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t <br /> f <br /> 1 <br /> t <br /> Mallin,:P.O.Boz t76.SaBda,CA 95366 t P.0.Bos 176,Sa5da,CA 95368 <br /> 4612 to.—Corot.SaH la,CA 95366 46121Omrau Court,Sarda,CA 95168 <br /> ¢ pb n 2094454791 FAX2A9845-VAI <br /> George W.Lowry,Inc. ' PA'C209 �" George W.Lowry,Inc. <br /> Emrlronhe•nhi <br /> S.M..Dlvraton <br /> EFA#CAROOOW7trt9 EnWi—nal Smvtxa DjN — �A#cARW004T019 <br /> CA TrmsPorOerNrmber3844 CATrarraporter dumber 3614 <br /> 6 CAucamn#TSB516 <br /> cA urxrmas7sestB <br /> GENERATOR: Consolidated Manifest Invoice: N° 25954 GENERATOR- Manifest s= N° 2 5792 <br /> San EPA rot. Shipment Date: OJ Site EPAID?_ Z} Shipment Dates _ D„ <br /> ComactPensorz o CordarS Persore <br /> Driver Signature(Printed): Driver Signature(Printed):�J <br /> Atldr�c �O - Truck# ZZ Address: Z-0 Tntek# <br /> CBy,Stale,Zi P: POO city.5tatq Zip: fl: PO# <br /> 5100 Phorrc <br /> site Phone: <br /> i <br /> ! web CA Vlieftsta'D Cl nrtly Iihib Pix Amount <br /> Product w++d CAhlanifect#0 GranBy this Price Amount Product Coes <br /> tdamdos Waste liquid(Used O1)d.Dbrica6ng zit Ol Z D (0 J on-RCRA Hamdous Waste Liquid(Used Od)Wxka6rg m D Liv f <br /> NarAlCRAHaaNns WasteligM(IlSiX104 indrs4ial 72d Gu N.RCRA HamdotsWaste U*W(Used Or1):tr-i W <br /> m 6i1 <br /> Non RCRA Hamdan WasteUgUdd(IfsedAulornro6`e ANdreea) <br /> 134 Non RCRAHamdas WastBUILM(lkeDAubrno6r-Brea) 134 Ge <br /> Ncr,MRA Hamrdas WasW Uqud(OI8 Wats) <br /> 2Z1 r'+r Non-RCRA Hamdan Waw Liquid(W 8 Water) 223 lid <br /> NonRCRA Haanlovswaste Sokk Cantamu�d-M Used 03 352 orinlq NarRCRAHamrdom WasaSMds Cotmmiatedwithtlsed Od 352 Dr,a{.) <br /> Orwh{+) <br /> Drained Used Oil FdBrDnmt(s) ohand.) Drained Used W FllsDrun(s) <br /> Each <br /> E+1g1P mss) E ' Erlgty Dna(S) <br /> 1IIL <br /> Transport6m&TndcTirm mt Tmmporm6on8Tnlckrmre <br /> Hamden Test Hazardous Test <br /> iNJaaaowboapec'6oSmtliaCamGOsbd Aftde9 Aerdf4(troace)Tamrs Mmanshe antr•10T otrtn n,mafoiwfigmaMaP+dorsa Paaeue TO>al espe 9ofodmetls Caw64ebe MwdhG R+w�t(h drsa)TamaM�nbdsmCr ton artlr n,ortlrroGVWgmdOrd <br /> Im—Pmee <br /> of1% <br /> ® wa Oe dmalda FONCECPARGE rtnoPS"MC PATE o1-2%WOrm.whicb dwANUAPERCURAGE rwgdaFK.NMCHARGEaMPHtK)OCRAlEfl42Wom. dwwBnR .PI--- <br /> Total �J <br /> rl <br /> By slgWM tins mo.4)t•the Genaater MM.that aW.Wm has been esatfthed In reduce the voknne orquantity and toxicity of Ore hamdmm wastemadegreeas By signing Ods receipt the Genaatorcati6es that aprogram has been established breduce thevjY or quanhity and tmdoty tithe haardXci wasetoadegreees <br /> detenrrined by-gencamr,to fie emnnmlca8rP � detemdned try the 9ersa6x IDbe exorhorrdra0y pradimbk. <br /> Generafwcertl6estta=,I,rdoes Wa57erutedun Ods ConsaBdated MahCestReceiptis pro0ted to meeflheWasle Codes as f60ed abwc Gmheramr cer65es that all Haz dad Wash rstm on