Laserfiche WebLink
Mailing:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kiernan Court Salida,CA 95368 <br /> George W. Lowry, I Phone:209546-0791 PAX 209-645.2241 <br /> Environmental Services Division EPA#CARD00047019 <br /> CA Transporter Number 38" <br /> CA License 4 758518 <br /> GENERATOR: Consolidated Manifest Invoice: i4u. 26796 <br /> Site EPA ID <br /> cot D50 708.� Shipment Date: <br /> ContactPerson, <br /> Narri�e: INIF1 kIRP Driver Signature(Printed): <br /> ' <br /> Address: 1170E,,,uok 11 <br /> City,State,Z(P. 06 <br /> SItV Phone: <br /> Product Waste CA Manifest#0 Quantity units price Amount <br /> Code <br /> 'Non-RCRA Hazardous Waste Liquid(used Oil):Lubricating 221 �31 :!Lt-1 ago <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):industrial 221 Gat <br /> 44on RCRA Hazardous Waste Liquid(Used Automotive Anfteze) 134 Get <br /> Non-RCRA Hazardous Waste Liquid(Oil Mater) 223 C'm <br /> -Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 352 <br /> Drained Used Oil FlfterDrum(s) Drurn(ts) <br /> Empty Drum(s) Enh <br /> Transportation&TruckTime HR. <br /> Hazardous Test <br /> Unless otherwise specified on this Consolidated Man"Receipt(Invoice)Tom:Accounts due on the low of the month following nwth of purchase. Post due <br /> accounts YA11 be diar'ad a FINANCE CHARGE at the PERIODIC RATE of 14121 <br /> A per month,which to 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 quantify and toxicity of the hazardous waste to a deg AWa. <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,engineering certifications of tank Integrity,and financial assurances <br /> for closure and accidentat.relessw. It is lawful to send used oil to out of state faciffles4kiat comply only with the F efal used oil management stan- <br /> dards and not these more'stringent requirements. <br /> This notification Is for Information only. Lowry Driver Signature <br /> Signature of Generator,Representative or Agent of Generator: X <br /> Bagerafteld7ranufar Glo i atertalManagement <br /> 1620 E.Brundage Lane 7!OVI Vam a Ave. Name: <br /> Bakersfield,CA 93307 Hollywood,CA 91605 <br /> 661-322-8258 818-900-8476 <br /> CAL000282598 CAL0003 Address:&DisposalAddre <br /> Recycling �7(x <br /> Rlierbank Oil Transfer 5300 e-M.Env w/.,.rental 'C%4 State,ZjP: <br /> Claus Road 15115S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 96691 Pima: <br /> 209-863-1311811 916-3714747' <br /> CAL0000190817 CA0004GO36N EPAID. <br /> RFV.12-14 <br />