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Melling:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kieman Court,Salida,CA 95368 <br /> George W Lown+, Inc. Phone:209.545-0791 FAX 209-545-2241 <br /> Environmental services Division EPA#CAR000047019 <br /> l CA Transporter Number 3844 <br /> CA License#758518 <br /> GENERATOR: Consolidated Manifest Invoice: <br /> w 1 <br /> Site EPA ID#: - q Y Shipment Date: <br /> Contact Person: t <br /> a v Driver Signature(Printed) -� <br /> Name � � , � <br /> Address: t t _ Truck# r <br /> City,State,Zip': PO#' <br /> Site Phone: <br /> Product waste CA Manifest#0 Quantity Units Price Amount <br /> Code <br /> 'Non-RCRA Hazardous Waste Liquid(Used 011):Lubricating 221 lAct� F. Gail <br /> . r <br /> Non-RCRA Hazardous Waste 1.4uld(Used 011):Industrial 221 Gal <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 352E Drurn(s) <br /> Drained Used 011 Filter Dium(s) D"'"Ke) <br /> Empty Drum(s) <br /> Each <br /> Transportation&Truck Time Hit <br /> Hazardous Test <br /> EUnlenwise'spedfied on this Consolidated Manifest Receipt(Invoice)To ms.Accounts duo on te 10th ofthe month following month of purchase. Pastdue Total� J be charged a FINANCE CHARGE at the PERIODIC RATE of 1412%per month,which is the ANNUAL PERCENTAGE RATE of 18%. 3 <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 degrse`�as , <br /> determined by the generator,to be economically practicable. <br /> Generator certifies that ail Hazardous Waste listed on this Consolidated Manifest Receipt is profiled to meet the Waste Codes as listed above. <br /> Moto:George W.Lowry,Inc. hereby advises the Generator that '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 accidental releases. It is lawful to send used oil to out of state facil tiesvthat:compty only with the'Federal used oil management stan- <br /> daids=and not these more stringent requirements. ra , <br /> This notification Is for information only. Lowry Driver Signafure . ' r <br /> t.w <br /> Signature of Generator,Representative or Agent of Generator <br /> w <br /> a a <br /> Bakersfield Transfer Global Material Management <br /> 1620 E.Brundage Lane 7244 Varna Ave. <br /> Bakersfield,CA 93307 Hollywood,CA 91605 Name <br /> 661-322.8258 818-000.8476 <br /> CAL000282598 CAL000384844 Qddreas: <br /> Recycling <br /> &Disposal v <br /> Facilities Riverbank Oil Transfer 5300 Ramos Environmental City,State,Zip. <br /> Claus Road 1515 8.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Rhone: <br /> 209.863.8181 916-371-747 <br /> CAC0000190817 CAD004003556 EPA to: <br /> REV.12-11 <br />