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Mailing:P.O.Box 176,Salida,CA 95868 <br /> 4682 Kieman Court,Salida,CA 95868 <br /> George W. Lowry, Inc. Phone:209.545-0791 FAX'209-545,2241 <br /> Environmental services Division EPA#CAR000047019 <br /> CA Transporter Number 3844 <br /> CA License#758518 <br /> ittle <br /> GENERATOR, Consolidated Manifest invoice: ' <br /> Site EPA ID#: <br /> Shipment Date f <br /> Contact Person: <br /> Driver Signature(printed) <br /> Name: ( f <br /> Address: ; Truck# <br /> City,State,Zip: <br /> PO# <br /> Site Phone: <br /> Product waste CA Manifest#0 Quantity Units Price Amount <br /> Code <br /> 54 Non-RCRA Hazardous Waste Liquid(Used 011):Lubricating 221 >r Gal <br /> Non-RCRA Hazardous Waste liquid(Used Oil):Industrial 221 Gal <br /> Non RCRA Hazardous Waste Liqukl(Used Automotive Antifreeze) 134 Gal t <br /> Non-RCRA Hazardous Waste Liquid(011&Water) 223 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 352 Drum(s) <br /> Drained Used Oil Filter Drum(s) Drum(s) <br /> Empty Drum(s) Each <br /> Transportation&Truck Time HR <br /> Hazardous Test <br /> Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Terms: Accounts due on the 10th of the monthfollowing month of purchase. Past due Total „ <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-112%per month,which Is the ANNUAL PERCENTAGE RATE of 18%. <br /> By signing this receipt,the Generator certifies that a program has been established to reduce the volume or quantity and toxicity of the hazardous waste to a degree as <br /> determined by the generator,to be economically practicable. <br /> Generator certifies that all Hazardous Waste listed on this Consolidated Manifest Receipt is profiled to meet the Waste Codes as listed above. <br /> 14otd: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 comply with federal regulations applicable to management of used oil but that is <br /> E not required to comply with the more stringent requirements applicable to hazardous waste management facilities. California facilities that handle or <br /> process used oil are required to meet those more stringent requirements,and some out-of-state facilities that process used oil 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 comply 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 /> Signature of Generator,Representative or Agent of Generator: X <br /> 13 <br /> Bakersfield Transfer Yuma Environmental s <br /> 1620 E.Brundage Lane 2730 E.13th <br /> Bakersfield,CA 93307 Yuma,AZ 85365 Name: <br /> 661422.8258 928.344-9826 <br /> CAL000282598 AZR000515924 Address: <br /> Recycling <br /> &'Disposal �� city,State,Zip: <br /> Facilities Riverbank Oil Transfer 5300 Ramos Environmental <br /> Claus Road 1615&River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209.863.8181 916371.5747' <br /> CAL0061g0816 CAD0040036N EPA to: <br /> REV.4-17 <br />