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Mailing.P:O.Box 176,Salida,CA 95368 <br /> 4612 Kiernan Court,Salida,CA 96368 <br /> George W. Lowry, enc. Phone:209-5464791 FAX 209-545-2241 <br /> Environmental Services Division EPA#CAR000047019 <br /> CA Transporter Number 3844 <br /> CA License#758518 <br /> GEMERAT.OR:. Consolidated Manifest invoice: <br /> Site EPA ID#; i1 <br /> Shipment Date <br /> M <br /> Contact Person: <br /> ��,y � Driver Signature(Printed) <br /> Name: .t �- o:rz-� C 5 <br /> Address:'112 , 3 := Truck# , <br /> City,State,Zip. c �' <br /> .. PO# <br /> Site Phone: <br /> Product 'waste <br /> Code CAManifest#0 Quantity units Price Amount <br /> Non RCRA Hazardous Waste Liquid(Used 011):Lubricating 221 . t Gal t v <br /> } <br /> Non•RCRA Hazardous Waste Lk;uld(Used 011):Industrial 221 oat <br /> Non°RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gat <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gat <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil ': 352 Drums) <br /> Drained Used 011 Filler Drum(s) Drumts) <br /> Empty Drum(s) Each <br /> Transportation&Truck Time H>s <br /> Hazardous Test <br /> Unless otherwise spedfled on this Consolidated Manifest Receipt(tmroios)Terms:Accounts due on the 10th of to month Wowing month of purchase. Past due Total <br /> accounts will ba dwr9ed a FINANCE CHARGE at the PERIODIC RATE of 1412%per month,which is the ANNUACPERCENTAGE RATE of 18%: <br /> 8y 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 Weals Codes as listed above. <br /> Mote:George UU.Lowry,Inc.hereby advises the Generator that X `s(Generator's signature) <br />€ shipment of used oil maybe transported to a facility that is required to comply with federal regulations applicable to management of used oil but that is <br /> not required,toCoinply with,the more stringent require ments'applicable W 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-statefacilitiss that process used oil also meet those require- <br /> mants These`indude more stringent leak detection and prevention requirements,engineering certifications of tank integrity,and financial assurances <br /> for dosure anifaox idental releases. it is laWNI to send used oil to out of state facilities that comply only with the Federal used oil management stan- <br /> dards and he 646 more stringent requirements: <br /> This notification is for information only. Lowry driver irattare ~ <br /> Signature of generator,Representative or Agent of Generator X <br /> Bakersfield Transfer Global Material Management <br /> '1020 E.Brundage Lane 7244 VamaAve. <br /> Bakerafleidi CA 93307 Hollywood,CA 91605 Name: <br /> 661,422-8258 8184100.8476 <br /> R®Cycling CAL000282598 CAL000384844 Address: <br /> &Disposal City,State,zip: <br /> Facilities Riverbank Oil Transfer 5300 Ramos Environmental <br /> Claus Road 1615 S.River Road <br /> Riverbank,CA 96367 WesfSiidMmento,CA 95691 Phone: <br /> 209.863-8181 916371.5747 <br /> CAL0000190817 CA00040035W EPA to: <br /> REV.12.14 <br />