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'ho"ECEIVED <br /> Mailing:P.O.Box 176,Salida,CA 85368 <br /> J 4612 Kiernan Court,Salida,CA 85368 <br /> George W. LOW Inc. NOVq 2 �o�� Phone:209-45.0791 FAX 209-545-2241 <br /> i" Environmental services Division iv V EPA#CAR000047019 <br /> CA Transporter Number 3844 <br /> ENVIRONMENTAL CA License 768518 <br /> TMENT <br /> GENERATOR: Consolidated Manifest Invoice: ?w26711 . <br /> Site EPA IDrk Shipment Date: l <br /> Contact Person: 7 <br /> Name, Driver Signature(Printed) <br /> � <br /> Address: f� ^� - �9 t� Truck# <br /> City,State,Zip:. i r f t'`�r4 '-�'t PO# <br /> f <br /> Site Phone: <br /> Product waste CAMarWast#0 Quantity MIS Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used(i)Ubrieating 221 Gal <br /> Non-RCRA Hazardous Waste Liquid(Used OH):Imkistrial 221 Gal <br /> Non RCRA Hazardous Waste Liquid(Used automotive Antilreeze) 134 � <br /> Non-RCRA Hazardous Waste Liquid(01&Water) 223 minGal <br /> f c�, <br /> Non-RCRA Hazardous Waste Solids Contaminated with used Oil 352 v � - ! <br /> Drained Used Oil Fater Dlum(S) "� °ninxsl ` 90 k.r <br /> Empty Drum(s) Each <br /> Transportstiorl&TruckTima NR <br /> Hazardous Test <br /> i { E��t.7 L <br /> tkdess otherwise specilred on Cus Cormolidated klanbst Receipt(hrwobe)Terms:Amanita due an Cie 10th of the month 165"ing mordh of purchase.Past due Total <br /> acmuft will be charged a FINANCE CHARGE at the PERIODIC RATE of 1412%per month,which is Che ANNUAL PERCENTAGE RATE of IM t r <br /> By signing this receipt,the Generator certifies that a program has been established to reduce the volume or quantity and toxicity or the hazardous waste to a degree as <br /> determined by the generator,to be economically 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 /> r. <br /> Note:George W.Lawry,Inc. hereby advises the Generator thatX '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 requirements,and some out-of-state faciilkies that process used o1 also meet thou require- <br /> ments These include more stringent leak 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 fa ty only with the f ral used oil management Stan- <br /> dards and not these more stringent requirements. <br /> This notification Is for Information only. LowryDriver Sign lure X <br /> r' <br /> Signature of Generator,Representative or Agent of Generator X <br /> isun <br /> Bakersfield Transfer l Gibbet Material Management <br /> 1620 E.Brundage Lane i�7244 Vame Ave. <br /> Bakersfield,CA 93307 h— Ro[lywood,CA 91605 1Q <br /> 6613224MM 81"00.8476 <br /> CAL000282598 CAL000384844 Address: <br /> IZ@cycfing <br /> Dispose! Cry,sem,Zip: <br /> FaCiliti@S Riverbank Oil Transfer 5300 Ramos Environmental <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 9636.7 west Sacramento,CA 95691 Phone: <br /> 209563-8181 9163715747 <br /> CAL000a180t117 CAD004003556. EPA m: <br /> REV.12-14 <br />