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s <br /> Melling:P.O.Box 176,Salida,CR$3388 <br /> 4632 Klantan Court,Salida,GA 95388 <br /> George W. Lowry, Inc Phone:2D9-545-0791 FAX2a9Zas-z7.41 <br /> Environmental servicos Division EPAty CARDD9047019 <br /> CATranaporter Number 3844 <br /> CA License#758518 <br /> GENERATOR: Consolidated Manifest Invoice: <br /> Shipment oate; ...5 <br /> Contact Person: ..� RE i . <br /> Name: Driver Signature(Printed): i , <br /> Address; .^r f , <br /> Truck <br /> City,State,Zip: <br /> Sttp Phone: <br /> PO# <br /> Product waste CAt�anifest#o <br /> Cate Quantity tinita Price Amount <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 cat <br /> Non-RCRA Hazardous Waste Lquid(used Oil):lndusNal 221 cal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 362 <br /> Drained Used Oil Filter Druril(s) Drum(a) <br /> Empty Each <br /> Transportation&Truck Time Hit <br /> Hazardous Test <br /> Unless OVKHWse speaffed On No Canso kWod Wndcst ReceiPt(invoice)Terns:Accounts dw on the ioth of 410 month following menih of purchese. Past due Twat, 1 �- <br /> aaxxv s w11f be charged a FINANCE CHARGE at the PERrODIC RATE ort-1/2%per mo(th,which is the ANNUAL PERCENTAGE RATE or 1a%. - <br /> By signing this receipt,the Generator certifies that a program has Haan established to reduce the volume coor quantity and W)dCity or ttte hazardous waste to a degree as <br /> determined by the generator,to be enomically practicable. <br /> Generator certifies that all Hazardous Waste listed on this Consolidated ManifestRecetpt is prefiled to meet the Waste Codes as listed above. <br /> Note: George W. Lowry, Inc. hereby advises the Generator that � _'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. California facilities that handle or <br /> process used oil are required to meet those more stringent requiremirits,and some out-of state facilities that proom used ail also meet those require <br /> - <br /> tank These include more stringent Leak detection and prevention requirements,engineering d rtiftcatians of tank integrity,and financial assurances <br /> Stan- <br /> for closure and aocidental releases. It is lawful to send used oil to out of state€ac:ilities that¢orripl�r only wiltt 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 J <br /> Signature of Generator, Representative or Agent of Generator: X ''%'? ii;` <br /> - - <br /> TB kerafleld Transfer Yuma Environmental <br /> 1 2D E.Brundage Lane 2730 E.13th <br /> Bakersfield,CA 93307 Yuma,AZ 85365 Name: <br /> 661322'8258 929344-9826 <br /> Recycling CAL080282598 AZR000515924 Address: <br /> &Disposal <br /> Facilitit=s Riverbank Oil Transfer 5300 Ramos Environmental may.state zip' <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209-863.8181 916471-4747 <br /> CAL00019oa18 CAD0040035W EPA in.. <br /> RSV.4-17 <br />