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t a no:P.O.Box 178,$slide,CA 55368 <br /> 4832 Mernan Courts Salida,CA 88868 <br /> George'W. Lowry, ACtCi. Phone.209-6454701 FAx209-645.2241 <br /> EnvJronmental Services Dlvls�oa`� EPA#CAIi000047079 <br /> CA Transporter Number 3844 <br /> CA License#7$851 B <br /> GENERATOR: Consolidated Manifest Invoice: <br /> Site EPA IA <br /> Shipment Date: <br /> Contact Person: <br /> tVame: a§ Driver Signature(Printed): <br /> ; <br /> Address: <br /> �1 a Truck# " <br /> City,State,ZIP: <br /> SftePhone: a PE!# <br /> cq <br /> ' M <br /> Product wears CA anifest#8 <br /> cede Ruantlty Unita Price Amount <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 <br /> Non-RCRA Hazardous Waste Liquid(Used OIG:Industrial 221 cel <br /> Non RCRA Hazardous Waste Liquid(Used Rub mtive Antifreeze) 134 rat <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gal <br /> Non-RCRA Hazardous Waste 5atids Contaminated with Used Oil 352 r. <br /> Dratrierd Used Oil Fitter Drum(s) r>,vmlai <br /> Empty Drum(s) <br /> Each <br /> Trafisportation&Truck Time HR. <br /> Hazardous Test <br /> Unless otherwise specified on this Con"i*dod htanifiaA Receipt pnvo;m)Terms:Accounio due on the i0th of the rirorrM fe*pMng mordh of purtease. Past" Total , <br /> accmnfs wiff be dwged a FINANCE CHARGE et Ore PEWOM RATE of MJ2%per month,which is the ANNUAL PERCENTAGE RATE of 18%, Tota! <br /> By signing this receipt,the Generator Certifies that a program has been established to reduce the volume or quantity and toeocity of the hazardous waste to a degree as <br /> determined by the generator,to be economically practicable. <br /> Generator certifies that all Hazardous Taste listed on this Consolidated Manifest Receipt is profited to meet the Waste Codes as listed above. <br /> Note: George W. Lowry,Inc. hereby advises the Generator that wk �� _���}k(, s Generator's si nature <br /> shipment of used aid may be transported to a facility that is rer{ulred to comply with federal regulations app4cabte to management of used oil taut that is <br /> not required to comply with the mare stringent requirements applicable to hazardous waste management faciiiities. c;alifomia facilities that handle or <br /> process used oil are required to meet those more stringent requirements,and some out-of4tate facilities that process used oil also meet these require <br /> ments These include more stringent leak detection and prevention requirements,engineering,certifications of tank integrity, <br /> for closure and accidental releases. It is lawful to send used oil to out of state facilities`that cArnpand financial assurances <br /> dards and not these more stringent requirements, 'only wfidt the Federal used ori management stan- <br /> This notification is for information only. Lowry Driver Signature X <br /> Signature of Generator,Representative or Agent of Generator: X r'. <br /> I.1 <br /> ri <br /> Bakersfield Transfer Yuma Environmental <br /> 1620 E.Brundage Lane 2730 E.13th <br /> Bakersfield,CA 93307 Yum&;AZ 85365 His. <br /> 661322-8258 928344-5826 <br /> I�eGjfGliflg CALU0v282$98 AZROD0515924 Address <br /> 1=BCI lifts$ Rlv;erbank Oil Transfer$300 Ramos Environmental Cry,state,ap: <br /> Claus Road 1515 S.River Road <br /> Riverbank,GA 96367 West Sacramento,CA 95691 Phene: <br /> 209-863.8181 916-371~5747 <br /> CAL000190U16 CAD004003556 EPA 10. <br /> REV-4-17 <br />