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Mailing:P.O.Box 176,Salida,CA 95368 <br /> 4612 Meman Court,Salida,CA 95368 <br /> George W. Lowry, Inc. Phone:209.rt5-0791 FAX 209.545-2241 <br /> Environmental Services Division EPA#CAR000047019 <br /> CA Transporter Number 3844 <br /> CA License#758518 <br /> GENERATOR: CC Consolidated Manifest Invoice: No- 25870 <br /> Site EPA ID#: V Shipment Date: <br /> Contact Person: <br /> Name: Driver Signature(Printed): <br /> Address: Truck# <br /> City,State,Zip. )PO# <br /> Site Phone: <br /> Product waste CA Manifest#0 Quantity units Price Amount <br /> Code <br /> on-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 01 —g Gal <br /> Non-RCRA Hazardous Waste Liquid(Used 011):Industrial 221 Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 cal <br /> Non-RCRA Hazardous Waste liquid(Oil&Water) 223 cal <br /> on-RCRA Hazardous Waste Solids Contaminated with Used Oil 352 l�' Z On,m(s) <br /> J <br /> i <br /> Drained Used Oil Filter Drum(s) -�5 Druhn(a) <br /> jEmpty Drum(s) Each <br /> Transportation&Truck Time HR <br /> Hazardous Test <br /> Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Temps:Accounts due on the loth of the month following month of purchase. Past due Total <br /> accounts will be chwged a FINANCE CHARGE at the PERIODIC RATE of 1-1/2%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 /> 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 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 fa at(amply only with the F 1 oil management stan- <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Lowry Driver Sign <br /> Signature of Generator,Representative or Agent of Generator: X <br /> Bakersfield Transfer Global Material Management <br /> 1620 E.Brundage Lane 7244 Varna Ave. <br /> Bakersfield,CA 93307 Hollywood,CA 91605 Nmihe <br /> 661322.8258 818.9008476 <br /> GAL0!.k <br /> as CAL000304M Address: <br /> Recycling&Disposal ® CRY,state Zip: <br /> Facilities Riv ril Transfer 5300 Ramos Environmental <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209.863.8181 916-3714+747 <br /> CAL0000190817 CAD004003556 EPA ID: <br /> REV.12.14 <br />