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Mailing:P.O.Box 176,Salida,CA 96368 <br /> 4612 Kleman Court,Salida,CA 95368 <br /> George W. Lowry,Inc. Phone:208d45-0791 FAX 208545-2241 <br /> Environmental Services Division EPA#CAR000047019 <br /> CA Transporter Number 3644 <br /> CA License#758518 <br /> GENERATOR! consolidated Manifest invoice: VIA <br /> Site EPA iD#: w r" µ , <br /> Shipment Date: I <br /> Contact Person. <br /> Name: Driver Signature(Printed): ' <br /> Address: ) p Truck# <br /> �r�M <br /> City,State,Zip: v , " I <br /> Sit@ Phone: <br /> Product waste CA Manifest#0 Quantity units Pie Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid Used 011):Lubricating 221 <br /> kl ( 9 <br /> j t I Gal er , <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Industrial 221 Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gar <br /> *AAF° - a <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 <br /> I Get <br /> Non=RCRA Hazardous Waste Solids Contaminated with Used Oil 352 y Dnnniel <br /> Drained Used'Oil Fliter Drum(s) Drum(s) <br /> Empty Drum(s) <br /> Each <br /> Transportation&Trick Time HR <br /> Hazardous Test <br /> Unless otherwise spedned on this Consolidated Manifest Receipt(Involoa)Terms:Accounts due on the 10th of the month following month of purchase. Past due Tota) <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-12%per month,which is the ANNUAL PERCENTAGE RATE or 1e%. <br /> By 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 Waste Codes as listed above. <br /> Note:George W.L.otn M 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 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 facilities that process used oil also meet those require- <br /> ments These include more stringent leak detection and prevention requirements,engineering 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 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 <br /> Signature of Generator,Representative or Agent of Generator: X <br /> Q <br /> Bakersfield Transfer Global Material Management <br /> 1620 E.Brundage Lane 7244 Varna Ave. <br /> Bakersfield,CA 93307 Hollywood,CA 91605 Name: <br /> 681-322.8258 818.000.8476 <br /> R@C Clin CAL000282598 CAL0003848" Address: <br /> Y 9 <br /> 8 Disposal 0 "_ cher,smote,zr <br /> Facilities itivarbank Oil Transfer 5300 Ramos Environmental P' <br /> Claus Road 1515&Rlver Road <br /> Riverbank,CA 96367 West Sacramento,CA 96691 arm: <br /> 209-863.8181 • 916-371.5747 <br /> CALOD00190817 CAD0040035% EPA ID: <br /> r� '(',k6.92-14 <br />