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Maiiing:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kiernan Court,Salida,CA 96368 <br /> George W. Lowry, Inc. Phone:209-545-0791 FAX 209-645-2241 <br /> Environmental Services Division EPAOCAR000047019 <br /> CA Transporter Number 3844 <br /> CA License#758518 <br /> GENERATOR: Consolidated,Manifest Invoice: 23 V <br /> Site EPA ID M/1-A111, �� ' <br /> Shipment Date: , <br /> Contact Person z c <br /> Driver Signature(Printed): <br /> Name: et '�. �� r r <br /> Address y A, Truck# <br /> f <br /> Chyo p'' <br /> State 21 . , Of <br /> 9 PO# <br /> Site Phone: <br /> Product wasteCAManifest#0 Quantity units Price' Amount <br /> Code <br /> .Non-RCRA Hazardous Waste Lquld(Used 011):Lubricating 221 'r Gal <br /> l` Non-RCRA Hazardous Waste Liquid(Used Oil):Industrial 221 ' Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gal <br /> 1 Non-RCRA Ha Mous Wast`a Liquid(Oil&Water) 223 Get <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 352 Drums) <br /> Drained Used Oil Filter Drum(s) <br /> Empty Drums) Each <br /> Transportation&Truitt Time HR <br /> Hazardous Test <br /> Unless otherwise spedBed on this Consoildeted Manifest Receipt(Invoke)Terns:Accounts due on the 101h of the month foliowing month of Purchase. Past due Total <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1412%per month,which is the ANNUAL PERCENTAGE RATE of 18%. <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 certifies that all Hazardous Waste listed on this Consolidated Manifest Receipt is profiled to meet the Waste Codes as listed above. <br /> Vote: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 butthat is <br /> not required to comply with the morestringent requirements applicable to hazardous waste rnanagerflent facliitles. 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�inciudwtnore,stringent-,leak,detection and pr+eventlon requirements,,eoginemring-cert�ations Of t0nk integrity,and financial assurances <br /> for closure anti accidental releases. it is"lawful-to send used oil to out of state facllitles�Ahat comply only with the Federal used all management Stan- <br /> dards and not these more stringent requirements: `., <br /> This notification Is for information only. Lowry Driver Stgnrture } <br /> Signature of Generator,Representative or agent of Generator:" X <br /> 7 <br /> Bakersfield Transfer Global Material Management <br /> 1620 E.Brundage Lane 7244 Varna Ave. <br /> Bakersfield,CA 93307 Hollywood,CA 91605 Nar <br /> 661322-8258 810.900.8476 <br /> ReC CIIn CAL000282598 CAL000384844 Address: <br /> &Disposal 1x <br /> Facilities Ithiarbank Oil Transfer 5300 Ramos Environmental cuy, zip. <br /> Claus Road ISIS'S.R(verRoad <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209.863.8181 916.3716747 <br /> CAL0000190817 CAD0040035M EPA ID: <br /> REV.12-14 <br />