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Mailing:P.O.Boz 176,Solids,CA 96368 <br /> 4813 Moment Court,Salida,CA 96366 <br /> George W.LOWfV,Inc. Phone:2o9.646-0701 FAX 209-5415-22411 <br /> Envlronmaslalfiarvioss Dl )& EPANCAR000047019 <br /> CA Transporter Number 2841 <br /> CA License 11758618 <br /> GENERATOR' Consolidated Manifest Invoice: N2 26429 <br /> Site EPA IDN: CS _._. Shipment Date: <br /> Contact Person: .. - r <br /> Driver Signature(Printed): C` (A <br /> Noma: <br /> Address: Truck M <br /> City,8tofn,ZIP: <br /> Poll <br /> Sltp Phone: ',. <br /> Product weals CA Manifest NO Quantity units Price Amount <br /> cod. <br /> on-RCRA Hazardous Wells Wold(Used M:Lub k*g 221 �l b`ISl'7S' '�'J14 ?,9v - 6� <br /> WORM Hazardous ill" (Used OIC:Industrial 221 � <br /> RCRAHazardouswasteWuid(UsedAutomWNeAnnrl-) lu p (; ,.y IC v�0 " <br /> Gal <br /> Non-RCRA Hazardous wells Liquid(00 a WSW 223 <br /> ortRCMHareldousWellsSolkbCafamMaledvdtliUsedW 362 01 ��7JS rf �`rt•I � <br /> 4�ed Used C9 FlIlsrDNm(s) Om •1jita <br /> Eaeh <br /> Empty Drums) <br /> NR <br /> Transpodalbnd oickTime <br /> HazaldaisTesl <br /> •�•iysw o••d oFItW7CE GIMGE of O PPERi0Dl0(RA�111%Pxmpth vlddr Ntlw ANR.L PERCEENIAGGEE Rl1TE of 19%.—th Of •�P49 d" <br /> By signing this receipt,lire Generator certifies that a program has boon established to reduce the volume or quantity ant toxicity of the hazardous waste to a dogree as <br /> detarmined 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 /> Note:George W.Lowry,Inc.hereby advises the Generator that X 's(Generator's signature) <br /> shipment of used oil may be transported to a facility that Is required to amply with federal regulations applicable to management of used oil but that is <br /> not required to amply with the more stringent requirements applicable to hazardous waste management facilities.Califomia facilities that handle or <br /> process used oil are required to meet those more stringent requirements,and some ouFofetate facilities that process used OR 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 facilities that amply only with the Federal used oil management stan- <br /> dards and not these more stringent requirements. <br /> This notification Is for information only. Lowry Driver Signature X <br /> C— <br /> signature of Generator,Representative or Agent of Generator; <br /> 0 <br /> BakaMlold Tm-far Global Material Mansgomsnt <br /> 1020 E Brundage lane n"VemaAve. Nom, 4 <br /> Sakerefiold,CA 93307 Hollywood,CA91606 <br /> 681.322.8268 6184004478 <br /> CALOOOI1698 CAL00038411" Address: <br /> Recycling <br /> $Disposal '�UL 0 City,sU1g ZIP; <br /> Facilities RNerbenk OUTramfer 6300 Ramos Environmental <br /> Claus Road 1816 S.Rtw Road <br /> Rlverbank,CA 98367 West Sacramento,CA 96691 fl— <br /> 2094183-0161 916.371.6747 <br /> CAL0000190017 CIIDOO4003638 EPA to: <br /> REV.1211'. <br /> i <br /> i <br />