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Malang:P.O-BOX 176,Salida,CA 95368 <br /> 4612 X on—Coret,Sauda,CA 95368 � � 4taBing:P.O.BOX 176,Salida,CA 95168 <br /> George W.Lowry,Inc. C) Ph--209515D791 FAX209545.2241e612 Mom—Cour,Sa80z,CA 95368 <br /> Emmr—serviru Dr i jf S EPAf CAR00Wl70t9 r George W.Lowry Inc Pibrra:209x45 D79 <br /> - t FAX'a" a! <br /> CATransporte,Number3fiO4 .I.� <br /> CA t.icor¢a S 7535!8 EPA 1f CAR000017019 <br /> �.: CA Trarmpoder Wumher 3&44 <br /> CA U�oc O&758518 <br /> Q-A <br /> i <br /> WD <br /> t Imp I N� 25613 J GENERATOR <br /> site EPa ro r. consolidated Manifest Invoice: N o 27422 <br /> — contact Panora: Shipment pate: <br /> ted): A!NaAddr— <br /> Driver Signature(Printed):Add— � Truck* /� b <br /> Site Ptmnc City.Stats.ZJP:SI¢Phono: tf� <br /> Product C GMarvfed 9D prmmlty Ihtlp Price A—n, <br /> Product w— <br /> CRA Hamm gs Waste Liquid(Used 09)1�dp8ry 221 A'tr. [� em. G ManBeusd Quantity u— Price Amount <br /> N—RCRA Haardb s Waste Liquid Nse�!O�1 indasbiai 221 V' ! �.� '4 t Hamdola waste Liquid lysed oa]3,mdra6,,,j 221 S <br /> Ga NonRCRA Haanlous Waste Liquid(Used Off:Indusi ial 221 0 6v <br /> RCRA tiaardois Wade Liquid(UsedArdrkroaveAntifreea) !x /, "" ), ea car <br /> V `1 Npt RCRA Fiamdpa Wade L'qud(tlsedAubnpffre ggdr�) 131 <br /> NOM2CRA HaarcbtG Waste Lquid(00&Water) 223 cat <br /> Ga Non-RCRA Hazalloes Waste Liquid(OR&Water) 223 <br /> Non-RCRA Ha—Waste Solids ConfarrufaLy with Used OR � <br /> malt <br /> Drained Used Ql Fdter6nnt<s} roRCRA NoHazardous Waste Solids Contaminated will used Oct 352 <br /> EmPh Dmm(s) <br /> DIJ Drained used Oil FdlerDnun(5) D��4y <br /> /1 <br /> Tnnsportalon&TrudcT. Muff(s) <br /> °"mai <br /> Hazardous Test ttR Trarrsporp!JM&TnIckTrma zxh <br /> Hazardous Test trd. <br /> Jx ono, V..6,dasna ca.aacaama wuraa Ratiotnr�>ramc ACmatyaan ma,omawroom, <br /> aaQads.m ooevwdarwANCEctraRcarna PeaoDrc RAIEd,-,Ql4psarwns.rdd,:.m.amrwLPsecertir;E Rn �,e r dw Total ys urcaor wanm eaau6oaao o+s cm�imted aer ,t _ <br /> 1 1 mans wp en u+awd aFd+aNCECWtRGEmwPEfaoDic IRA!Eat]],-irzscP>araN�wy�¢gat��u+NunL P92CENrfo°O1pq aauCma.Rau a.a Total <br /> AGE RA7EmietL <br /> deylaemtined oramr p�pnlralh prime.nus Bean esaMahadm mdura are vdume or q—cly and IDI or the ha <br /> tvasmmadegree B si <br /> r going tNs recaipL ate cenanmreeroeas Ute[a prognrir has nae„osrab(aJtaa m reacts ins <br /> Ger—t-1 a0 ifamrdas Waste on ertr Caso6damd ktarriletit Receipt is profiled m meet arewaste Codes as tsted alsA.e delemrined by the 9._ator.m be emr enrig9y practicable <br /> Genvolume orquan0ty and imdafy or are nazvdous Wo.m a dog—as <br /> Generamrcanifiesthat ad HazardousWalde listed on Oft Consoedamd Manifest Receipt¢Profiled m meet the Waste Codes as listed above, <br /> Note:George W.Lowry,Inc.hereby advises the Generatorthat X 's(Generator's signature) Note:George W.Lowry,Inc.hereby <br /> shipment of used od may be transported to a fadity Mat is required to cwnpty'Rh federal regulations Y advises the Generator thatX <br /> not required to comply with the more applicable to management of used al but that is sh' <br /> Process used OR are gent re st rin" appGoble he hazardous Y aste ma rPmert Of U$ed Olt may be}ran5pO12tM t0 a 's(Generator's <br /> required to meet those more fad-Cafdonria factitia that handle or not required to �Tu'mats required m comply with federal ( inlet's signature] <br /> stringent requirements,and some outbf-state facilities that st^n9errt requirements a Grable to hazardous waste ma g`�le to management of used oil but that s <br /> comply with the more ragula gem <br /> mems These include nrore stringent leak defection and prevention _ Process used orf also meet those requires Process used od are required to meet those more stringent requirements,and some O d.,f fat Pro. s utsOd O faalitres that handle or <br /> for dosure and accidental releases-his lawful t.send used ca to out of state 'roes that cornpty on tankintegrity.and financial assurances mends These include more stringent teak detection and prevention requirements,orgareryira�cerorKatiD�of tank <br /> used oB also meet those require- <br /> dards and not thea more stringent requirements. stun- for closure and accidental releases.t a lawful to send used or7 to out of state integrity,and financial assurances <br /> dards and not these mon: faaTitias"rat wmpty only with the Federal used o7 <br /> This notihoCion is for inforrnetiorr Doty. LowryDriv ignature X stringent It mawgemerd stan- <br /> This notification is for information only, LowryDriver S _ <br /> Signature of Generator,Representative or Agent of Generator. X_ <br /> I( Signature of Generator,Representative or Agent of Gone <br /> 8W.1.5a1d Tranafor Global Maf.W Nan.9—at KJ <br /> 1620 E Brundago Lana 7244 V—Avo. <br /> atxsma,zp: <br /> Balm W91,CA 93307 Hollywood,CA 91605 nus. IMP-Befd Transfer Global Aiamdal Managemom <br /> 661�� <br /> RecyclingK.12191T. <br /> 1620EBnrnage Luno d7241 Vona Ave.8ALOOD354W SCA 91 Holywood,CA 91605 Nara:Address, 818900-8476 <br /> &Disposal Recycling CALOCestaosse CAL000384844 �:Facilities &Disposalrrsfar 5300 Ramon <br /> os Frnirrrmrrtii I <br /> Gans Road 963"7 1575 SizrvarSaccunond d Facilities ink Oil Tnmfor 5300 Pt000z Envire atr.seseazp: <br /> 2099635181 916371-67 CA 95631 Rani RNerLaln dk CA 96367 1515 S.ftfwa Road <br /> CALOM190817 CAD0040035% 2095518191 West�eenlo.CA 9569! Pb,-- <br /> ®Ant. I 916-371.6747 _. <br /> 1 CAL9Mj9o917 WS <br /> REV,t2-1a <br /> rxty vas <br /> I <br />