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Mailing:P.O.Box 176,Salida,CA 95368 <br /> /± 4612 Kiernan Court,Salida,CA 95368 <br /> i,George.W Lowry,i inc. Phone:209-545-0791 FAX 208-545-2241 <br /> �`. <br /> Environmental services Division EPA#CAR000047018 <br /> CA Transporter Number 3844 <br /> CA License#758518 <br /> GENERATOR: Consolidated Manifest Invoice: ,- <br /> Stte EPA ID#:I 7 - <br /> Shipment Date: r <br /> Contact-Person: <br /> Driver Si nature anted <br /> Name .. U ) <br /> Address. I ��f, Truck# <br /> City,State,21px POO <br /> slt@ Phone: <br /> Product waste CAManifest#0 Quantity', unite price Amount <br /> Code' <br /> .Non•RCRA Hazardous Waste Liquld(Used 011):Lubricating 221G <br /> g Gal t ` <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Industrial 221 w Gel <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 r g-0 <br /> -. GaI <br /> r. <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gel <br /> Non-RCRA HazardousWaste Solids Contaminated with Used Oil 352 Drum(e) <br /> Drained Used Oil Filter Drum(s) Drum(s) <br /> Empty Drum(s) Each <br /> Transportation&Truck Time His <br /> Hazardous Test <br /> Unless otherwise Specified on this Consolidated Manifest Receipt(Invoice)Terms:Accounts due on the 10th of the month following month of purchase, Past dus Total `,' <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1412%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 to>ecity 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 /> Note:George W.L®Wry, 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 /> not required to comply With the more stringent requirements applicable to hazardous waste'management facilities. California facilities that handle or <br /> process I used oil arerequired to meet those more stringent requirements,and some out-of-state facilities that process used oil also meet those require- <br /> ments These inciu&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 SignatrleoJ Y~ ~f <br /> ---- — <br /> Signature of Generator,Representative or Agent of Generator <br /> s <br /> t <br /> Bakersfield Transfer Global Material Management ' <br /> 1620 E.Brundage Lane 7244 Varna Ave. <br /> Bakersfield,CA 93307 Hollywood,CA 91605 Name: <br /> 661.322.8258 818.900.8476 <br /> CAL000282598 CAL000384844 Address: <br /> Recycling <br /> &Disposal city,state,zip: <br /> Facilities Riverbank Oil Transfer 5300 Ramos Environmental <br /> Claus Road 1615 S.River Road <br /> t Riverbank,CA 96367 West Sacramento,CA 95691 Win@ <br /> j 209-863.8181 816-371-6747 <br /> I CAL0000190817 CAD0040036M EPAID: <br /> i <br />[ ��2 RLV.12-14 <br />