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i MtaMW.P.D.Box 176,Sa6da..cA 95368 Ma°'n9'Pp B=IM Salkla,CA I .Ge'.G W:.Lowry Inc 1621Op"""`°�6"'da�'�1� 4=MornCourt.Sa1Mhl.G 93168 rmwmnmerrrat Sateen_Dlrisron PM°ne-209'54SOM FAX 289.6752241 George W.Lowry,Inc. Pnwa 2o9asa791 4FAX zo9ss 4vA1 EPAXCARD0004 19 �-Envhonmanml Sary—DHislon EPAS CAROMM7019 A-6z _ G TranapormrNumbar 987.7 CATrauwportq Number 3844 ". CALk*m.7t758518 CALI,*-9758518 GEW Site EPA 10 t,. FSh:0-efft Manifest invoice: p GENERATOR: Consolidated Manifest invoice: _`,10 O J�iS _ 26404 (N 2'8147 ":I CwrtattPeraorc - e: 1 Sib FPA ID#: V l Shrymerrt Dake re(P:onhU Peraon:VA ff ��A Driver Signature(Printed): (M�((' _ .. tea' -. O-. /� (�(/q, aV5dd—: � [:1 1s CA<Y.5h4.71p: - Truck_ +�•�•Zip: PON Sop Plane: i'��_�.___� Product y�y _ ` _\v cod. G�Ntests0 Quantity Un7ta Price Amou�d Product ewe. cA-Muriitpi 70 -.-QRaamtiRy RrdRs P1,6 � .Amqurd j Non.RCRA Hamidous Waste Lyuid(Used Q'-?uti7katrtg NonRCRA Hazardous Waste Llqud gised J:LrIDdtafmg 22t DI !/f'�l l t -� 'cry \�. NooRMA.HaaardolaWaste l,iglod(lJstsi D@)Industrel NaHRCRA Hamdan Waste Liqutl(Used 01):Industrial 221 \ Nan RCRA Itamdps Waste LiWnd01-k t nohV An56eeae) 134 Nan RCRA Hamdan Waste Liquid(thea Aubm&e Anfilmeze) 114Vi els 1 r a. Non'RCRq Hamrdas Wasia Liu W(018,Wates 1z1 lT> lcm NonRCRA Hazardous Waste Liquid(016 Water) 223 Gd \ Nat-RCRp Hamdots Waste Sofds CorRtemtated w1Bl tked 01 342 NonRCRA HaaNi Dus Waste Solids Cord3m7ated with LbW 01 3M 0mn4s) Drained Used00F1h�rDrtm:(s) 0^�7a) I Dr4hed used 01 F1terDnaar7(s) Dmn4at — Dltun(s). 0 an(a7 I� Fmply Drums) TraaWt35M BTmikToue Trusponation BTnldkrane tat Hamdan Test HR. Hamdots Test I;) °� mFu+aNCE� ,r R°m'at ttawml r—..,e,.d,a„on oe tan Orme a�vn : PEaOWC RATEd t-1Q17 PanaplC Mi,YrberoANNOALP rera �rnvMerPWaa Pat ao TOW Unlmt olnerWt^.a ePrhrlm9as CanadEYad Mvr9ea Renytihndm)T Aomuibduommr tote diro mortlrRobWvgmatlndgad>®o.Pa7an Tonal ((----77---- ItATEd1eM `� I ism W77 In dwucda RNAHCE CHARGE! PERIODIC RATE d 1-12%pw mvw.Wham AHNUAL PERCENTAGERATEO 1aT. 17J. BYsignirrg Otis '�' Receipt the Genamler program tsss teen Ganlorq�idfi�q •m be e�rrpNdly Pr�Cade. �bruhed m mduca Rho waume or4aandm'ant mdey of rhe tu>:udoua wacm m a e nee es Hamdan Waste Sstotl on tn7s e9 3y sgNng this reratpL th Genaramrwranes opt a program has been esretYistred m reduce the volume or quentlty and foxicty U are tamrt7ous waste m a degree as GOrpoGdatetl alarNrest Rept 7s Horded m meet the Wa7m Cedes as listed stove 'I feterrrdnM by the generator,m be uxtmoniraly practicable. i 3enemtor cedimes apt a9 Hamrdum Waste Rated on olds Con sol dated Wnffest Reeapt¢profiled tomcd the Waste Codes as Estee above. Note:George W.Lowry,Inc.hereby advises the Generaterthat X naripment of used 00 may be transported to a faoTity that is required to Com 's(Generator's signature) I I qo[e:George W.Lowry,Inc.hereby advises the GorreraWr that X 's(Gorarator s slgnaWro) required to comply with the more Stringent requirementS apprrcabie te phazardo�t reRu aga applicable to management of used oil but that is shipment of used o1 may be transported to a facility that is required to comply with federal that regulations applicable to management of used oU but that's Process used oil are required to meet those mere stringent � _Catifania faaTities that handle or j I� meritr These intlude more LUQ ,and some out-ofatate not required to R:omply with the more stringent requirements applicable to haaRrlous waste mana9er0e0t fadfities.Cafitomia faWlties that handte or for closure and str...t leak mon and lea� Prevention requiramefft,ergmeerirg of Pmoesa Wd[ i60d of also meet those process used uire- oil are mquked to meet those more stringent requirements,and some out-estate That Process,used of also meet those require- dards and not these more re It is�l to send used oil to out of state facia les Mat �0grity,and financial assurances .. TIeR115 These ioduria more stringent leak detection and prevention requirements,erg' of tank integrity.and financial assurances stringent raquirerrrents. CO^IDh with the Federal used ori management star, t br closure and accidenW Releases.Itis lawful to send used o6 to out of state fadlafas my with Ura Federal used ori management span- This notification b tw information only. Lowry Driver Sigruture lards and net these more stringent requirements. This notification is for infomnation only- Lowry Driver Signature 1 Signature of Generator,Representative or Agent of Generator. X I' 3lgnature of Generator,Representative orAgent of Generator: Xran 1 °dd Gtobai Mabdei Management Bakasflold Transfer Yuma Environmvnttt BekandNid,Ge3307 7244vamaAw. l 1620 E.Brundage Lane 2730 F_13th L 661.M-8238 H 84)GG-d,6 91605 8180003 48 661-M-a saGs3307 n'� - Recycling X000 �6 cAL6oa994ae4 �� &Disposal �� j Recycling �D006 A2R000sts9z4 A0m1a1 Facilities Mor asooay,sea aap l &Disposal Cum Reed Ramos EnvWnmorrml Facilities R11-mank Oil Transfer 5300 Raman Eswhomamufal dry• ' 2098 896347 1515S.W'miSRSammeute,CA 95691 Plana: Claus Road 1515 S.RlverRoed 916,71-6747 7i Rlvatbw*,CAS6367 West Sacramento,G 95691 Pt— CALOOM190917 CADD0400306 I �' 20949630181916371-6747 CAL600190816 CAD004003556 RPA i dA10: jli II`I� I REV,41] Ali �: