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Mailing:P.O.Box 176,Salida,CA 95368 <br /> 4812 Kiernan Court,Salida,CA 95368 <br /> Georcge W Lowry, inc. Phone:209-6464791 FAX 209-545-2241 <br /> Environmental Services Division : EPA#CAR000047019 <br /> CA Transporter Number 3844 <br /> CA License#758518 <br /> GENERATOR: Consolidated Manifest invoice: <br /> Site EPA W. <br /> Shipment Data: <br /> Contact Penson: <br /> Name: <br /> Driver Signature(Printed): <br /> . - <br /> Address: <br /> X �,.tW... _ Truck# <br /> City,State,zlp.._ �L eor <br /> PO# <br /> Site Phone: <br /> Product waste CA Mani Quantity units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used 011):Lubricating 221 , Gal <br /> f: <br /> Non-RCRA Hazardous Waste Liquid(Used Oily:industrial 221 Gat <br /> Non RCRA Hazardous Waste LNuld(Used Automotive Antifreeze) 134 Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gat <br /> NonACRA Hazardous Waste Solids Contaminated with Used Oil 352 4 Drum(s) <br /> Drained Used Oil Filter Dium(s) Dnim(el <br /> Empty Drum(s) Each <br /> Transportation&Trucit Time INV ri Hit <br /> Hazardous TestADMi <br /> LE - <br /> Unless otherwise spectfied on this Consolidated Manifest Receipt ce is llowin month see. Past due Tota) 1 <br /> accounts will 08 dwrped a FiNANCE CHARGE at the PERIODIC th,which is the ANNUAL P 8%. 2 W r <br /> IS [� <br /> By signing this receipt,the Generator certifies that a prog m has been established to uoe a vo um xicity of the hazardous waste toa degree as <br /> determined by the generator,to be economically practice le. <br /> Generator certifies that all Hazardous Waste listed on thl In as <br /> Manifest Receipt is protiletl to meet the Waste C as as listed above. <br /> Mote: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 appiicabie.to hazardous waste management facilities. California facilities that handle or <br /> process used oil are required to meet those more stringent requiremeits,and some out-of state,facilities that process used oil also meet those require- <br /> ments Th6se.indude mote stringent leak detection and preventioh requirements,en-1neering certifications of tank integrity,and financial assurances <br /> for closure and accidental releases. It is-lawful to send used oil to out of state faotli aa comply only with the Federal used oil management Stan- <br /> dards and not these more stringent requirements, <br /> This notification Is for information only.;;,Wry Driver Signure <br /> Signature of Generator,Representative or Agent of Germs ter <br /> Bakersfield Transfer Global Material Management <br /> 1620 E.Brundage Lane 7244 Vatri <br /> Bakersfield,CA 93307 Hollywood,CA 91605 Name: <br /> 661.322-8258 818.900.6476 <br /> CAL000282598 CAL000384844 Address: <br /> Recycling <br /> &Disposal Q <br /> Facilities Riverbank Oil Transfer 5300 Ramos Environmental' City'state,zip. <br /> Cletus Road 1615 S.RivecRoad <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209.853.8181 916.371-5747 <br /> CALOODDIOO817i - CAD0040035M <br /> EPA to <br /> REV.12-14 <br />