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Mailing:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kiernan Court,Salida,CA 95368 <br /> VED <br /> Yq <br /> ECEP <br /> 71 <br /> -2241Phone:209S45 - 4U,,GeoE9eW. Lown0nc- <br /> Environmental Services Division EPA#CAR000047019 <br /> NOVA <br /> CA Transporter Number 3844 <br /> CA License#758518 <br /> ENVIRONMENTAL. <br /> ME <br /> GENERATOR: H Consolidated Manifest Invoice: <br /> Site EPA IC#: ~t ' + e Shipment Date: <br /> Contact Person: <br /> a r Driver Signature(Printed): <br /> Name: <br /> a1 t',, <br /> t <br /> Address? `� f fc =k > Truck# <br /> City,State,Zip: ti r. ,' 3 ,, PO# <br /> Site Phone: <br /> waste CA Manifest#0 Quantity units Price Amount <br /> Product Code <br /> 221 Gal <br /> .Non-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Industrial 221 Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gr <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used 00 352 BMs) <br /> Drained Used Oil Filter Drum(s) Drums) <br /> Empty Drum(s) each <br /> Transportation&Truck Time <br /> Hazardous Test <br /> Unless otherwise specified on this Consolidated Manirest Receipt(Invoice)Teens: Accounts due on the 10th of the month following month of purchase. Past due Total <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-112%per month,which is Bre ANNUAL PERCENTAGE RATE of 18%. <br /> By signing this receipt,the Generator certifies that a program has been established to reduce the volume or quantity and toxiktity of the hazardous waste to a�kree.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 '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. Caldbmia facilities that handle or <br /> process used oil 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 facii' kt campy only with thee-Federal used oil management stan- <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Lowry Driver Signature <br /> Signature of Generator,Representative or Agent of Generator: X <br /> Lj <br /> Bakersfield Transfer Global Material Management <br /> 1620 E.Brundage Lane 7244 Varna Ave. Name <br /> Bakersfield,CA 93307 Hollywood,CA 91605 <br /> 661-322.8258 818-900-8476 <br /> AL000282598 CAL000384844 Address: <br /> Recycling <br /> Ina city.state,zip: <br /> FaCilitleSR141arbank oil Transfer 5300 Ramos Environmental <br /> Claus Road 1515 S.River Road <br /> Rhrerbank,CA 96367 West Sacramento,CA 95691 Pham: <br /> 2098634181 916-371.6747 <br /> CAL0000190817 CAD004003556 EPA to: <br /> REV.12-14 <br />