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Mailing:P.O.Box 176,Salida,CA 95368 <br /> 1 7 4612 Kiernan Court Salida,CA 95368 <br /> Environmental Services Division f0 <br /> e®rf�� LOWi"� inc. 4612 <br /> 20954"791 FAX 209-545-2241 <br /> � <br /> L EPA#CAR000047019 <br /> CA Transporter Number 3844 <br /> �. CA License#758518 <br /> GENERATOR: <br /> Site EPA ID#: <br /> Consolidated Manifest Invoice: (�i p 25870 587 <br /> C I V <br /> Contact Person: V Shipment Date; <br /> Name. Driver Signature(Printed): <br /> Address. <br /> City,State,Zip: Truck# <br /> Site Phone: PO# <br /> Product waste CA Manifest#0 <br /> Code Quantity Units pie Amount <br /> on-RCRA Hazardous Waste L quid(Used Oil):Lubricating 221 <br /> Gar ��t <br /> Non-RCRA Hazardous Waste 1.0d(Used OID:Industibi 221 6 <br /> Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 <br /> Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 <br /> Gat <br /> on-RCRA Hazardous Waste Solids Contaminated with Used Oil 352 <br /> Drained Used Oil Filter Drum(s) Drum(s) I <br /> Drums) <br /> Empty Drum(s) <br /> Each <br /> Transportation&Truck Time <br /> Hazardous Test HR <br /> Unless otherwise specified On this Consolidated Manifest Receipt(Invoice)Terms: Accounts due on the 10th of the month following <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-12%per month,which is the ANNUAL PERCENTAGE RATE of 18 se. Past due TOtai / <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 profiledto meet the Waste Codes as listed above. <br /> Dote: George W. Lowry, Inc.hereby advises the Generator that X <br /> shipment of used oil may be transported to a facility that is required to comply with federal regulations applicable to management of used s signature) <br /> not required to comply with the more stringent requirements applicable to hazardous waste management facilities. California facilities that hanbut dle or <br /> d oil that is <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 /> es <br /> hose require- <br /> I ments These include more stringent leak detection and prevention requirements,engineering certifications of tank i <br /> for closure and accidental releases. It is lawful to send used oil to out of state fa 9 '.and financial assurances <br /> dards and not these more stringent requirements. at empty only with the F 1 oil management stan- <br /> This notification is for information only. Lowry Driver Sign 4 <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 GALOO...4 9 CAL000304044 <br /> Disposal <br /> l� Addfess: <br /> Facilities Rt nk Oil Transfer 5300 City,state,Zip: <br /> Claus Road Ramos Environmerrtal <br /> Riverbank,CA 96367 1515 S.River Road <br /> 209-863-8181 West Sacramento,CA 95691 Phone: <br /> CAL0000190817 916-371`747 <br /> CAD0040031i56 <br /> EPA ID: <br /> REV.17.14 <br />