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I-A �,'"�.. " . I • Z <br /> M. <br /> It I <br /> C E IV E rL"Jk Mailing:P.O.Box 176,Salida,CA 95366 4 <br /> 4612 rJernain Court Salida,CA 95368 <br /> George W. Lowry, NOV 2 0 2015 Phone:209-545-O791 FAX 209-U5-2241 <br /> En—viron Me-rital Services Division EPA#CAR000047019 <br /> ENVIRONMENTAL CA Transporter Number 3844 <br /> HEALTH DEPARTMENT CA Ucense 0 7685ill <br /> GENERATOR: consolidated Manifest invoice: 26766 <br /> Site EPA ID#:QA 1 3: Shipment Date: <br /> Contact Person: <br /> Name: <br /> Driver Signature(Printed): <br /> Wl A <br /> Add!t-a- a&gZ2'j2gje Lwwy Truck# <br /> City,State,Zip, r0# <br /> Site Phone: <br /> Product waste CA Manifest Ne Quantity units price Amount <br /> Code <br /> -Non-RCRA Hazardous waste Liquid(Used 00):Lubricating 221 <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):industrial 221 Gal <br /> Non RCRA Hazardous blastsLiquid(Used Automotive Antifreeze) 134 Gal <br /> Non-RCRA Hazardous Waste Liquid(00&Water) 223 Gal <br /> Non-RGRA Hazardous Waste Solids ContatillnOW With Used Oil 352 D-Fn(a) <br /> Drained Used 01 Filter Drurn(s) <br /> Each <br /> Effft Drurn(s) <br /> Transportation&Truck Tirm HR. <br /> Hazardous Test <br /> J7 <br /> Unless otherwise specified an this Consolidated Manifest Receipt(InvOcelTemw Acommis due on the 101h offt month ftbwft With GfWchsm Pasi due I Total 13 <br /> wx*wts will be chattled a FFNAIMCE CHARGE at the PERIODICRATE of 114216 per ffmM.which tests ANNUAL PERCENTAGE RATE of 18%. qj <br /> By signing this receipt the Clanertitor certifies that a program has been established to reduce the volume or quantity and twdelly of the hazardous waste to a degree as <br /> determined by the generator,to be economically practimble. <br /> Generator certifies that all Hazardous Waste fisted 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 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 faciiiijes 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 facilifies4haLcomply only with tuts FX"used oil management stan- <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Lowry Driver Signa re <br /> Signature of Generator,Representative or Agent of Generator: X <br /> V <br /> Bakersfield Transfer Global Material Management <br /> 1620 E.Brundage Lane 7244 Varna Ave. <br /> Bakersfield,CA 93307 Hollywood,CA 91605 <br /> 661-322-8258 818480-13476 <br /> CAL000282598 CAL0003848" Address: <br /> Recycling e <br /> city.Stm%zip; <br /> FacilitiesR ank Oil Transter 5300 Ramos Environmental <br /> Claus Road 1615 S.River Road <br /> Riverbank,CA 96367 West Sacramevitio,CA WWI Phone: <br /> 209-863-9181 916371-6747 <br /> CAL0000190817, CAD004003656 EPA 10: <br /> REV.12-14 <br />