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Mailing:P.O.Box 170,Salida,CA 95368 <br /> 4612 Kiernan Court,Sfillcla,CA 96368 <br /> George W. Lowry, Inc. Phone:209-54"701 PAX 209.545,2241 <br /> Environmental services Division EPA#CAR000047019 <br /> CA Transporter Number 38" <br /> C. CA License#758618 <br /> GgNERATOR: <br /> Consolidated Manifest Invoice: <br /> Site EPA ID M 6 7 9GJ <br /> ContactPerson: Shipment Date: <br /> Na <br /> Driver Signature(Printed): <br /> Name: <br /> I , <br /> Ad Truck# <br /> U4 <br /> City, <br /> State,Z I Z�_ <br /> State' (P. It <br /> SIt9 P <br /> Poi <br /> Sltv Phone: <br /> Product <br /> Waste CA Manifest#0 Quantity units <br /> Code Price Amount <br /> -Non-RCRA Hazardous Waste Llquld(Used 011):Lubricating 221 01 q Z 7? 7R r rj/, 0 Gal <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Industrial 221 Gal <br /> -Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gal /I <br /> .— <br /> Non-RCRA Hazardous Waste Liquid(oil&Water) 223 Gal <br /> -Non-RCRA Hazardous Waste Solids Contaminated with Used 011 312 DrI <br /> Drained Used Oil FifterDrum(s) <br /> Dru"s) <br /> Empty Drum(s) Each <br /> Transportation&TruckTime <br /> Na <br /> Hazardous Test <br /> Unless otherwise specified on <br /> d=,7&11=,, TWnI Accounts due on the Join of Ole <br /> C mwth=nionthofpwchas& Past due <br /> a I ff'a==G'0E 1-1/2%per month,which 19 the ANNUAL PERC RATE of 18%. <br /> j pfd <br /> accounts will be chat,, FINANCE <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 toad 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 Ilsted above. <br /> Note:George W.Lowry,Inc. hereby advises the Generator thatx <br /> managementof ut <br /> shipment of used oil may be transported to a facility that Is required to comply with federal regulations applicable to Generatorused off's sigbnatthature)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[oak detection and prevention requirements,engineering certifications of tank Integrity,and financial assurances <br /> for closure and accidentalseleases. It is lawful to send used oil to out of state 90lWesAkqLComply only with the F �Ml used oil <br /> dards and not these more'stringent requirements, management stan- <br /> This notification Is for Information only. Lowry Driver Signature <br /> Signature of Generator,Representative or Agent of Generator: X <br /> 1W" <br /> Bagereflold Transfer 910!�IZMMI Management <br /> 1620 S.Brundage Lana 7�4 Varna Ave. <br /> Bakersfield,CA 93307 Hollywood,CA 91605 <br /> 011,122-8250 818,900"8476 <br /> Recycling CAL000282598 CAL0003 Address: <br /> ci • <br /> Rlierbank Oil Transfer 5300 '-Pa.03 En 'ntal tyj State,Zip: <br /> Claus Road <br /> 1515 S.River Road <br /> Riverbank CA 96357 West Sacramento,CA 956911 Phone: <br /> 209-863-8181 9164714741* <br /> CALOGOO190817 CA00040036M EPA ID: <br /> RFV 12-14 <br />