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Mailing:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kiernan Court,Salida,CA 95368 <br /> -n_GeOrge 1N. LOWr V, Inc. Phone:209445-0791 FAX 209-545-2241 <br /> Environmental Services Division EPA#CAR000047019 <br /> CA Transporter Number 3844 <br /> CA License#758518 <br /> GENERATOR: Consolidated Manifest Invoice: cool J <br /> Site EPA ID#i �� r <br /> Shipment Date: <br /> Contact Person; A,11 <br /> Name: ` Driver Signature(Printed): �v. <br /> �{ � ' <br /> Address. � %I Y Truck'# <br /> City,State,Zlp <br /> SIt6 Phoney . <br /> Product waste CA Manifest#0 Quantity units Price Amount <br /> Code I <br /> Non-RCRA Hazardous Waste Liquid(Used 011):Lubricating 221 01 Gal <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Industrial 221 Gal <br /> ,Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gals <br /> � ,, V <br /> Non-RCRA Hazardous Waste Lquld(Oil&Water) Gal <br /> Non-11011A Hazardous Waste Solids Contaminated with 0011 Drumis)' <br /> Drained Used 011 Filter Drum(s) ADMIN ❑ 1 <br /> Empty Drurn(s) SALES Each <br /> Transportation;&TrudtTme OR. <br /> HazardousIs <br /> Test <br /> Unless otherwise swiped on this Consolidated Manifest Recel )Tums.Accounts due on the 10th of the month foit*nq month purchase. Past due Total <br /> accounts w01 be charged a FINANCE CHARGE at the NTEtf 16%. <br /> By signing this receipt,the Generator certifies that a program has been established to reduce the volume or quanfityand toxicity of the hazardous waste to a degree as <br /> determined by the generetor,to be economically practicable. <br /> Generator aertities that all Hazardous Waste listed on this Consolidated Manifest Receipt is profiled to meet the Waste Codes as listed above. <br /> mote: George W. Lowry,Ind.hereby advises the Generator that X s(Generator's signature) <br /> shipment of used oil may be transported to a facility that is required to comply with federal regulations applicable to management of used oil 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 requirements,and some out-of-state faculties that process used oil also meet those require- <br /> ments.These include morestdngent leak detection and prevention mgluiremer ts�engitrfeering certifications of tank integrity,and financial assurances <br /> for closure and"accidental releases. it is lawful to send used oil to out of state facilities that comply on `-with the Federal used,o i management stan- <br /> dardsand not these more stringent requirernants <br /> . <br /> r : <br /> This notification Is for information only. Lowy®riverrgeia4 <br /> X <br /> Signature of Generator,Representative or Agent of Generator: X413 <br /> ® ®' <br /> Bakersfieid Transfer Global Material Management <br /> 1620 E.Brundage Lane 72"Varna Ave. <br /> Bakersfield,CA 93307 Hollywood,CA 91605 Name: <br /> 661.322.8258 818.900.8476 <br /> R@C Cling CAL000282598 CAL000384844 Address: <br /> Y <br /> &Disposal: Qom" city,state,zip: <br /> Facilities Riverbank Oil Transfer 5300 Ramos Environmental <br /> Claus Road 1615 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209.863-8181 916.371-6747 <br /> CAL0000190817 CAD004003556 EPA ID: <br /> `� REV.12-14 <br />