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Mailing:P.O.Box 176,Salida,CA 95368 <br /> Ge®i" L VV ®�/ -J' <br /> 4612 Kiernan Court,Salida,CA 95368 <br /> ry. It7C. Phone:209545-0791 FAX 209-545-2241 <br /> Environmental Services Dlvlslon <br /> EPA##CAR000fl47019 <br /> CA Transporter Number 3844 <br /> CA License#758518 <br /> GENERATOR: <br /> Site EPA ID#: <br /> Consolidated Manifest Invoice: 0 27233 <br /> Contact Person: Shipment Date: <br /> Driver Signature(Pri ted): <br /> Address: , r� <br /> City,State,21p: 17 Truck <br /> •'l� o E.., <br /> Sit@ Phone: ��d PO# <br /> Product Waste CA Manifest#0 <br /> Code Quantity Units Pie Amount <br /> 'NojNon-RCRA <br /> RCRA Hazardous Waste Liquid(Used 011):Lubricating 221 <br /> ` 6 Gal S / <br /> Hazardous Waste Liquld(Used Oil):Industrial 221 <br /> Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 <br /> L° Gat t` <br /> Non-RCRA Hazardous Waste Liquid(Oil 8 Water) 223 ` <br /> " Gat <br /> on-RCRA Hazardous Waste Solids Contaminated with Used Oil 35a <br /> Drums) t J // <br /> rained Used Oil Filter Drums) <br /> Empty Drum(s) Drurh(s) <br /> Each <br /> Transportation&Truck Time <br /> HR. <br /> Hazardous Test <br /> Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Terns: Accounts due on the 10th of the month following month of <br /> accounts w 11 be charged a FINANCE CHARGE at the PERIODIC RATE of 1-12% 0 Purchase. Past due Total <br /> Per month,which is the ANNUAL PERCENTAGE RATE of <br /> A <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 <br /> rshipment of used oil may be transported to a facility that is required to comply with federal regulations applicable to management ofused oil signature) <br /> 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 <br /> ments These include more stringent leak detection and preventionrequirements,and some out-of-state facilities that process used oil also meet those require- <br /> for.closure and accidental releases. It is lawful to send used oil to out of state faGengineering certifications of tank in <br /> dards and not these more stringent requirements. m ly only with the Fede 'and financial assurances <br /> ed oil management Stan- <br /> This notification is for information only. Lowry Driver Si na <br /> a <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 Name: <br /> 661-322-8258 818-900-8476 <br /> Recycling CAL000282598 CAL000384844 <br /> Address; <br /> &Disposal <br /> Facilities Riverbank Oil Transfer 5300 Ramos Environmental Com'State,Zip' <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209-863-8181 916-3715747 <br />' CAL0000130817 CAD004003666 <br /> EPA to: <br /> 4 <br /> tREV.12-14 . <br /> t <br />