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Malllng:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kiernan Court,Salida,CA 95368 <br /> George W. L2=_�Inc Phone:20944"791 PAX 209-545.2241 <br /> Environmental Services Division EPA#CAR009047019 <br /> 71 CA Transporter Number 3844 <br /> CA License#758518 <br /> —V-- m0l, <br /> GENERATOR: Consolidated Manifest Invoice: <br /> Site Shipment Date: <br /> Contact Person: <br /> No" Driver Signature(Printed): <br /> : <br /> Address: -1 17C. Truck# <br /> City,State,Zip. 0 <br /> Sltv Phone: <br /> Product Waste CA Manifest#0 Quantity units Price Amount <br /> Code <br /> -Non-RCRA Hazardous Waste Liquid(Used 011);Lubricating 221Gal <br /> Non-RCRA Hazardous Waste 1.0d(Used Oil):Industrial 221 4 220 <br /> -Non RCRA Hazardous Waste Uquid(Used Automotive Antifreeze) 134 Gat it <br /> -12 <br /> Non-RCRA Hazardous Waste Lkpjkl(Oil&Water) 223 <br /> /071 1(y 1 3 o <br /> -Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 352 <br /> Drained Used Oil Filter Drum(s) acumtal <br /> Each <br /> Empty Dnim(s) <br /> Transportation&Truck Time HR <br /> Hazardous Test <br /> Unless otherwise spodffodonOds ConWidMadManb$tReceipt(invo;w)Terms:Accounts doe on the Ift of the month fallowing month of purchase.Past due Tote <br /> accounts vAti be dW'od a FINANCE CHARGE at the PERIODIC RATE of 1-11296 per month,which to the ANNUAL PERCENTAGE RATE of 18%, <br /> By signing this recelpt,the Generator cottfies that a program has been established to reduce the volume or quantity and toxicity of the hazardous waste to a d�lq 'al <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 /> Note:George W.Lowry,Inc. hereby advises the Generator thatX 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. Callfomlat 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 these require- <br /> ments These Include more stringent leak detection and prevention requirements,engineering certifications of tank Integrity,and financial assurances <br /> ply only with the used oil management stan- <br /> dardsclosure and accidental,releases. Itis lawful to send used oil to out ofstate fa 1wesiluatcorn F=�21 <br /> dards and not these more'stringent requirements, <br /> This notification Is for Information only. Lowry Driver SI9j!n!aWrA <br /> Signature of Generator,Representative or Agent of Generator: X <br /> �^i <br /> l�atefla I Management <br /> Bakersfield Transfer .. <br /> 1620 E.Brundage Lane 7244 Varna Ave. <br /> Bakersfield,CA 93307 Hollywood,CA 91605 <br /> 661-322-8258 818-900.8476Rec clan CAL000282598 <br /> CAL0003 Name: <br /> 'City,State,71p: <br /> FaCllitleS Rlierhank Oil Transfer 5300 e—TIos Env 1.- <br /> tntal <br /> Claus Road ISISS.River Road <br /> Riverbank CA 96367 Phone: <br /> West Sacramento,CA 96691 <br /> 916-371-6747' <br /> 209-863-8181 <br /> CAL0000190817 CA0004003656 SPAID: <br /> A FV_12-14 <br />