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h lllailirtg:P.o.cox 175,Sallda,CA 85368 <br /> 4612 iceman Court,Salida,CA 95368 <br /> Georc <br /> je W. Lowry, Inc., r;' Phone,209.645-0791 FAX 209-545-2241 <br /> ri �i�nrwwwr .. <br /> Envim»zrsental servraes Division EPA 9 CAR00OU7019 <br /> CA Transporter Number 3844 <br /> CA License#758516 <br /> GENERATOR: Consolidated Manifest Invoice: ? <br /> Sita EPA Id#: �° r; s y <br /> Contact Person: i � ° shipment Date: <br /> Name: fir_ ' " Driver Signature(printed): ;y � <br /> Address: <br /> t✓.;L a' ? ,;,.> ..s. Truck# <br /> City,state,Zip; <br /> b - <br /> Site Phone: 9s - <br /> 1 <br /> Product CA Manifest#0 Quantity uetta Price AmountCoda <br /> Nan-RCRA Hazardous Waste Liquid(Used 941ubriml ng 221 car <br /> Nan-RCRA Hazardous Waste L. uid(used ail):industriaf 221 r "' -r✓ cat <br /> e , <br /> Non RCRA Hazardous Waste Liquid(Used Aulow&e Antifreeze) 134 Gat <br /> Nort-RCRA Hazardous Waste Liquid(Oil&Water) 223 r r <br /> ` on-RCRA Hazardous Waste SotidS Contaminated with Used Cil 352 ..✓ J� ��� � i i�- g� b""�al K N <br /> Drained Used 0ii t=rite r Drums) Drempe) <br /> Empty Drurn(s) <br /> Transportation&Tnxk Time FrR <br /> Hazardous Test <br /> Unlace otherwise specified on this CcOS ideted Manifest Receipt&woke)Tamm:Atoamts due on the 7t)th of the MMM fatkrMng UWM of prrrtOW Past due •., , ;- <br /> accounts will be durged a FINANCE CHARGE at the PER(OVIC PATE of t-iri per month,month,which is OwANNUAL PERCENTAGE RATE of 16%. r <br /> By signing this receipt,the Generator certifies that a program has been astawshad to reduce the volume or quantity and toxknity of the hazardous waste to a degree as <br /> determined by the generator,to be ecoMmically practicable. <br /> Generator certifies that all Hazardous Waste listed on this Consolidated Manifest Receipt is profiled to meet the Waste Codes as listed above. <br /> Note: George W. Lowry, Inc.(hereby advises the Generator that X . '.(Generator's signature) <br /> shipment of used ail may he transported to a facility that is required to comply with federal regulations applicable to management of used all 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 ail are required to meet those more stringent requirements,and some out -sale facilities that process used o@ also meet those require- <br /> ments These include more stringent teak detection and prevention requirements,engineering Certifications of tank integrity,and financial assurances <br /> for closure and accidental releases, it is lawful to send used oil to out of state facilities that comply only with the Federal used oil management a ce <br /> dards and not these more stringent requirements. <br /> This notification is for information only, Lowry Driver Signature X <br /> Signature of Generator,Representative or Agent of Generator: X <br /> Bakerafleld Transfer Global Materlal Management <br /> 1620 E.Brundage lane 7244 Varna Ave. <br /> Bakersfield,CA 93307 Hollywood,CA 91605 Name: <br /> 651322-8258 816-900-8476 <br /> Roc clin CALS00282999 CAL00e384644 Address: <br /> t3isposai , <br /> I'aC111tieS Riverbank Off Transfer 6300 Ramos Environmental City' `23p' <br /> Claus Road 1815 S.River Road <br /> Riverbank,CA 96367 West Sacramarlto,CA 95691 Phone: <br /> 209.863.8181 9163716747 <br /> CAL0Wa190817 CADOU003W <br /> EPA Ib; <br /> REV.t2-14 <br />