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Mar—p P.O.Box 178.sauda.GA 95488 Mailing:P.M Bos 174 Saida,CA 95168 <br /> 46121 IM—Cma4 Sa00a,CA 95368 4612 tOarrrarr Court.SWda,CA 95188 <br /> Ph 2054&"M FAX209.345=41 PhOM201646-" FAX 46=41 <br /> George W.Lowry,Inc. EPnscAR000o4fM19GeInc. EPASCAR0000CM9 <br /> E 1 enmearar semue oror:ion orge W.Lowry, <br /> CA Transporter Number 3844 Envio nW sarvlees DHfar n CATrarsperterNumDer3844 <br /> CAU=en9ei758518 CAticerses7MIS <br /> EturoR ca��Manifest lnV0i= N° 25734 ConsolidateddNarrifest Intro ce: N° 25689 <br /> GENERATOR <br /> rA ID V. .3 Std nt Dates — O- Smw ,coati9: <br /> Site EPA ID t ' < <br /> X Person: Driver Signatum(Printed): Contactpenow Driver Signature(printed): <br /> Trucks -Z Narne: Tto�� ZZ - <br /> ss 7 <br /> t POp AdtlRsc !� POA <br /> ti CRY,State.7.rP: <br /> tOM1C SitePtiaie: 11r4ta Price Amount <br /> PrOdiK2 W+Rt CAMand #D Ooantlly Ild4 Price Amourd Way GA Mani{eettW puarriltY <br /> Cant Pmdua coat <br />�RCRA Hamrdous WastefArdd Nsed O�dauOdrafng �' to $ Ibo �' r G !a < 221 <br /> CPA Namrdo a vtasle f iqu d Nsed OlJ d O Gr <br /> tRCRANazmdoia Wal Ull d(Used 221 Non-RCRA Namrd.WasteLgWPed Oil): 221 <br /> I RCRA tlazanlas Walk tigidd(Used ALdDM*ve ArdffMa) 134 Non RCRA Raratdouswas4^timid Nred AuWMWeAudluera) 134 Gr <br /> 223 �+ 223 <br />,RCRA H.bus Waste Lquid{Cl&Water) �W 11(z I Non-RCPA RamdOUSWasleL*W(Ol&Waled on.4.) <br /> i-RCRA HamrdosWaste Solids Cordameua�d wlh tked Ol SSt 0677 — 1� wm Used Ol . <br /> om1•d / Non-RCRA FIazardwsW�SoOds Coed o„m{ai <br /> aced Used(M FlterD wo(s) io Dna-vied Used of F3ler(IMP(s) E-h <br /> r� <br /> ply D-MS) 11R �''.I f�pty D um(s) ML <br /> rdporfaban&TnidkTime ':•.1 -r MpotrGon&TnrdkTow <br /> alders Test <br /> }{amrdas7est <br /> r•astme <br /> batlwlo0n0dree drroaarrNJ'aa4amfWaAiNl CCEPCl®rrAraRrGirEa aaetmtlYBaPstHRRmroDvIl7Gr @RAn7aEived)1- mWm av lOT dtlnma:Mroeow6r0 maM dprdm¢ Total <br /> m1QGr'wntk vv � wCZWC <br /> C <br /> dwct a4tl.e P'kk:W1TEdiT14emais%V/1�Ctp�iNv <br /> eReah'eew�AlDrDALP It/KiE nRtmATaElddW18'4dn <br /> K <br /> Pa4dre T� �� <br /> WXE <br /> rdn9 itis recuttAe Ganmalu #fiesemta WWnsmha aemestal>Wed tD caduca the vokme MgUMW errde�Y of the hamkddrs wdetoade9Reas _ BY ngOia recast ihaG iB50mta Po9ram <br /> has been established to reduce8le vdurrle a qualNy erre troddtyerthe tvaartl s waste m a degree as <br /> ihlr_M b,- c.1 beecoaarirraOYPrV + determined q,Ory gelteramr,mbe economiraiN 1> - kwlteu Rer�DtisP�m meet the Waste Codes as listed ab-I <br /> aroradtiics ttkdali Hazardous wastefated ontlds CmooOdatad Manliest Recei�tts bkited die waste Cedes as r¢fed abm� nus VWaste listed m this C=Dfidated <br /> 5, GynemtorceAliesthaR aO Hazard <br /> 's(Generator's signature) •s(Generalefs signature) <br /> George W.Lowry.Ina hereby advises the Generator that Xhe Generatorthat X nt of used of but that-s <br /> tent of used of may be transported to a facility that is required to Comply with federal regulations applicable to management of used of but that is Note-George W.Lowry.Inc-Ihereby civets W I reyugpons appticabia to manage <br /> that handle <br /> Ie to hazardous waste managerrierdfacaes-Cafdomia fadaties that handle or sh-rpmerd of used of may be trarsPorted to afacldyVe appficabk t�douis wash rrtarte9ef11e^t faa7dtes-Oaffacilities <br /> also meet those raj <br /> guaed m comply with the more siraigerd requiremerds apptikab used ail also meet those require- with the more sbmgeid req faa-@MS that process uire- <br /> ss used of are required tD meet those more stringent mqunenvffts,and same out-of-State fataTlties that process _ f fired to coin fy more stringent requOeRWRIs.and some ouAof a and fmandai assurances <br /> cerpTicatiws oftank integrity.and financial assurances cess used of are required to meet facet certif�tiors of tank kdegrity, <br /> cure and�P.r�r stringent�t is ldetection awf nod�ionaAcu�fee-Acs onywlh Me Fadu:ryl}sed of management Stan- -,'' mems These include mote stringent leak detection and prevention ova only with Me Federal used al rt+anagenant stern' <br /> and not these more stringent requirerrlems. for closure and acddemal releases-tt'a lavdul to semi used od m out of stale <br /> fa <br /> f'- dards and not these more stringent requirements- 6.�C <br /> This notification ds for irdonrwtion ony. Lowry Driver 9 X This notift firn is for kdonnation only- Lowry Driver Sig re X <br /> ature of Generator.Representative orAgent of Generator. X R resentative or Agent of Genera r. <br /> Signature of Generator, ep <br /> 1�E t3nmdage Lane 7244 V—A ty ,tom ddBrd T—f Rana �4 V�G 6D6 <br /> Balouafiaid.CA 93307 HeMywocd,CA91606 eatvr:fi.ta cAs33or Hotywe«L <br /> 8188D0.8478 8164DD-6476 <br /> CAL8003848" Aaettac 66i-=-8M <br /> CAL000364ea4 Aedrtat: <br /> tecycling Recycling <br />.Disposal 0 CRY.sm.zat t &Disposallbeece err.stare aR <br />=acirrfies Ek.Transfer 5300 R—Envk°nmemal nk 08 Trarrshr 5300 <br /> Cimo Road 1515S.RK—Road r�rorc >. Facili(ies wit 1516S.w�west SmcranwcdcNG Pha„c <br /> RkwbaWA.CA 96.18T west <br /> S.---d% 95691 ivvvDa CA96W <br /> 209-863-8181 ��7CAD004003666 ®AID: -r 209.8618181 GD004003M EPA ID_ <br /> CAL0000190817 CALDDDD190817 <br /> REV.12-14 <br /> REV.12-14 <br /> „i <br />