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Mailing:P.O.Box 176,Salida,CA 95388 <br /> 4612 Kremlin Court,Salida,CA 95368 <br /> Geor a W. Low Inc. Phone:zo9s45-o79, FAX 209.5".2241 <br /> Environmental SONIC@S Division EPA#CAROM7019 <br /> CA Transporter Humber 38" <br /> CA!.kens##758s18 <br /> GENERATOR: <br /> Site EPA ID#: C4- L(JUo Consolidated Manifest invoice: N2 25587 <br /> Contact Person: Shipment Date: I(�- n —I <br /> Name: Driver Signature(Printed):): <br /> t_.C3 <br /> Address:" Truck# <br /> City,state,Zip: <br /> site Phone: PO# <br /> Product WastCC 3dee CA Manifest No Quantity units Price Amount <br /> tu►-RCRA Hazardous waste Liquid(Used W:LuWWtng 221 '1 I C �U t <br /> cw <br /> Non-RCRA Hazardous waste Liquid(used Oil).-Industrial 221 <br /> art RCRA Hazardous Waste Liquid(Used Automotive AnSfineze) 134GW <br /> U (L S Gni �ej '7 <br /> Non-RCRA Hazardous Waste Liquid(01&Water) 223 am <br /> on-RCRA Hazardous Waste sDrids Contarninated whit used oa 352 -�6 J L S °ria(*' 3c� <br /> Drained Used On Filter Drum(s) omm(s) <br /> Empty Drum(s) <br /> Each <br /> Transportation&TnickTime <br /> HR <br /> Hazardous Test <br /> Ung otherwise specified lir this ConsolklWad Manifest R-oo(invoice)Tom= Arxas,ls due on the 1 Oth or theman0 ! <br /> eo�v,r,ts will be d-Ved s FINANCE CHARGE at the PERIODIC RATE of 1-1/2%par nate which is the ANNUAL PERCE RATE of is% Pest due Total <br /> BY signing this receipt,the Generator certifies that a program has been established to reduce the volume or quantity and to:ddty or the hazardous waste to a degree as <br /> determined by the generator,to be economically practicable. <br /> Generator certifies that all Hazardous Waste fisted on this Consolidated Manifest Receipt is profiled to meet the Waste Codes as fated above. <br /> Note: George W. Lowry, inc.hereby advises the Generator that X <br /> shipment of used oil maybe transported to a facility that is required to corn with federal 's(Generator's signature; <br /> not required to Comply with the more stringent pp laz reguiatiiOns applicable to management of used oil but that is <br /> ng requirements applicable to hazardous waste management facilities. California fac iitles that handle or <br /> Process used oil are required to meet those more stringent requirements,and some put-of-state faMTties that piss <br /> am t those require- <br /> ments These include more stringent leak detection and prevention requirements engineering certifications of tank i <br /> for closure and accidental releases. it is lawful to send used al to out of state facilities that corn used <br /> and financial assurances <br /> dards and not these more stringent requirements, comply only�the Federal used oil management stan- <br /> This notification is for information only. Lowry Driver Si pture X <br /> Signature of Generator,Representative or Agent of Generator: X <br /> C 0 <br /> Sakerafleid Transfer Global Material Management <br /> 1620 E.Brundage lane 7244 Varna Ave. <br /> Bakorafleld,CA 95307 Hollywood,CA 91505 Hamr <br /> 681-322-825-3 B7a-900-8476 <br /> Recycling CAL00026239a CAL0ao384s44 <br /> Address: <br /> 8 Disposal G+r •� <br /> Facilities nk 08 Transfer 53oo Ramon Environmental City'SWN6 Zip- <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phare: <br /> 209-463.8181 916-371-5747 <br /> CAL000019o817 CAD004003SSS <br /> EPA ID: <br />