this Caso6datad Madtest ReceiPtap 'ro7'ledmrr >he W"asm Cod as fsted alxwe. <br /> Note-George W.Lowry,Inc-hereby advises the Generatortllat x 's(Generator's signature) Note:George W.Lowry,Inc.hereby adhrises the Generator that X 's(Generators signature) <br /> shipment of used oil may be transported to a facility that's required to cornpy era <br /> with federal reguf30ons applicable to management of used ail but that is shipment of used Oil may be transported to a faciRythat is required m comply with fust regulations applicable to management nt used ail but that is <br /> not re9�to cog,ply with rye mere stringent Mquhmtents applicable to harardom waste mem <br /> anagent facilities.Cardona facit6es that handle or not required to comply wid,the more stringent-W—applicable to hazadas waste management fan3ities.Cations faaTnties that narbk or <br /> process used ori are required meet those nae stringent+ecluirements,and sane out-ofsfatefaeTd-that process used OR also meet those neluire• process used ori are required m meet those more stringent eequrrements.and some 019-a�facilities that process tried oil also meet those require- <br /> ments These include more stringent leak detection and prevention requirsnergs,enghleering�tiFcatias of tank'vdegnty,and financial assurances mems These include more stringent teak deletion and prevention 1EQUII1n1eft5,pr- Ce(I Uti. Of tank irtegfdy,and financial assurances <br /> fa cl sire and accidental releases.R is lawh7l to send used od to Ott of slate fae'I3es that comply Only with the Federal used oil management Stan- for closure and accidental releases.R is lawful to send Used o9 to out of stale only wigr Od managennert stan- <br /> dards and not these more strMert requiremeds. dards and not these more sbingent requ-vements. . <br /> This notification is for irdortrUaGon only. Lowry Driver i to r This otMc don is for ifiomration onty_ Lowry D-er Signature <br /> Signature of Generator,Representative or Agent of Generator. X Signature of Generator,Representative or Agent of Gene or. �_ <br /> Y rl <br /> B ® Blafer� rd Bakmsfidd Trrnsfa Managam.t <br /> BalatsAetd Transfer 1620 E Brundage tens IV.�—Ave. <br /> 10 E.Brundage Lana 7244M—Ave. 665 Bal®raBM4 CA 93307 Hollywood.G91805 <br /> nam trach. <br /> 62 <br /> Balursfldd,CA9XW Hollywood,CA91 <br /> 8168008476 te818800.8476 ' <br /> 6613718258 r'00023;_ CAL000384944 Addwc <br /> CAt.000�se6 ��� Recycling <br /> Recycling <br /> &Disposal ® &Disposal ® ar7 suaztP <br /> Environmentid <br /> Facilities OB Trarr tr Em 15tt lar� Facilities RiverRoad Ct.-�W 7nrshr 5700 lS�15SRrrcRwd �ruhz <br /> M Road vvast5au .CASSM P�„a RK-b nk CA 96167 Wes3S-6747 Oo,CA 95691 <br /> Rtvabanrk CA 96167 2094638tBt 91637Sfi7Q <br /> 209.8638181 916471-6747� ®A m: cAL,pp0p19O817 � ®A� <br /> CALf1000190817 <br /> REV.12-1 <br /> REV.12.14 <br />