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Maliing:P.O.Box 176,Salida, A 95368 , <br /> 4632 Woman Court;"Salkda,CA9368 <br /> Georaiii W. Lowy, Inc. i Phone:209-545-0791 FA7t 209.5�54i41 <br /> a Environmental Services DivisionEPA#CAR000047019 <br /> f <br /> 'CATransporter Number a844 i <br /> CA License#758518 <br /> GENERATOR: <br /> Consolidated Manifest Invoice (' <br /> Site EPA ID#: 41 !' <br /> CShipment Date. <br /> Contact Person. <br /> 1 i <br /> Name Driver Signature(Printod) 1 <br /> Address: <br /> Truck# <br /> City,State,Zip: <br /> Po#il1 r <br /> Sit@ Phone: <br /> I <br /> Product waste CA Manifest#0 Quantity U its Pie Amount <br /> Code i <br /> Non-RCRA Hazardous Waste Liquid(Used 011):Lubricating 221 jai <br /> z z <br /> Non-RCRA Hazardous Waste Liquid(Used 01Q:Industrial 221 <br /> 1 Gal( <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 rel <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 352 Dtip,(ej, <br /> Drained Used Oil Filter Drums) <br /> is <br /> Empty Drums) Ea1ct� <br /> Transportation&Truck Time p <br /> Hazardous Test I <br /> Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Terns:Accounts due on the 10th of the month following month of purchase. Past due ;' 1 Total' <br /> accounts will be charged a FINANCE CHARGE at the`PERIODIC'RATE of 14/2%,per month,which is the ANNUAL PERCENTAGE RATE of 18%. <br /> B signing this receipt,the Generator certifies that a � 1 <br /> By g p program has been established to reduce the volume or,quantity and toxidtyof the hazard waste toad gree 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 listed above. <br /> Dote:Goorge W. LowM Inc, hereby advises the Generator that x _ <br /> shipment of used oil may be transported to a facility that is required to comply with federal regulations applicable to managerrient of used oil but that is <br /> not required to comply with the more stringent requirements applicable to hazardous waste management facilities. Califomi'if�cilities that handle or <br /> process used oil are required to meet those more stringent requirements,and some out-o4tate facilities that process us etl oil also meet hose require- <br /> ments These include more stringent leak detection and prevention,requirements,engineering certifications of tank integrity, n'd financial assurances <br /> for closure and accidental releases. It is lawful to send used oil to out of state facilities that coripiy onywylth the Federal used�ii menageme it stan- <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Dowry Driver Signature <br /> 11-lignature of Generator,Representative or Agent of Generator: X <br /> now <br /> Bakersfield Transfer Yuma Environmental <br /> 1620 E.Brundage Lane 2730 E.13th Nam- j <br /> Bakersfield,CA 93307 Yuma,AZ 85365 <br /> 661-322-8258 928.3449826 _ <br /> RecyclingCAL000282598 AZR060515924 Address: <br /> &Disposal C3 <br /> Facilities ctry, '���p <br /> .Riverbank Oil Transfer 5300 Ramos Environmental <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209.863-8181 916.371.5747 <br /> CAL000190816 CAD0040036M EPA to: <br /> REV.4-17 <br />