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"GEORIl® - Envlronmentaf Services fllvfsfan
<br /> b A� 'Ga INC. iAnBing:y,0.l3pX so Sunda.CAeil6B
<br /> 6WI` Consolidated Manifest 461YS(Ieman IIS ud,CA9y'a89
<br /> �A PeiapAeuM PpepugTa CeyIeANY a•�r' p Phwe;Ya8-sA.a7st FnJr 2a9�445.9Y41
<br /> r Ir a tf o ice p CARa66p4i019
<br /> CA Tmnspartar NamSar 3844
<br /> GENERATOR. CA,Llcensa a758510
<br /> &to EPA ID It: Inv— N° 0 0 0 1 7 f 9
<br /> o d c If-- "
<br /> CoPtgpt Person; 1/ lnvolCe vale: �1
<br /> Name: K– Driver PHnfad Signalura-_ l C
<br /> Address: Tiuo 4: •1 .L –?
<br /> City,State,ZfP: N PO 9 C• /,/�� /j
<br /> Slte Phone: Q
<br /> TERMS: G
<br /> Produce Shipping Nama
<br /> wefts CA Manifest ke Quantity Uni
<br /> CWe q
<br /> Non-RCRAHazardoUs Wasle L'uld U Price Amcant
<br /> � (sed bel):lubn'caGng 221
<br /> Non•RCRA HaLxcou5 is Liquid(Used Cil):Indusin'al 221
<br /> Non RCRAHa7ardous Waste liquid(Used Automotivecat O
<br /> AIIWfeeze) 134
<br /> Non•RCRA Hazardous Waste liquid(QiI B Wafer) 223 car
<br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Qi! 352 cal
<br /> Papef andfof Plastic Ql Filer Crum(s). ommfs! �,
<br /> 352 r
<br /> Drelnfid Used Cil(Mim l)FilerOM.I vmmisl
<br /> Haply DwI Each
<br /> TMnspodation 8 Truck Time Each
<br /> unfesa oNerM pn urys Con6eptlMaNtesl RerEl
<br /> avpunuxtil be�a Nalad
<br /> av
<br /> aFlNRN Pt tinglry)Tema:Aun rs tlueMNe 10N
<br /> GE W&m mcnvr rpL4wi
<br /> CE CHARat No PERI9C1C R4'fE W,i-1R%pBrmpnM,xe o,is lha ANNS1ALP
<br /> rip month o(Pvr hexa,Pa:,t tlua
<br /> ERCEN7gGE RA7E ar lgy,. Total
<br /> eY signing€hereby rntai mat I kava noY mixed any of NB waste 1,111, a L
<br /> the waste Bees not-antero any PCB's.f haw complied with the
<br /> to a�ept the
<br /> "Id
<br /> charges for rhe dls be're with anY orae-hazardous waste,ma tocol halide content la LE53 Than 1,000 `
<br /> +agalremenls of thea livable CdMCmfa used oil menagemeni regulation to defartnlRO Ehle is hue,i agree ''
<br /> Generators Codification:3 d nr Posal of the waste if me Infarmatlon t have Provided about.mis waste Is InwrrecL Ppm,and ..
<br /> generated to Y 9 n4 I ceNfy that If I am a large quantity genemlor.I realty Nat 1 have
<br /> avasabfe to me degree I have defaRnined W be ernnomfrall
<br /> rna whldt minlmlZas me pn;seni entl forum threat tq humaan l and the envlronmenl Or,if I am a Small
<br /> minimhe m a and Aral I have selected}ne Prpa ealt1af melthod of tream, sylrage,or disposal wman9y .l
<br /> my genereban and scrap the wasteman b wetra
<br /> Geefge W-Lowry,Inc.hereby advises the above Generafwematt method that is avaaable to ma foal I can eH.1d quannry generalar,I have
<br /> made a Good Fakh eHod b _
<br /> with fatleral regulations a eanemlors shlpinb t at Used 011 and OityrWatermay be transported to a faNlity that
<br /> r
<br /> hazaMous waste m PPliw>:le to management of Vead Oil antl CilyNyater,Gr;foal N nut required to wm l
<br /> soma nu!-ofstate Fadllhes Thai Pmdli s Used Oiiaand�Ity er aRa rae"I that mr arth W 111 Oil and Clly/Walarare required to meal those more stringent repo'- pp
<br /> nls,and
<br /> dosure and a 1L eentdl ply wllh me mwa shingert requirements app€irabfe la '
<br /> releases.II Is iawfW W sank Vsad On and eet those requirements,engineering certihcadpny octan
<br /> standartls and not these mare strirngent requiramemts, O9yrwaEer to out of state le lines that eemply only with ledsral+teed Oil and DU>t'Vsl i
<br /> This netr-lion Is far the informational u - k Iruegdty,and finendal assurances fir
<br /> P tposes only. CRYAI managemI
<br /> By both Wave slgning In!,fnvoice it wilt save as an a fire art�Thwg,has been transportedEoa permitted hareler fact rpa WLowry, submit eanhime,II n forwaLowry briver Signature X enl,storage w disposal fagiitI, t ate streams)11.generao,mat their
<br /> Signature of aener--Mr.Repres ve or
<br /> pate 1
<br /> of Generator, 7t
<br /> Recycling,Transfer,Treatfifentt Storage-Disposal Facilities
<br /> 13 Nbme:
<br /> BeRarafreid Tiansrer
<br /> 1 `C�oofV ❑ Atldrxsa:
<br /> 620 E Brunch iarre 5 Trema,LLC Ramos Envlrpnmeplal
<br /> DaNersfleld,dA g;3e7 3e0 Clat-s Road Sake Oil Recycling,Ino, ct
<br /> Rivorl n✓S CA95367 15155.Rlyar Raatl 1217 S.Fiesta Ave, Y.I. V,
<br /> e5f3223259 Ya9.5633711 Waal Saoramento,CA 95691 Parker,AZ a5344
<br /> CALaga2a259a CALA6ae99ale 9163715/47 Phoria:
<br /> CAD04400355e 926-854-32M2
<br /> A2R0dd51fi1fi1 EPA ID: .y
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