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'�"�,`r4"'11 <br /> Mailing:P.O.Box 1176,Salida,CA 95360 <br /> George Inc. <br /> r <br /> 4612 Women Couit Salida,CA 95368 <br /> eoEge W. Lowry, Inc.* Pttono.'2*09-546-0791 FAX 209-646-2241 <br /> Environmental W. Lowry, <br /> EPA#CAR000047019 <br /> CA Transporter Number 3844 <br /> CA License If 758518 <br /> GENERATOR: Consolidated Manifest Invoice: <br /> f%!.'. <br /> Site EPA 10 MCW—U. (.X-U ) Shipment Date: <br /> Contest Person: <br /> Name: Driver Signature(Printed): <br /> Address: 11-16 0AP_TV)_. W*7 Truck# <br /> city, <br /> fly'state"m <br /> 1p PO <br /> S"Phone: <br /> Product waste CA Manifest#0 Quantity Units Price Amount <br /> Cade <br /> Non-RCRA Hazardous Waste Liquid(OsIxf Oil),Lubricating 221 <br /> — 191 3Z3 e-, 641-7le 5`9 1- <br /> Non-RdRA Hazardous Waste Llqu�(Used 011),Industrial 221 Gal <br /> Non RCRA Hazardous Waste Uquid(Used.-Aularnatim Antifreeze) 134 GW <br /> Non-RCRA Hazardous Waste LlI(uid(Oil&Water) 223 ew <br /> Non-RCRA Hazardous Waste Solids Gonlaminated with Used Oil 352 Drurn(s) <br /> Yralned Used Oil Filter Drum(s) t Dru.K.) <br /> Empty Drum(s) 9 Egmh <br /> Transportation&Truck'nme lip- <br /> HazardousTest <br /> Unless otherwise Wedffedonthis ConWicWedfMnKaziReWpl(friv0m)Terms:Aocounis due on the loth of the month falknWriummonth ullpurbase.Pest due T061 <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1.112%per month,Okh Is Ute ANNUAL PERCENTAGE RATE of 16%. f <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 is(General.or's signature) <br /> shipment of used all may-be transported to a facility that is required to comply with federal regulations applicable to management at used oil but that is <br /> not required to comply wft6 the* more stringent requirementi applicable to hazardous waste management facilities. California facilities that handle or <br /> process used off are requlrbi to meet those more stringent requirements,and some out-of-state facilities that process used all also meet those require- <br /> ments These include more stringent leak detection and prevention requirements,engineering certifications of tank integrity,and financial assurances <br /> for closure and accidental releases. It is lawful to send used off to out of state facilitiesth comply only with the FegMLused oil management stan- <br /> dards and not these more stringent requirements.- <br /> This notification Is for Information only. Lowry Fitter Signature X <br /> Signature of Generator,Representative or Agent of Generalli. f'. <br /> NMI 13 <br /> Bakeraffold-Transfor Global Material Management <br /> 1020 E.Brundage Lane 72"Varna Ave. - <br /> Bakersfield,CA 93307 Hollywood,CA 91805 nattm <br /> 661-322.8258 $18-900-8476 <br /> Recycling CAL00,2826asCALOOD384844 Addiw3; <br /> 6— City,State,Zip., <br /> Facilities RI46ank Oil Transfer 6300 Ramos Environmental <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 ono: <br /> 209-803-8181 916-3711-5747 <br /> CALOODDIOO817 CAU0040036% EPA ID. <br /> - <br /> REV.12.14 <br />