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Mailing:P.O.BOX 176,Salida,CA 95368 <br /> SIEL";"EIVED 4612lUeman Court,Salida,CA 95368 « =• a <br /> G@Ora@ W. Lowry/ Inc., Phone:209.645-0791 FAX 209-M-2241 <br /> Environmental Services Division NOV 2 0 2015 EPA#CARth00047019 <br /> CA Transporter Number 3844 <br /> CA License#758518 <br /> ENVIRONMENTAL <br /> GENERATOR: HEALTH DEPAK P IENT Consolidated Manifest Invoice: 27001 <br /> sue EPA ID#: Shipment Date: <br /> contact Person: <br /> Driver Signature(Printed): <br /> Name: //�, f/ F <br /> Address: Truck# <br /> City,state,Zlp; f pp# <br /> Slte Phone: <br /> Product waste CAManlfest#0 Quantity Units Price Amount <br /> Code <br /> IA. <br /> Non-RCRA Hazardous waste Liquid(Used 0 :Lubricating 221 Gal <br /> � <br /> Non-RCRA Hamiow Waste Liquid(Used 011}:Industrial 221 crab <br /> Nal RCRA Hazardous waste Liquid(Used Automotive Anti freeze) 934 oal <br /> Non-RCRA Hazardous Waste Urquid(Oil&water) 223 car <br /> ,Non-RCRA Hazardous Waste SOW ConlamGmted with Used 01 352 1 � -�-'4r tr,am(s) � <br /> Drained Used 00 Fifer Dnaiorurn(s) <br /> re{s) <br /> Each <br /> Empty Drum(s) <br /> NR. <br /> Transportation&Truk Time <br /> Husidous Test <br /> Uniass dtwrwise spw fled on dris Mangod Receipt g-oire)Terme Axdmte dooon m im ofthe maiM foVw ft mamh of pucmw.Past due Tota f d <br /> O=mn%wil be charged a FINANCE CHARGE at the PERIODIC RATE of 1401%per mor*k which is 08 ANNUAL PERCENTAGE RATE of 16%. <br /> By signing this receipt,the Generator MOM that a program has been established to reduce the volume or quantity and toAdly of the hazardous waste to a die 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 fisted above. <br /> Note:George W.Lowry,Inc. hereby advises the Generator that X '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. Caldomia facilities that handle or <br /> process used o7 are required to meet those more.stringent requirements,and some out-of-state facilities 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 facilities that comply only with the_eedqral used oil management stan- <br /> dards and not these more stringent requirements. ,. <br /> This notification is for information only. Lowry Driver Sig t <br /> Signature of Generator,Representative or Agent of Generator: X <br /> Bakersfield Transfer Global Material Management <br /> 1620 B Brundage Lane 7244 Varna Ave. Name. <br /> Bakersfield,CA 93307 Hollywood,CA 91605 <br /> 601322.8258 810-900-8476 <br /> CAL00WAM98 CAL000384844 Address: <br /> RBCyCIing - <br /> &Disposal city,sate,zap: <br /> l=aCiliti@s RIWrbank 00 Transfer 5300 Ramos Environmental <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Pte; <br /> 20-M-8`181 916371-747 °c <br /> CAL0000190817 CAD00400306 EPA ID:' r <br /> `-I <br /> RSV 1?.1d <br />