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RECEIVEDMallinsa.Box 176,Salida,CA 95368 <br /> 4612 Ki an Court,Salida,CA 95368 <br /> CEnvir—o?nmental <br /> ge . Lowry, InC. NOV 2015 Phone:209.545.0791 FAX 209-645-2241 <br /> Services Division i EPA#CAR000047019 <br /> CA Transporter Number 3844 <br /> ENVIRONMENTAL CA License#758518 <br /> HEALTH DEPARTMENT <br /> GENERATOR: Consolidated Manifest Invoice: 8 `T <br /> SiteEPAID#: <br /> +" Shipment Date: a <br /> Contact Person: s <br /> Name: �` �' Driver Signature(Printed): _,�� <br /> a �a <br /> Address: > „e Truck# <br /> kir <br /> City,State,Zip <br /> PO# <br /> Site Phone: <br /> Product Waste CA Manifest#0 Quantity Units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used 08):Lubricating 221 ` `t ` Gal .yw <br /> Non-RCRA Hazardous Waste Liquid(Used 01):Industrial 221 V hal <br /> Non RCRA Hazardous Waste L'Iguid(Used Automotive Antifreeze) 134 Gal <br /> Non-RCRA Hazardous Liquid(011&Water) 223 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used 011 352 Dr 1°(s) <br /> Drained Used Oil Filter Drum(s) Drams) <br /> Empty Drum(s) Each <br /> Transportation&Truck Time ° <br /> Hazardous Test <br /> T <br /> Ff <br /> Unless otherwise spedfied on this Consolidated Manifest Receipt(Invoice)Temps:Accounts due on the 10th of the month following monoh of pum Kase. Past due Total <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 142%per morph,which is the ANNUAL PERCENTAGE RATE of 18%. `d <br /> z <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 degree as <br /> determined by the generator,to be economically practicable. <br /> Generator cerfifies that all Hazardous Waste listed 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 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. California 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,engirlee-ring certifications of tank integrity,and financial assurances <br /> for closure and accidental releases. It is lawful to send used oil to out of state fac ilides.that nilly only with the Federal used oil management Stan- <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Lowry Driver Signature x 'C"- <br /> - <br /> Cr <br /> -.� <br /> . j <br /> Signature of Generator,Representative or Agent of Generator: ` °' <br /> Bakersfield Transfer f3lobal Material Management <br /> 1620 E.Brundage Lane 7244 Varna Ave. <br /> Bakersfield,CA 93307 Hollywood,CA 91605 N <br /> 661322-8258 818900-8476 <br /> CAL000282598 CAL000384844 Address: <br /> Recycling r <br /> &Disposal ZIP-. <br /> Facilities <br /> Facilities Riverbank Oil Transfer 5300 Ramos Environmental CRY. � <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West SacranumAo,CA 95691 Phone: <br /> 209-663-8181 9163715/47 <br /> CAL0000190817 CA0004003556 EPAID: <br /> REV.12-14 <br />