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Mailing:P.O.Box 178,Salida,CA 95368 <br /> 4612 Kiernan Court,Salida,CA 95368 <br /> George W. Lowry, Inc. Phone:209.646-0791 FAX 209-545-2241 <br /> Environmental Services Division EPA#CAR000047019 <br /> CA Transporter Number 3844 <br /> CA License#758518 <br /> GENERATOR: Consolidated Manifest Invoice <br /> Site EPA ID <br /> Shipment Date: } <br /> Contact Person: -1 4't = <br /> ,. Driver Signature(Printed): - <br /> a <br /> Name. .,. . <br /> Address: o _ &M CTruck# <br /> City,State,Zip:, W <br /> ;.. PO# <br /> Site Phone: <br /> Product Waste CA Manifest 00 Quantity units Price Amount <br /> Non-RCRA Hazardous Waste Liquki(Used Oil):Lubricating 221J _4 _ Gal r T <br /> m <br /> Non-RCRA Hazardous Waste Liquki(Used 011):Industrial 221 Gat <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gal <br /> Non-RCRA Hazardous'Waste Liquid(Oil&Water) 223 Gal' <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 352 Drum(s) <br /> ,grained Used Oil Filter Drum(s) <br /> Empty Drum(s) Each <br /> Transportation&Truck Time Hit <br /> Hazardous Test <br /> n� <br /> Unless otherwise specified on this Consolidated Manifest Receipt(Invoke)Terms:A000unts We on the loth of the month following month of purchase. past We dotal <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 /> Z <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 /> 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. 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 leak detection and prevention requirements;engirimitng certifications of tank integrity,and financial assurances <br /> for closure and accidental releases. It is lawful to send used oil to out of state facilities that Complyony with thefedletAl,used oil management stan- <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Lowry Driver # ? ., . <br /> I <br /> Signature of'Generator,Representative or Agent of Generatoli � <br /> Bakersfield Transfer Global Mateflai MAnnagement <br /> 1620 E.Brundage Lane 7244 Varna Ave. <br /> Bakersfield,CA 83307 Hollywood,CA 91605 Nam <br /> 661.322-8258 818.900.8476 <br /> CAL000282598 CAL000384844 Address: <br /> Recycling <br /> &Disposal # <br /> Facilities t verbank State <br /> on Transfer 5300 Ramos Environmental ' 'zip: <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 86367 West Sacramento,CA 95691 Phone: <br />€ 209.863.8181 916-371-5747 <br /> CAL0000190817 CA0004003556 EPA ID: <br /> REV.12-14 <br />