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Mailing:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kiernan Court,Salida,CA 95368 <br /> GeoEge W. Lowg, Inc. hi Phone:209-645-0791 FAX 209-545-2241 <br /> LM <br /> Environmental Services Division EPA#CAR000047019 <br /> ' CA Transporter Number 3844 <br /> CA License#758518 <br /> GENERATOR: <br /> Consolidated Manifest Invoice: <br /> �• �� is <br /> Site EPA ID <br /> Shipment Date: Sa ' <br /> Contact Person. ,;''TT <br /> r <br /> Name * ; r r Gt{., Driver Signature(Printed]. �. <br /> Address: r`4. i :'•1!Y.L.2 Truck# 2-' <br /> tit y <br /> City,State,Zip: #i''Y . <br /> PO# <br /> Site Phone: <br /> Product waste CA Manifest#0 Quantity Units Pte Amount <br /> Code <br /> �t Non-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 d�, f 3 , r. ` ' Gal <br /> Non-RCRA Hazardous Waste Liquid(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 352 ." Drum(s) <br /> Drained Used Oil Filter Drum(s) } D®msl <br /> Empty Drum(s) Each <br /> Transportation&Truck Time HR <br /> Hazardous Test <br /> I <br /> Unless otherwise d on this Consoodated a FINANCE CHARGE at the PERIODIC(Invoice) <br /> )1 %Accounts due on the 10th of the month following month of purchase. Past due Total <br /> accounts will be per month,which is the ANNUAL PERCENTAGE RATE of 18%. <br /> A <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 degfee 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 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-o"tate 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 fapilitiesthat_comply only with;the Federal used oil management stan- <br /> dards and not these more stringent requirements. <br /> j This notification is for information only. Lowry Driver Sionatdre X--,# °'r `` •��4- <br /> E � <br /> E Signature of Generator,Representative or Agent of Generator: )�* ��,� � .• �„�ra�;a <br /> Li <br /> Bakersfield Transfer Global Material Management <br /> 1620 E.Brundage Lane 7244 Varna Ave. <br /> Bakersfield,CA 93307 Hollywood,CA 91605 Hamm <br /> 661322.8258 818-900.9476 <br /> CAL000282598 CAL0003BU44 Address: <br /> Recycling <br /> &Disposal 4Y <br /> Facilities Riverbank Oil Transfer 6300 Ramos Environmental City,State'zip: <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209-063.8181 916-371-6747 <br /> CAL0000190817 CAD004003556 EPA ID: <br /> REV.12-14 <br />(r <br /> I' <br />