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r rh <br /> n <br /> Mailing; <br /> B:P.O.P.Q,Bax 1T6,Salida,CA 95368 <br /> 4632 laernan Court,Salida,CA 95368 <br /> George W. LowM Inc. Phone:209-W-0191 FAX 209.545.2241 <br /> Environmental Services Division EPA#CAR000047019 <br /> CA Transporter Number 3844 <br /> CA License#758518 <br /> GENERAT©R: <br /> Consolidated Manifest Invoice: . <br /> Site EPA ID#: <br /> Shipment Date: <br /> Contact Person. i� > . <br /> Name: ('` r _ Driver Signature(Printed): <br /> C' <br /> Address., <br /> JS �. <br /> ( Yy <br /> Address: ` '• _ Truck# <br /> City,State,Zip: <br /> StPhoEO <br /> ne: r .e <br /> Product waste CA Manifest#f0 Quantity unris Price <br /> Code Amount <br /> TNon-RCRA Hazardous Waste Liquid(Used Od):Lubricating 221 <br /> .f; iI <br /> Non-RCRA'Hazafdous Waste Liquid(Used Oil):Industrial 221 <br /> Non RCRA Hazardous Waste Liquid(User)Automotive Antifreeze) 134 real <br /> Non-RCRA Hazardous Waste Liquid(Oil R Water) 223 <br /> Non-RM Hazardous Waste Solids Contaminated whiz Used Oil 352 brurn(n) <br /> Drained Used Oil Filter Drums) <br /> Empty Drum(s) i Each <br /> Transportation&Truk Time HR. <br /> Hazarlous Test <br /> Unless cMhenviss specified on tfds Cartsalida;ed MBnde-St ReCeipt(Invoice)Terme:AP=Rts due on the 10th of lite morm fo <br /> aocaurrts will be diarged a FINANCE CHARGE at the PERIODIC RATE of i.112%par mcnth,which is the ANNUAL.PERCENTAGE RATE of 18%. Past due Total <br /> By signing this receipt,the Generator certifies that a program has been established to reduce the vofume 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 Codas as listed above, <br /> Note: George W. Lowry, Inc. hereby advises the Generator that X; -{. 6( ��jr", 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. Caltl'omia facilities that handle or <br /> process used oil are required to meet those more stringent requirements,and some out-of state facilities that process used ollalso meet those require- <br /> ments These include more stringent leak detection and prevention requirements,engineeiing certifications of tank integrity,,�and financiat assurances <br /> for closure and accidental releases. It is lawful to send used oil to out of state facilities that compty,gply with the Federal tiled oil management stan- <br /> dards and not these more stringent requirements. <br /> This notification is for information only, Lowry Driver Signature X <br /> Signature of Generatorr Representative or Agent of Generator: K <br /> Bakersfield Transfer Yuma Environmental <br /> 1620 e.Brundage Lane 2730 E.13th <br /> Bakersfield,CA 93307 Yuma,AZ 85365 Nauno <br /> 661322-6258 928.344-9826 <br /> ReCYCIif1g CAL000202593 AZft000615924 Addma : <br /> LDisPO7FC111tje <br /> l51ank Oil Transfer 5300 Rance#Environmental city,Stwta 27p: <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 88357 West Sacramento,CA 95691 <br /> 209.863.8181 916-371.5747 <br /> CAL000190816 CAD004003M EPA!D; <br /> REV.4-17 <br />