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i, <br /> �,� •- _.. Mailing:P.O.Bax 476,Salida,CA 95368 <br /> rk- GeoErge <br /> 4612 Kleman Court,Salida,CA 85368 <br /> W. LowryInc. NOV 2 0 2015 Phone:209445.0791 FAX 209-545-2241 <br /> 1"' EPA#CAR060047019 <br /> ntal Services Division <br /> ENVIR®NMENTAL CA Transporter Number 3844 <br /> CA License#75851S <br /> HEALTH DEPARTMENT <br /> GENERATOR: Consolidated Manifest Invoice: tc. 2 6 6 9 i: <br /> Site EPA ID#: L Shipment Date: <br /> Name: � <br /> Contact Parson: �- <br /> r Driver Signatur (Printe ): <br /> ! <br /> Address: Truck# Z-Z <br /> City,&tate,Zip: FO# <br /> Site Phone: <br /> Product waste CA Manifest 00 Quantity units Price Amount <br /> Corse <br /> Non-RCRA Hazardous Waste Liquid r'Used 00):Lubricating 221 <br /> Nan-RCRA Hazardous Waste Liquid(Used M:industrial 221 car <br /> Non RCRA Hazardous Waste Liquid(used Automotive Antilreeze) 134 Car <br /> Non-RCRA Hazardous waste Liquid(OR&Water) 223 Gd <br /> Non•RCRA Hazardous Waste Sods C damirated whh Used 01 352 °in"tsi <br /> Drained Used Oil Filter Dnlm(s) Drums) <br /> Each <br /> Empty Dium(s) <br /> Transportation&Torch Tm ML <br /> Hazardous Test <br /> Unless dhe vae specified on MilsCarokleWMandeg Receipt(invoice)Team Ac aads due on Mte loth of the'rnonih foftowfng month of purhaw Past due To/ta <br /> a <br /> accour wB be dwiped a FINANCE CHARGE at the PERIODIC RATE of 1-1/2%per mom,which is Mss ANNUAL PERCENTAGE RATE d 1696. J <br /> By signing this receipt.the Generator certifies that a program has been established to reduce the volume or quantity and toldcity of the hazardous waste �as <br /> determined by the generator.to be economically practicable. <br /> Generator certifies that all Hazardous Waste listed on this Consolidated Manifest Receipt Is profired to meet the Waste Codes as listed above. <br /> Note:George W. Lowry,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 factli ies• California facilites that handle or <br /> process used oil are required to met those more stringent requirements,and some out-of-state facilities that process used oil also fret those require- <br /> ments These include more stringent leak detection and prevention requirements,engineering ce=rtifications of tank Integrity,and financial assurances <br /> for closure and accidental releases. It Is lawful to send used oil to out of state feels I iy onlyedea!useddooil management stan- <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Lowry Driver Sifila R7f"-- <br /> Signature of Generator,Representative or Agent of Generator: X <br /> 1 � C <br /> Bakersfield Transfer Global Material Management <br /> 1620 E.Brundage Lane 7244 Varna Ave. Nom, <br /> Bakersfield,CA 83307 Hollywood,CA 91605 <br /> 661-322.8266 818.900.8476 <br /> CAUCO282598 CAL000384844 Address: <br /> R@CyCllltg f'� <br /> &f]iS S8I L <br /> F8celitles <br /> City,Stag.alpe <br /> Riverbank Oil Transfer 6300 Ramos EnWroomental <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 86691 <br /> x09.863.8181 916371747 <br /> CALOOOD190817 CAD004003556 EPA ID: <br /> REV.12-14 <br />