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Mailing:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kiernan Court,Salida,CA 95368 <br /> GeorgeW. Lowry, inc. Phone:209.646-0791 FAX 209-645-2241 <br /> "Environmental Services Division EPA#CAR000047019 <br /> CA Transporter Number 3844 <br /> CA License#758518 <br /> 16 R: Consolidated Manifest Invoice: <br /> Shipment Date: , <br /> Contact Person. <br /> Name Driver Signature(Printed): 011 <br /> t <br /> Address: <2t t - Truck# <br /> City;State,21p: ., .,, <br /> Site Phone. PO#' <br /> Product waste CAManifest#0 Quantity ', units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste liquid(Used Oil):Lubricating 221 Gal ,t <br /> Non-RCRA Hazardous Waste LNuld(Used Oil):Industrial 221 Gar <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gar <br /> Not-RCRA Hazardous Waste Liquid(Oil&Water) 223Gal <br /> �Nori-RCRA Hazardous Waste Solids Contaminated with Used 00 352ZVI <br /> r <br /> Dralned Used 011 Filter Drum s <br /> Empty Drums) Each <br /> Transportation&Ttnck Time HR, <br /> Hazardous Test <br /> Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Terms:Accounts due on the 10th of the month following month of purchase. Past due <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1412%per month,which is the ANNUAL PERCENTAGE RATE of 18%. <br /> By signing this recelpt,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 Waste Codes as listed above. <br /> Note George W.L ovary,Inc.hereby advises the Generator"that X - 's(Generator's signature <br /> shipment of used bit may be transported to a facility that is required to comply with federal regulations applicable to management of used oil butt tt)a(i <br /> not requiredao`aomplywlth the more stringent requirements applicable to hazardous waste management facilities. California facilities that ha ( or <br /> process used oil'are required to°meet thosemore stringent requirements,and some out-of-state facilities that process used oil also meet those r$quire- <br /> ments These include more stringent leak detection and prevention,requirements,engineering certifications of tan nty,and financial assurances <br /> for closure and accidental releases. it is lawful to send'used oil to"' t,tif state facilities t11at Cbm rly only with t! D6 used oil management Stan- <br /> dards and not(hese rnore.stdngent requirements. .a <br /> "> <br /> This notification is for information only. Lowry Driver' tgieare X " <br /> Signature of Generator,Representative or Agent of Generators <br /> w' <br /> r <br /> Bakersfield Transfer Global Matedai management <br /> 1620 E.Brundage,Lane 7244 Vama Ave. <br /> Bakersfield,CA 93307 Hollywood,CA 91605 Name: <br /> 661~322.8258 818,900.8476 <br /> R@C Ciin 01.000282598 CAL000384844 Address: <br /> y g <br /> 8�Disposal �.. <br /> Facilitiescity'state,zip: <br /> Riverbank Oil Transfer 5300 Ramos Environmental <br /> Claus Road 1515,8,River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209.863.8181 916471-5747 <br /> CALOODO190817 CAD0040035N EPA to. <br /> i REV.12-14 <br />