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`k . ii 77 &Malltng: nnmental Services Division P.O.Bax 176,Salida,GA 95368 GEORGiNC. .4612 Rlarnan Court,Salida,CA 95358 Consolidated manifest Phone:20e-5450791 FAX 209-W-2241 ,LOWRYI n V o i C EPA#CAR000047019 A pE'rAai.Et7rd PRt]OUG7F R1PAttY 1 CA Transporter Number 3944 CA License 9750518 GENERATOR: In lee N°, Q Site EPA ID#: r i ,"� Inv ice Date: Contact Person: �fELS sari or Printed Signature: ?- x•i•,'4 Name: } ..f1 1.. .r� Tru #: ' Address: PO P" City,State,Zip. '. Site Phone; _ a' 5-1 9 TI R Product Shipping Name i Waste CA Mani st#o quantity Units Price Amount Code Non-RCRA Hazardous Waste Liquid(Used Oil);Lubilcating 221 'y }1',' t i. tff. . ^�� Gal f•, ff ;t o Non-RCRA Hazardous Waste Liquid(Used Oil): lndustriat 221 oat Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 cal Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 cal Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 352 ,`� r... „,; {� t wum(s) M_ Paper and/or Plastic Oil Filter Drum(s) 352 Arum(s) Drained Used Oi!(Metal)Filter Drum(s) each Empty Drum(s) Each Transportation&Truck Time 11rt -b;: Unless otherwise specified on this Consolidated Manifest Receipt(Invoice}Terms; II Accounts doe on the 101h of the month fatiowing month of purchase. Past due Total a` i accounts will be charged a FINANCE CHARGE at she PERIODIC RATE of 1-112%per Montt(,which is the ANNUAL PERCENTAGE RATE of 18%. if( ^.Y'"3,. By signing I hereby certify that I have not mixed any of the waste described above with any other hazardous waste,the total halide content is LESS than 1,000 ppm,and the waste does not contain any PCB's-I have complied with the requirements of the applicable California used oil management regulation to determine this is true.I agree to accept the additional charges for the disposal of the waste if the Information I have provided about this waste is incorrect. Generator's Certification; By signing I certify that if I am a large quantity generator, I certify that 1 have program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically affordable and that I have selected the practicable method of treatment,storage,or disposal currently available to me which minimizes the present and future threat to human life and the environment.Or,if 1 ant a small quantity generator,I have made a Good Faith effort to minimize my waste generation and select the waste management method that is available to me that I can afford. George W."Lowry,Inc.hereby advises the above Generator that generators shipment of Used Oil and Oily/Water may be transported to a facility that is required to comply with federal regulations applicable to management of Used Olt and OilyiWater, but that is not required to comply with the more stringent requirements appiiesble to hazardous waste management facil€€ties.California facilities that handle or process Used Oil and OilylWater ane required to meet those more stringent requirements,and some cut-of-state facilities that process Used Oil and Oily/Water also meet those requirements,engineering certifications of tank integrity,and financial assurances for closure and accidental releases,it is lawful to send Used Oil and OilyiWater to out of state facilities that comply only with federal Used Oil and OilylWater management standards and not these more stringent requirements. This notification is for the informational purposes only. By both parties signing this invoice it will serve as an agreement u'at-C"page W.Lowry,Inc. will submit confirmation for(Certain waste streams)to the generator that their waste has been transported to a permitted transfer facility or.pefirtitled treatment,storage or disposal facility. Lowry Driver Signature X r �'r r Dote T i Signature of Generator,Re resenlative or 59ent of Generator: X ti Dae Recycling,Transfer, Treatment, Storage,Disposal Facilities Nance; Address: kers€feld Transfer atifornia Oil Transfer LLC Ramos Environmental Sako Oil Recycling,Inc. City,state,zip: 1620 E.Brundage Lane 5300 Ctaus Road 1515 S.River Road 1217 S.Fiesta Ave, Bakersfield,CA 93307 -Riverbank,CA 55367 West Sacramento,CA 95691: Parker,AZ 85344 Phone: F 661-322-8258 268.863.8181 916-371-5747 928-854.3202 CAL000282598 CAL000190916 CAD044003556 AZR000516161 I=PA ID: