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Mailing Box 176,Salida,CA 95368 <br /> RECEIVED 4612 Kiernan Court,Salida,CA 95368 <br /> Ge®t' @ W. Lowg, Ince i Phone:209-546-0791 FAX 209345-2241 <br /> Environmental Services Division NOV 2 0 2015 EPA#CAR000047019 <br /> CA Transporter Number 3844 <br /> ENVIRONMENTAL CA License#758518 <br /> ENT <br /> GENERATOR: Consolidated Manifest Invoice: <br /> Site EPA ID#: <br /> Shipment®ate: <br /> Contact Person: <br /> z iY. Driver Signature(Printed): r' Y. e " <br /> Name ' . �� g'._ F <br /> Address: t { ,.. s ';` Truck# z '. <br /> City,State,Zip } a €`s�' ,.. '• <br /> PO# <br /> Site Phone: <br /> Product waste CA Manifest#0 Quantity Ung Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 f x '+' n ; �` I Gat ; °f <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Industrial 221 Gal <br /> Non RCRA Hazardous waste Liquid(Used Automotive Antifreeze) 134 cal <br /> Non-RCRA Hazardous Waste Liquid(OU&Water) 223 Gad <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used 011 352 � ,t x ' dun(s) f 't <br /> Deuml <br /> Drainer Used Oil Filter Drum(s) <br /> Empty Drum(s) <br /> Each <br /> Transportation&Truck Time <br /> Hazardous Test <br /> t y4 <br /> Unless otherwise specified on this Consolidelecl Manifest Receipt(Invoice)Terms: Accounts due on the 10th of the month fbffm V month of purchase. Pest due Total k, <br /> accounts will be chmVed a FINANCE CHARGE at tie PERIODIC RATE of 1-1I2%per month,which lathe ANNUAL PERCENTAGE RATE of 18%. <br /> w. <br /> By signing this receipt,the Generator certifies that a program has been established to reduce the volume or quantity and tonicity of the hazardous waste to a degreeas <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'ssignature) <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 dosure and accidental releases. It is lawful to send used oil to out of state facliitiesthat_comply only withthe Federal used oil management stan- <br /> dards and not these more stringent requirements. <br /> This notification Is for information only. Lowry Driver Signat-LW6 X•u.,t <br /> A <br /> .;, .. <br /> Signature of Generator,Representative or Agent of Generator ,� <br /> NMI Li <br /> Bakersfield Transfer Global Material Management <br /> 1620 E.Brundage Lane 7244 Varna Ave. <br /> Bakersfield,CA 93307 Hollywood,CA 91605 Nom: <br /> 661-322-8258 818-000.8476 <br /> CAL000282598 CAL000384W <br /> Recycling <br /> &Disposal A, Cits <br /> State,Zip: <br /> Facilities Riverbank Oil Transfer 5300 Ramos Environmental <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 throne: <br /> 209635181 916371-6747 <br /> CAL0000190817 CAD004003556 EPA ID: <br /> REV.12-14 <br />