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Melling:R0.Box 178,Salida,CA 95368 <br /> 4632 Ideman Court,Salida,CA 95308 <br /> George W. Lowry, Inc. Phone:209.545.0791 FAX 209-545-Mi <br /> Environmental Services Division EPA#CAR000047019 <br /> CA Transporter Number 3844 <br /> tr <br /> CA License#758518 <br /> GENERATOR- Consolidated Manifest Invoice: <br /> Site EPA to,#. r v x - <br /> Shipment Date <br /> Contact Penson: ` <br /> Name Driver Signature(Printed): <br /> Address: Truck# <br /> City,State,Zip: <br /> Site Phone: <br /> PO# <br /> Product wasteCAManifest#t0 Quantity Units' Pie Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 Gal <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):industrial 221 Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze)' 134 Gal <br /> Non-RCRA Hazardous Waste Ltqukl(Oil&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&Trucit Time NR <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 due Total; <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 142%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 profited to meet the Waste Codes as listed above, <br /> Note: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 /> not required to comply with the morestringent 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 /> merits,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 11',o <br /> Signature of Generator,Representative or Agent of Generator: X <br /> Bakersfield Transfer Yuma Environmental <br /> 1620 E.Brundage Lane 2730 E.13th <br /> Bakersfield,CA 93307 Yuma,AZ 85365 Name: <br /> 661-322.8258 928344-9826 <br /> CAL000282598 AZR000515924 Address: <br /> Recycling <br /> &Disposal ,x <br /> Facilities Riverbank 011 Transfer 5300 Ramos Environmental city,state,gyp` <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West'Sacramento,CA 95691 Phone: <br /> 200.863.8181 916371.5747 <br /> CAL000190816 CAD004003556 EPA ID: <br /> REV.4-17 <br />