of 18%. <br /> Bysire ing bthis <br /> eipt,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 /> y the generator,to be economically practicable. <br /> Generator certifies that all Hazardous Waste fisted on this Consolidated Manifest Reodpt is profiled to meet the Waste Codes as listed above. <br /> Note; George W.Lowry, Inc. hereby advises the Generator ghatf� }Q 1 ltC'TC <br /> ` — � _ _`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. Califomia facilities that handle or <br /> process used oil are required to meet those more stringent requirements,and same out-of-state facii'Ities that process used oil also meet those require- <br /> ments These include more stringent leak detection and prevention requirements,engineering cert"fications of tank intieg <br /> ancial assuran <br /> for ciosum and accidental releases. It is lawful to send used oil to out of state facilities that comply only with the Federal used oil himaagem net stann--$ <br /> dards and not these more stringent requirements. <br /> This notiffcatian is for information only. Lowry Driver Signature X <br /> W s <br /> .' 1A4,r <br /> Signature of Generator,Representative or Agent of Generator: X. ;.,-.�°A <br /> Ewa <br /> Bakersfield Transfer YumaEnvironmentalEnvironmental <br /> 1626 E.Brundage Lane 2730 E.18th <br /> Bakersfield,CA 93307 Yuma,AZ 85366 Haat. <br /> 661-322.8258 926.3449828 <br /> Recycling CAL000282598 AZR000515924 Address: <br /> &Disposal <br /> Facilities Riverbank Oil Transfer 5380 Ramos Environmental Oty'State,zip; <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209-883-8181 916371.5747 <br /> CALODOI90816 CAI7904003658 <br /> EPA ID: <br /> REV.4-17 <br />