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<br /> !'IVC- �-/ Environmental Services DTVII
<br /> r Menle9l P,p,Box Ila,8ellds,CA 91710
<br /> ((;!EO
<br /> k7RGE
<br /> Consolidated Manifest 41''K'rrlanC u^�IIICA98301
<br /> laauara ooslp,�trr Phaner 2094th-0791 FAX roe.6asa2at
<br /> Invoice EPA 0 CARo0a947019
<br /> CA 7ranap0rlgrNumbar 3044
<br /> fiI
<br /> N�RA�l,O�: CALleansew7seele
<br /> ' dos 3 57 i�Ivolce No 40 ., ,
<br /> 31"EPA It!#: Z A ?
<br /> Contact Person.
<br /> Invoke Date: '4' . •� t
<br /> Nomture;
<br /> Norma: 7 Driver Printed Signaw r., �S
<br /> I f f Truck#; NA)
<br /> Address: �` r� L Inj, + 'i � '
<br /> city,stats,21p: I, I ,i Po A
<br /> Stta Phons:
<br /> Product Bhlpping Nems waste
<br /> Code CA Manifest oo Quantity units Price Narl•RCRA Hezerdaua Waite LkWW(1,11119d �
<br /> 9d 0P);Lubricating 321 ( � Ppl) Amount
<br /> Non-RCRA Hazardous Wallis Li UW(Used Oil), Industrial 221 41
<br /> 'r. (tom� ! 7 �j`1` !.019 all �: r
<br /> Non RCM Hazardous Waste Liquid(Used AtllanlI Anllfre9ze) 134 sal
<br /> Non-RCRA Ha781dO111 Waste Liquid(Oil d Water) 223 Gal
<br /> Non-RCRA ft&doue Waste Bolide COnlemirlafad with Used Oil 352 sal
<br /> Drelned Used Oil rater Drum(s) Drum(a)
<br /> Empty Drum(a) Drum(al
<br /> Transportation 3 Truck Time goon
<br /> Unlen olharv$se"failed an We Consolnlalea Masneat Remitpt ttrtavake)Teratic,�,�,Iz due an the 101h of the month lollaurinp
<br /> a=I w0 bo al'amed a FINANCE CHARGE st the MIOQIO CII
<br /> t-1r2X M1p
<br /> per mana',wniah It rhe ANNUAL P&ANEOME RATE oMorithar tg%Ua' Pesl tl4a Total t 1
<br /> BY signing t ha
<br /> ed 1
<br /> rebY certify that I have not mixed any of the welts desoloabove with any other hazardous waste,the latai hellde ea"tent Is LESS then 1,000
<br /> weals does not oonlain eny PCII I have compiled with the requirements of the sPPllc1i California used lit management regulation to dot i agree to
<br /> accept the additional CharQas for the disposal or the waste if the Informallon I have provided about this waste is Incorrect ermine this Is true,PPm,and the
<br /> Generator's Carlifice6on:13y eignksg I
<br /> the,I he
<br /> 9enerelad to the ddee��roe 1 have datarrrllcned 10 beif I economicallyy large
<br /> ffOredet6le and that I have selected acted the practicable method of treatment,storage, or d•e
<br /> available la me wNoh minimizes the present and Future threat 10 human life and the envlronmenL Or,tf t am ve srosm4 tincPlace to resale the storage and talody of waste
<br /> minimize r"y waste generalton and select the wattle management method that Is available to me that,can afford, poa it currency
<br /> '30I W.Lowry,Inc,herbyy advises the above Generelar that quantity 9°nerelor,t have made a goad Faith effort to
<br /> with federal regulations a=Able to management of Used 017 arta DityrWater, but that Is not andreqOlid to comply with the,Hord (a
<br /> generators shipment of Used t7fl and OIfyNUater may be transported Ic a facility that is required to comply
<br /> so erdo I- walla manaQstMat ractliProcess
<br /> Used
<br /> 09 rnd Dile that handle rn processla Used Oil and DIIyIWaler are required lo meat those more sMngenl regylrsmanls,arta
<br /> some out of-stela faaNtlas that process Used Oii and ales that h ndl mast those requirements,engineering a req iced t Menu ince stringent requirements applicabe to
<br /> closure and aeddental releases,it is lawful to sand Used l}li and pllylyyalat to 0�1 of stele requirements,
<br /> that camor
<br /> standards and r►al Ihaeo mors stringent requuamanto. ply only with federal Used 011 and ltYmoj eir�nay mart
<br /> This 1110911callon Is for the Informet"al Qurposes onl
<br /> a bath parties signing this invoice R serve a ement that George W.Lawry,Inc, will submit confirmation for(certain waste streams)to the 9eneralor that their
<br /> Nreate has boom transported to a pan" d Iraq fadil r par�ttod ireatmanl,storage or dlsposa erirty-
<br /> Lowry Driver Signature X
<br /> -�...._. Date a . 1 !
<br /> Slgnature'of Generator,Rapreson fativa ar Agent of Generator, X _ -
<br /> Data
<br /> Recycling,Transfer,rraatrnenk Storage,Dlepfleal Facilities
<br /> C31 ❑ Noma:
<br /> ❑8akorsrrald Tranerer ®a otl R+eyccng Ramos r_rrvtronmenlal Addrasa:
<br /> 1620 E.Brundage Lane 3300 Cleua Read 15118•River Rad Yuma E"vtronmanlel
<br /> 9akersfkld,CA 93307 Rlveraank,CA 00317 Yum . 19th �CIW.state,Z}p;
<br /> 081.322•126/ 209.1e3•alsi W.al 8aeremenlo,CA @38@1 Yuma.AZ,83383
<br /> CAL00029238 CAL000t1140117 918.971-8747 928-344.9926 Phan&:
<br /> CAD004003968 AZR00061SQ24 EPA ID.
<br /> 9001900•d aeIDWISOM:0
<br /> Ztt1tl-P/4-Rn7 IIA ifJIMn-i an-7i ett In,rr.
<br />
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