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Mailing:P.O.Box 176,Salida,CA 95368 <br /> ( 4612 Kiernan Court Salida,CA 95363 <br /> George W.Lowry,Inc. Phone:209545-0791 FAX 209-615-2211 <br /> mantel cervices MOM- EPA#CAR000047019 <br /> tearer mro¢ -ac'.�-�vxr. CA 7raneportor Number 3844 <br /> CA License#750518 <br /> GENERATOR: Consolidated Manifest Invoice: o — <br /> Site EPA ID#: ave -- N- 26466 <br /> V Shipment Date: _I 7 <br /> Comad Person: <br /> Name: <br /> Driver Signature(Printed): <br /> L-CJ <br /> l <br /> Address: I I JA Truck# <br /> CIty,Stara,Zlp: G L <br /> PO p <br /> Site Phone: - <br /> Product wore CA Manifest#0 Quantity um. Price Amount <br /> Cods <br /> on-RCRA Hazardous Waste Liquid(Used 00)tubrkafag 221 �-��i 3 J oreZa ,5v <br /> Nan-RCRA Hazardous Waste Liquid(Used N:industrial 221 / Gel <br /> Non RCRA Hazardous Waste liquid(Used Automotive Antilreeze) 134 <br /> Non-RCRA Hazardous Waste Liquid(00 d WaM 223 c.r <br /> on-RCRAHazardous Waste Solids Conbrnhatedwith Used 01 3s2 6 WQ214 deme) ,rs <br /> Drained Used 00 FvverD"3) dumpe <br /> Empty Drum(s) each <br /> Transportation d Truck Thre HR <br /> Hazardous Test <br /> lkeoaa oehr.,hiw Wahified an 9i.CmeoBcbbd A/nhaoN Reoppl lonoko)Tamc A—ta Aro an a»loch M ep maM hio.ina ax"h of Redhase.Pdd. <br /> emoune wieMNa9edo F91ANCE CKARGE.t etc PERIODIC RATE.(t-V2%per mgnh,.hkh 1.fro Mmm PERCEIfRAGE RA-Mat 10%. <br /> Bytom by the generator,to ra � gs <br /> eipnthe tor that <br /> has been established to reduce the volume or quantity and toxicity of the hazardous waste to a degree as <br /> Generator cerliffes that all Hazandotn Waste listed on this Consolidated Manifest Receipt Is pro0led to meet the Waste Codes as Bated above. <br /> Note:George W.Lowry,Inc.hereby advises the G onerator th at X 'e(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.Califomia facilities that handle or <br /> process used oil are required to meet those more stringent requirements,and some out-Of-stste facilities that process Used o0 also meet those require <br /> menta 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 stala facil-Ries that comply only with the Federal used oil management stan- <br /> dards and not these more stringent requirements. <br /> This noUficaUon Is for Information only. Lowry Driver Signature X <br /> Signature of Generator,Representative or Agent of Generator: X :00 Iq- <br /> id <br /> SDrb,t^ <br /> Bakeragold'Fromfor Global Material Management <br /> 1620 E.Brundage Lane 7244 Varna Ave. Nasrn <br /> Baksrafisid,CA 83307 Hollywood,CA 91605 <br /> 651-0225258 818-0005478 <br /> RecyClIng <br /> CAL000282598 CAL000384844 Addmaa: <br /> &Dlsposal k=Ob <br /> i 12 Facilities Riverbank Oil TranaMr 5300 Ramos Environmental <br /> C1b.slate.av;— <br /> Claus Road 1515 S.River Read <br /> Rh art ank CA 96367 Wort Sacramanw,CA 95691 ph—: <br /> 209-M-8181 $116-371-6747 <br /> CAL0000190817 CAD004003656 EPA m; <br /> REV 12-14 <br /> t <br />{ <br /> C <br />