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<br /> Environmental Services Division },
<br /> 4aSt 1U. C1,SaIItlA CA 9011111!OR13FE
<br /> Consolidated Manifest rhcr.:adaaas M FAkka9-544,2VI
<br /> Invoice
<br /> o EPA a CAReeeWT018
<br /> -evra rnaaa,errn.aar • ,
<br /> CA Tnnapartar Numt.raeN
<br /> CA UfAn68#768310
<br /> ENERATOR: Envoice I�f° 40001389 I'`
<br /> to EPA ID
<br /> #: b Invoice Date: 'L,
<br /> — ,f
<br /> intact Person: Y Driver Printed Signature: "LIM!V1
<br /> mt.: 671 Truck ik I-LI li
<br /> films: l •? 1 '{. Pot 14),_76rjfzJAL-/
<br /> d.Ste,Zips f�r i
<br /> le Phone: i —LfOVq
<br /> Product Shlppins Name wad. CA MgnHest fW uanW Unks pries Amount
<br /> Cod. co
<br /> Non,RCRA I-Im us Waste Uquld Psed 011):Lubdcatin9
<br /> Non-RCRA Hazardous Waste Liquid(used Oa):Indtultiai 231 cal 1,{
<br /> cal
<br /> Non RCRAI-EmrdousWaste iJquld{U9adAubmativeAnfteeza) 134
<br /> Non-RCRA Nazarddus Waste Uquld)Oil&Water) 229
<br /> NgrFRCRA Hamrdous Waste Solids Coma Inas ed with Used CII 352
<br /> Paper andPor Pli 011 Hier Oirlpl(5) 352 Orval.)
<br /> Drained Used C(Metal)Fater Dmmis)
<br /> Empty 0gon(s) Each kIIk
<br /> Transpaltalim It TnlckTime NR
<br /> Va_aWi.rvrtsaspedeea on fids CoraoAdaled manifau Ro0elpl pnvoOw]Tama:nrraune du.on lna laN of the m.nn fo0ow,try rndntt ofpwclleea.PWdor. Total
<br /> N tswtlba ehaMad a FINANCE Ca FiGE at area PERIODIC RATE at1412%par manlh,whld,Is the ANNUAL PERCENTAGE PATE 0I6Y,, LQ.
<br /> , '.
<br /> ry signing I hareay certify that I have not mixed any of the waste described above w1u1 any other haaa,dous waste,the rotes hands content Is LESS Than 1.000 ppm.and �
<br /> x-asle doze not co in any PCB's I have mmplsad with]he nequirp—ts of Ute eppllcebte Califomia used o0 management reguraton to determine this is true.I agree
<br /> ecceptthe additional charges fur the disposal of the waste if the Information I have providod about Ill waste is InmrrecLIt ,
<br /> eratnrs Co i6cailon:By signing I tartly Ihat If I am a large gtranMy gac
<br /> anater,I-ill that I have program .&Min place W rew the volume and taxlcity of waste {IS rrlIII1I
<br /> enarated to the degree I have determined b ba acanomlrally aRordahe and that I haus selocted the prapilable method of treatment,storage,a dlsposai curently
<br /> val
<br /> Tao.to me WWit minimizes the present and full threat to humanIlfa and the erlvimnmi Or,If I am a small quantity generator,l have made a Good Faith effort to
<br /> linimize my,waaee generation and eaiect the waste management method Inst Is available to me Nati ran afford. '.
<br /> 'cage W-Lowry,Inc.hereby a1—as the shove Generator that ganorators shipment of Used Oil and 011ylWater may ha har sported m a fadiity that is requlrgd to comply
<br /> vnh federal regylatons applicable[o management of Used Oil and OIIy1Waler,but that Is not required to comply with the mors sttinDent requirements applioabie to I ;
<br /> hataldous waste management Will Callfomia facilities that handle orprocass Used Oil and OityMater ara required to meet those more stringentmqulrements,and
<br /> urns out-oratato facilities That prates Used Olt and OiiyVawr also meetthose requirements,engineering cer lir�bons o1 tank Integrity,and financial assurances for ; I{
<br /> Josure and arrSd.ift releases.It is lawful to sand Wed Oil and 011yPNeter So out of stare fadiltfes that comply only with federal Used 09 and 0ilyfWatar management I
<br /> nandards and rot lhase more smrgam requirementsA. on
<br /> this rntiro2don Is for the in purpo ) ,
<br /> 9y bath partes M n{ Ihls Invoice It W91 larvI Geo a o (cedaln waste streams)to the generator Ihat Uhelrg n9rg wry,I�Iatfl,�-70—
<br /> win submit confrmaton far%stn has been transported to a permitted Iraed ,r alp disposal faditty.
<br /> Lowry Driver Signature X
<br /> Sigoatura of Generator,Repres rue or nt of Generator: X
<br /> Recycling,Transfer,Treatment,Storage,Disposal Facilities
<br /> Add—E3 13
<br /> ILa ti Trarrafer Callfomia Olt Transfer LLC Ramos Ervironnental Sako oil Recycling,Inc, ciy all ap:
<br /> 20E Brundage Lane 5906 Claus Road15155,River Road 1217 S,Fiesta Ave,
<br /> rterkg'7
<br /> sYeld,CA 93307 RSveib KCA 95357 Met Sacramento,CA 95691 Parker,AZ 65344 Phan.. i
<br /> 13223258 209-8833191 91E3713747 9214111 t2n2 I i'
<br /> rPAIa
<br /> WD0282598 CAL003190816 CADead0933956 AZR000510151
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