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MidgmW P.O.Bmr 176.Sawa.CA 95988 <br /> 14a6rog:P.O.B"I76.Salida.CA95368 4M lour-03 CwaL Sellft CA 2153611 <br /> 4MKl mer CourRSMft CA953ae PheuK20SIZAt"79t FAX209,5 =I <br /> George W.Lowry,Inc. Phohec208454"M FAX Z09445-2241 George W.Lowry lnc. EPA, 79 <br /> Enrbenmental services DWteton EPAO CAR90004M9 Emlronmentat Servtws DMeon CA Transporter Number 3544 <br /> uTm-pabrNmnWr3844 cAuw,..s7sas+a <br /> CA LIa-aa 758515 <br /> GENERATOR: N° 27799 <br /> GENERATO(L cgnwGdarod 9Ra u"a 6nroice: N° 2 7 8 6 3 G- /7 <br /> sure EPA Dr. <br /> C Uw3 s sroe B'Amt O � � shipment L)abx <br /> Shipment Date: <br /> ContanYPensom � `•%7 ContactPeawc Driver Signature(primed): <br /> M&A <br /> - Driver Signature (^ Ileac Truk# <br /> Address: 1!/ Trucks •�� address ( O <br /> chY•Ste,zo: ,f— C$y.Sbdaaldc YO# <br /> POR <br /> Site Phoma She Phorne: <br /> weete CAMardfestRO Quen" u," Puce Amount <br /> Prctlort <br /> Product r CA 14arilest 00 Quart) ire MPhe Amomd / f <br /> CRA Hazardous Waste Liquid(Used 01}iLdio6og 221 0/ .�T� Cr on-RM HamNatswa�Liquid Need N MOM R Ei•J-�f� 5 d <br /> Nm•RCRA Hazardous Waste Lqud Nsed M:hidubial 221 i uy NmRCRA iiamNouswaste liquid(lkedO'd):hdv.;bal 221 <br /> Nm RCRA NamrdoisWaste Liquid Nsed kftw veA ) 134 Gr RCRA)lMWMZWaste Liquid Nsedmormcf-A ) <br /> Gab <br /> Nm-RCRA Hazardous Waste Liquid(00&wales) 2233 Ger - Nm-;CRA Hazardous Waste Liquid(03&Wafer) 123 <br /> arwlel <br /> �? NorRCRA HamNrns Waste Surds ContamrokO rttr used 01 352 Dnm1H <br /> tiatardou;Waste Solids cmdanmeBd With used 01 352 Q(6G1 7.Z .�3%C oL <br /> usedwwtrDnan(s) D..mdd e� Draaceaused0li FTerDrrmr(s) <br /> ErryhtyDnm(s) r s �PA'Dnan(s) <br /> Rz <br /> Trmspurb5m&TnKkTom NFL Trmsporwm&TndtTm <br /> HamdomTest FlamrdousTest <br /> Womod—b-pefieduri Cavdesbds nec yf(Oncies)T A¢nab dwm 3r Ion miser lMleas Wnawbe rgedSeC-rata coroofEdodlbSSYneaiVt(Ynak.)Tan¢AasreasOr mi. 1A Narmomn WrAGERA EOFWoua.Pa#ee Tobi '777 ' <br /> scarYewm tedepeda FWa"Co'"o RGEalae P9a0oIC RA'reotr-0QfG reaeeergrnaM o(preaese.•Pa#ae Totd ./i...,, eoxuaaw0CedegbaFDVICECHAP4GEW8 P PA�Ea l4- Pt'rm'Cl�litlrben ANMLV.PERCBiTAGE MTEcf 18X r!7 <br /> prnvetwtichbftAmagLLPStMWAGERA7EorIM / <br /> By signing this reispt the Gereramr carbfias arta program has been established to reduce thsvdranear By signing this receipt.the Gennest eralorced'Sof a Program tress been es"ambedm-&—Ina vdumear cr-41y alb lo,&*of the hazardous vriM ID degree as <br /> determined by the generator,tar be emrnnicallyprarAmbk. quality ant toncproffhe haardora wasteroadegrrx as deermirred bythe9enearor.robe emrnnna6ypactiiaj <br /> Generatorcera3rs DW all Hazardous waste usual on On Consolidated MamTest Receipt is profiled ro meet the waste Codes as listed abore GenerarorcerbTies ihata0 tfa>ardousVUFasle rated madsCorsd'daled Me 7estRtsaptis periiled to cood am Waste