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F-1 E C E I V ED - Mailing:P.O.Box 178,Salida,CA 95360 <br /> 4613 Kiernan Court,Salida,CA 95368 <br /> Geome W. Lowry, Inc. NOV 2015 phone'209.545-0791 FAX 209-546-2241 <br /> Environmental Services Division EPA#CAR000047019 <br /> CA Transporter Number 3844 <br /> ENVIRONMENTAL' CA LicensdA 758618 <br /> ! HEALIB-DEFABI ENT <br /> GENERATOR: Consolidated Manifest Invoice: ;•,?t! 23 <br /> Site£PAID#: Shipment Date: I,... <br /> Contact Person: <br /> S Driver Signa re(Printed) <br /> Name: <br /> f t•'f f`�'f <br /> Address: � Truck# <br /> City,State,Zip: j e- PON <br /> Site Phone: <br /> Product waste CA Manifest 00 Quantity units Price Amount <br /> Code <br /> t .Non-RCRA Hazardous Waste Liquid(used op):Lu>bliCal ng 221 " `- "� Gar a <br /> Novi-RCRA Hazardous Waste Liquid(used 00):Indusbial 221 Gat <br /> Non RCRA Hazardous waste Liquid(used Autom lm Antitreaze) 134 <br /> Non-RCRA Hazallous Waste Liquid(Oil&Water) 223 Gal <br /> Non-RCRA Hazardous Waste Solos Contaminated with Used Oil 352 <br /> Drained Used Oil Filter Dlun(s) <br /> Efnpty Druin(s) Each <br /> Transportation&Trip*Tom <br /> Hazardous Test <br /> unless dhemise Specified on this consolidated mmaest Receipt(invoice)Tam:AwocmtS due on the 1t)th of Ile month favm&v matin or purchase. Past cies Total/f t'� �( <br /> aocoumts will be dwged a FINANCE CHARGE at the PERIODIC RATE of 1-112%per month,which is the ANNUAL PERCENTAGE RATE of 18%. 4 A / <br /> By signing this receipt,the Generator certifies that a program has been established to reduce the volume or quantity and toxicity of the hazardous waste to a <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 Cases as Rated 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 empty with federal regulations applicable to management of used oil bort that is <br /> not required to Comply with the more stringent requirements applicable to hazardous waste management facilities. California facdtties that handle or <br /> process used oil are required to meet those more stringent requirements,and some out-of-state faculties that process used oil also meet those 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 fad ply only with the F [used oil management stan- <br /> dards and not these more stringent requirements. r <br /> This notification is for information only. Lowry Driver jS dAatuur'e <br /> Signature of Generator,Representative or Agent of Generator: X <br /> r i <br /> . i <br /> Bakersfield Transfer Global MaterlaU enagerri j <br /> 1620 E.Brundage Lane 7244 Vema Ave. N <br /> Bakersfield,CA 93307 Hollywood,CA 91605 <br /> 6613224M 81&000-8476 <br /> CAL000262598 CAL01110384844 Address: <br /> r�eCyCllrig <br /> 8c Disposal G1 0`0 ,,, cit'.state.ZIP: <br /> FaCliitlt?.S Ri,.t.nk oil Transfer 5300 Ramos Environmental <br /> Claus Road 1515 S.River Road <br /> CA 96367 {Nest Sacramento,CA 85691 <br /> 209883.8181 916-371-5747 <br /> CAL0000190817 CAD004003556 EPA 10: <br /> REV.12-14 <br />