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Malling:P.O.Box 170,Sallda,CA 95300 <br /> 483210oman Court,Salida,CA 98300 <br /> George W.Lowry�I1 C. Phono:200d410791 FAX20054S-2201 <br /> Envimnmantol Service•DNialon EPA 0 CAR000D47019 <br /> CA Transporter Number 3044 <br /> CA Lloonse a 756518 <br /> GENERATOR: _ Consolldated Manifest Invoice: N O 28199 <br /> San 0pors: L_V00,3 KKC-C ] Shipment Date: <br /> Contact Person: SL11I`(7 <br /> Name: Driver Signature(Printed): < <br /> Address: sk. Truck# <br /> city,slate,zlP: G <br /> Po 9 <br /> Slip Phone: <br /> Product wast. CA Manifest 90 Quantity Urvta Price Amount <br /> Cade <br /> Ron-RCRA Haanlow Waste Liquid(Used N:Lubricating <br /> NonRCRA Haanlous West.Liquid(Used til):Indusblal 221 ga <br /> Nan RCRA Haardous Waste Liquid(Used Aukkrative Antibeea) 134 0,1 <br /> NonRCRA Ha7erdow Waste Liqud(00$Water) 223 c. <br /> Nan-RCRA Hazardous Waste Solids Contam6ated wbh Used 01 352 uo J J Draa(a) <br /> Drained Used 01 Filter Drum(s) on".) <br /> Empty Drum(s) e.,n <br /> Transportation 8 Truck Time HR <br /> HaardousTest <br /> Uroxs W�oroiw Wod6od an a9aCmra6daWd hRv Yaet Roa+'pt(9Ndco)Tmns A—tduam9ptehoi9w T`r4h b;UW9 month ofPodp Post duo Total �!U <br /> wm..nb v4r ba d%wgW.FINANCE(:HN1GE il9q PERIODIC RATE.(JAM%p,r rel vdedi pap ANNUAL PERCENTAGE RATE of JOW j' <br /> By signing this mceipt,the Goruealor certifies that a Program has been osteblished to roduce the volume or quantity and torddty of the hazardous waste to a degree as <br /> detenalnad by the generator,to be econornkeBy prodlcade. <br /> Generator certifies that a9 Haardoua Waste 8atad on ihb Conealidated Manaest Receipt Is Profiled to meet the Waste Codes as listed above <br /> Note:George W.Lowry,Inc,hereby advises the Generator that X 'a(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 all but that is <br /> not required to comply with the more stringent requirements applicable to hazardous waste management facilities.CalBomia facilities that handle or <br /> process used oil are required to moat those more stringent requirements,and some out facilities that process used ori also moot those requim- <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 facilkies that comp my 'h ederal used oil management Stan- <br /> dards and not these more stringent requirements. <br /> This notification Is for Information only. Lowry Drive ignatura X <br /> Signature of Generator,Representative or Agent of Generator: X <br /> Bakonflald Trsn.Nr Yuma EnWronmental <br /> 1820 E.Brundage Lana 2730 E 13th <br /> Bakorsflald,CA 93307 Yuma,AZ85365 Num: <br /> 6613225250 020-34441826 <br />' LFacilltles <br /> ling CAL000202kso AZROOOSIS924 ted,,, <br /> osal /'//t(orbank011 Transfer 6300 Ramos Environmental City,state,Zip: <br /> Claus Road 1616 S.River Road <br /> Riverbank,CA 96367 West Sacramento.CA 95691 Rens: <br /> 20956351619163715747 <br /> CAL000190816 CADOD40035H EPA ro: <br /> REV.41r <br /> 2 <br /> E <br />