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Mailing:P:0.Box 176,Salida,CA 95368 <br /> A- <br /> 4612 Kiernan Court,Salida,CA 95368 <br /> G <br /> LOWIy, �ltri. <br /> Phone;209-545-0791 FAX 209-545-2241 <br /> ed -Lowry, EPAOCAR000047019 <br /> .Envlronmentak9ervices Division <br /> CA Transporter Number 3844 <br /> CA License#758518 <br /> GENERATOR' Consolidated Manifest Invoice: 4 All <br /> Site'EPA!v# ` +, h _ Shipment DatIt <br /> : <br /> 2 ; <br /> -' e* <br /> Contact Person: <br /> Driver Signature(Printed): J � <br /> Name: �TM � ;��� ,�� "� <br /> Address; ,. r Truck# <br /> City,State,Zip; � _ �v PO# <br /> Slt9 Phone: > . <br /> Product waste CAManifest#0 Quantity unite Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid NSW Oil):Lubftfing, 221 <br /> Gal <br /> .. :.. Gal <br /> Non-RCI#A Hazardous Waste Liquid(Used 011):Industrial 221 <br /> Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 <br /> Gal <br /> NonAoRk Hazardous Waste Liquid(Oil&Water) 223 <br /> Drum(a) <br /> �Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 352 1 <br /> Drum(a) <br /> Drained Used Oil Filter Drum(s) <br /> Each <br /> Empty Dnim(s) <br /> HR. <br /> Transpoifation&Truck I'ime <br /> Hazardous Test <br /> Unless otherwise spedfied on this Consolidated Manifest Receipt(Invoice)Terme:Accounts due on the loth of the month following month of Purchase. Past dud Total <br /> sccounie will be charged a FINANCE CHARGE atft PERIODIC RATE of 1-112%per month,which Is the ANNUAL PERCENTAGE RATE of 18% <br /> 8y signingAhis 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 thegeneiator,lobe economically practicable. <br /> Generatorcer0ftss 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 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 hazardouswaste management facilities. California facilities that handle or <br /> process used oil are-id"uired to meet those more stringent requirements,and some out-of-state faclift s that process used oil also meet those require- <br /> menu These InclUd'more stringent leak'detection and prevention requirerr,"Masngineeringcertifications of tank integ[ity,and financial assurances <br /> for dosureand accidental releases. itis lawful to'send used oil to out of stat facilities the txtmpty only with the federal used oil management stan- <br /> dards and'not these more stringent requirements. ,_ <br /> This notification Is for information only. Lowry Driver'Signature X d- -- <br /> Signature of Generator,Representative or Agent of Generator <br /> a <br /> s W� <br /> Bakersfield Transfer Global Material Management <br /> r~� <br /> 1620 E.Brundage Lane 7244 VarnaAve. 4 nom, <br /> Bakersfield,CA 93307 ii Hollywood,CA 91605 <br /> 661=322.8256 818.900.8476 <br /> CAL000282598 CAL000384M Address: <br /> Recycling <br /> &Disposal ® ® 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 /> 209563-8181 ' 916.371.5747 <br /> CAL900D190817 CAD004003556 EPA to: <br /> REV.12-1 <br />