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Environmental services Division <br /> LOWRY ® Melling;P.O.Box 176,3811da,CA 95368 <br /> t a 4612 Kiernan Court,Salida,CA 95368 <br /> CGEORGEII.C. <br /> Phone:209545.0791FAX zOB 549•x241 <br /> fest <br /> UM PRODUCTS COMPANY <br /> Invoice�� <br /> �r EPA//CAR000047019 <br /> CA Transporter Number 3844 <br /> CA License a 7ge91e <br /> Site EPA ID#: "' invoice Date: N_ ®® ® 4 9 0 <br /> Contact Person; <br /> Driver Printed Signature; <br /> Name: <br /> Truck Ill.- <br /> Address: <br /> :Address: <br /> POO <br /> City,state,Zip: <br /> Site Phone: <br /> TE�,R®R9S: <br /> Product Shipping Name Waste CA Manifest <br /> Code Quantity units Price Amount <br /> Non•RCRA Hazardous Waste Liquid(Used Or):Lubricating 221 y 7 e Q <br /> ® i ivy .J �, cot <br /> Non•RCRA Hazardous Wase Liquid(Used 0—I T Industrial 221 <br /> Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze( 134 <br /> Gni ^ <br /> Non RCRA Hazardous Waste Liquid y0ai 8 Water) 223 <br /> Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used 0j 352 <br /> Drum(o) <br /> Drained Used Oil Filter Drum(s) <br /> Empty Drum(s) Drum(e) <br /> Each <br /> Transportation&Truck Time <br /> HR. <br /> Unless otherwiso specified on this Consolidatod Manifest Receipt(Invoice)Terms: Accounts due on the 10th of the month following month of purchase. Past duo <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1.11246 per month,which Is the ANNUAL PERCENTAGE RATE of 18%. <br /> By signing t hereby ceAify that i have not mixed any of the waste described above with any other hazardous waste,the total halide content is LESS than 1,000 ppm,and the <br /> waste does not contain any PCB's,I have Compiled with the requirements of the applicable California usod oil management regulation to determine this Is true.p7 <br /> agree to <br /> accept the additional charges for the disposal of the waste if the information I have provided about this waste is Incorrect. <br /> Generator's Certification: By signing i certify that If i am a large quantity generator, i certify that I have program in place to reduce the volume and toxicity of waste <br /> generated to the degree I have determined to be economically affordable and that I have selected the practicable method of treatment,storage, or disposal currently <br /> available to me which minimizes the present and future threat to human life and the environment.Or,If I am a small quantity generator,t have made a Good Faith effort to <br /> minlmizo my waste generation and select the waste management method that is available to me that I can afford <br /> George W.Lowry,Inc.hereby advises the above Generator that generators shipment of Used oil and Oily/Water may be transported to a facility that Is required to comply <br /> with federal regulations applicable to management of Used Oil and 011yMater, but that is not required to Comply with the more stringent requirements applicable to <br /> hazardous waste management facilities.California facilities that handle or process Used Oil and Oily/Water are required to meet those more stringent requirements,and <br /> some out-of state facilities that process Used Oil and 011yMater also meet those requirements,engineering certifications of tank Integrity,and financial assurances for <br /> closure and accidental releases. i is lawful to send Used Oil and 011yfWater to out of state facilities that comply only with federal Used Oil and Oily/Water management <br /> standards and not these more stringent requirements. <br /> This notification Is for the nformalional purposes only. <br /> Sy both parties signing this Invoice it wia serve as an agreement that George W.Lowry,inc wl'subnva con'irmation for(certain waste streams)to the generator that their <br /> waste has bean transported to a permitted tra Aerfacility or permitted treatment,storage or cl sposai faculty.' <br /> Dowry Driver Signature X !1 _ Data, <br /> Signature of Generator,Representative or Agent of Generator: X ` jrr <br /> Recycling,Transfer,Treatment, Storaige, Disposal Facilities <br /> Namp <br /> � ( <br /> !Address: <br /> Bakerefold Yransfer Marcin el <br /> Recycling Ramos environmental Yuma Environmental t 1620 E.Brundage Lane 5300 Claus Road 1515 S.River Road 2730 E.13th city,state,zip; <br /> Bakersfield,CA 93307 Riverbank,CA 96367 West Sacramento,CA 95691 Yuma,AZ,05365 Phone: <br /> 661322.0258 209.863.8181 916.3715747 928-344-9026 <br /> CAL00020258 CALOOOOI90017 CA0004003556 AZR000515924 EPA to: <br />