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. y Mailing:P.O.Box 176,Salida,CA 96360 <br /> 4612 Kiernan Court,Salida,CA 95368 <br /> Phone:208-545-0791 FAX 209-645-2241 <br /> George W. LAWyrs[_ �iC" EPA#CAR000047019 <br /> � Environmental services Division` " CA Transporter Number 3844 <br /> CA License#768518 <br /> GENERATOR• Consolidated Manifest invoice: -� <br /> Site EPA ID#: Shipment Date t <br /> a <br /> Contact Person: Ctriver Signature(Printed): `y{ <br /> Name: : x <br /> Truck'# <br /> Address. r, <br /> City,Stats,Zip:; 9� " r^ PO# <br /> Site Phone: <br /> waste CAManifest#0 Quantity Units Price Amount <br /> Product Code, <br /> Gal I <br /> Norl RCRA Hazardous Waste Liquki(Used 011):Lubricating <br /> 221 <br /> Gal <br /> Non RCRA Hazardous Waste Liquid(Used Oil):Industrial <br /> 221 <br /> Gal.. <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 <br /> Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 <br /> Non•RCRA Hazardous Waste Solids Contaminated with Used Oil 352 i,1 „_ o`um(S <br /> Drained Used 011 Filter Drum(s) <br /> ~ Each <br /> Empty Drum(s) <br /> HRI <br /> Transportation&TruckTime <br /> Hazardous Test Mu <br /> Unless otherwise apedtied <br /> -two Consolidated Manifest Receipt(Invotoe)Terms:Accounts due on the 10th of the month following month of purchase, Past duo Total <br /> accounts Will be charged a FINANCE CHARGE at the PERIODIC RATE of 1412%per'month,vfiidi is the ANNUAL PERCENTAGE RATE of 18%. <br /> By signing this''recelpt,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 /> determinedby 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 /> `s(Generator's signature) <br /> Mote;George W.Lowry,Inc.hereby advises the Generator that X <br /> shiprrient 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 complywith the more stringent requirements applicable to hazardous waste management facilities. California facilities that handle or <br /> ui <br /> process used oil are,required to meet those more stringent requirements, <br /> and some out-of state facilities that process used oil 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. itis lawful to send used oil to out of state facilities that comply only with the Federal used oil management sten- <br />( dards and not these more stringent requirements. <br />` This'notification is for information only. Lowry Driver Signature - � <br /> Signature of Generator,Representative or Agent of generator: � <br /> Transfer Global Material Management <br /> Bakersfieldy244 vama Ave. <br /> 1620 E.Brundage Lane Name: <br /> Bakersfield,CA 93307 Hollywood,CA 91605 <br /> 661322,8258 818.900.8476 <br /> CAL000282696 CAL000364844 Address: <br /> Recycling <br /> &Disposal City,state,zip: <br /> FaCllitie3 Riverbank Oil Transfer 6300 Ramos Environmental <br /> Claus Road 1516S.River Road Phone: <br /> Riverbank,CA 96367 West Sacramento,CA 95691 <br /> 209-863-8181' 11B 371.fi74T <br /> CAL0000190817 CADW4003656 EPA to: <br />