Codes as rated above <br /> Nobe:George W.L wry,Inc. yr th fede�l Mations ro�n� orators signature) <br /> rg Lowry,InC.hereby advises the Generator that X s(Generator's sigriarum) Note:George W.Lo hereby advises are Generator that X of used ort but that is <br /> shipment of used al may be transported to a faaldy that is required to cornply with federal shipment of used oB�rey ire trarupoted ro a faaTdy that is-quired ro c«nPy reg .CaBorrnia farsTti�es that handle or <br /> not requited ro cornpy with the moraregulations;applicable ro Wdorn fac of used d h tau[that 6 rro[required to CamPN mita the mese Srin9erd retNir te+ts apPrrcab)e to nazardas wras�rnarraganeM <br /> stringent requirements appficabfe ro tazardmsswaste marcaganeM faoTities Cagfom)a faaTites that handle or process used o0 are-qu)red 1D mem those mese sfingerd requirenleruts•and same out-orafate faa'fiaes that prods used of also meet arose assurances <br /> Process used oil 2bo rneet those require- leak detection and prevention requihrefrtetds,PJ'gineem5 bons of halite decal u.and fmandat ageassurances <br /> process used OR are required ro meet those nrore stringent regrmerrhertts,and sane ouFofafate faa"f�that req mens These inqude trona strim3ent <br /> menu These include more str"uhgerd leak detection and prevmtioru lequirrarherds,elgeueerirg cerGfimtiors dfaNr irdegrity,and Lnandal assurances <br /> for closure and acddantai releases.tts lavdul ro send used od ro out ofstafefaaTibesand axnpfy on with are Federal used oil mmhaganerd stan- <br /> for dowre releases_tt to send used ml to out Ofstate facilities that ar(n/pl'yyp*with the Federal used oil management stan- <br /> dards dards and not ttte..e more strbtgent requirements- //,7 / <br /> and not these more stringent recturrerrients. <br /> This notfiwton is for information only. LowryDriver Signature X w��n This notification is for irrformaton only Lowry Orlver Si aturo X �^� <br /> X nature of Generator,Rem ,V �%•! - <br /> g presentative orAgem of Generator. Signature of Generator,Representative or Agent of Generator. X <br /> Si <br /> ®BidueeYuma Environmental <br /> Bakersfield iranshr Ym- 1620 E Brundage tate 2730 E.13th n� <br /> 1520 E Brundage lane 2730 E I3an Bak..nold CA99307 Yunmo AZ 85165 <br /> BabnOaid.CA93W Yuma,AZ55365 661312.8258 928341.68215 <br /> 661322.8258 928,1444) 6 CAL000282M AAMUNS15M Addreec <br /> Rec�y.,c,,li�n,,g, CAL0002SM8 AZRD00515924 Add,w Recycrn <br /> &Disposal C L( ® &QISp-al ✓�l ® C11),Saes 2ke <br /> Fadfrtes �• Facilites Riverbank ou Transfer 5900 Ramos Environmental <br /> Wverbank Oa Transfer Ram-EmhoomeaW curus ISISS.RfvarRwd <br /> Men;Read ISISSRIverRoad Riverbank, westSaaamento.CA 95691 R"r` <br /> Rheburk.CA 96367 WeidS.-mento rA9569t Ph— 2098638781 916d71-6M <br /> 2094638181 91671-6747 CALgg01908i6 CAD004003556 gp@ <br /> CALOM90816 CA0004003556 EPAaT. <br /> t*V.al <br /> REV.4-1] <br />