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' Environmental So lcea Division <br /> tNC. sweng:P.O.Bos 178,Benda,CA!3398 <br /> Consolidated Manifest 4812 KI"nsn Court,deltas,CA Mall <br /> a rsTl o�>teer rroau"Is carPANY PlWnl 2"Si FAX 20D-613.2291 <br /> Invoice EPA 6 CAROdppy781s <br /> CATransporterflun 3iii <br /> 09N98611 r• CA minas a le ySil <br /> 1�. <br /> (n=10 N2 40000583 <br /> Site EPA iD 0: /l d <br /> Contact Person: Invoice Date: <br /> Nyco: Driver Arintad t3ignatura: � <br /> Address: Truck#.- <br /> city. <br /> :City,Stats,Zip: a PON <br /> Site Phone: <br /> r_ERM <br /> Product SlmipPing Name wash <br /> Code CA Manifest NO Quantity tln[fs <br /> Arfee Amount <br /> "RCRA Hazardous Waste Liquid(Used Oily;Luting 231 <br /> Ncn-RCRA Hazardous Wasle Liquid(Used Op): Inderstriaf 221 O <br /> Not'RCRA Hazanil Wash Liquid(Used AMMil Antlfraezey 134 vel <br /> Non-RCRA Hazardous Wastewt <br /> i tquid((R b Water} 223 <br /> Non-RCRA Waza*0 Waste 481 <br /> Solids Contaminated Vvi>fl Used Oil 332 <br /> Dished Used Q II orum(s) �- Drill <br /> Empty Drtlnt(s) D"i <br /> Transportation d Thick Tina Each <br /> Int. <br /> Lk9ess olharwlse spedasd un Itda Consasdslad Mauyfest <br /> a�arnL wtA bit ehrged■FINANCE C �0 ifnvdosJ Tern:Amasmts due txm <br /> Fil1RaE al the PERI11 BATE M 1-112% �+ A of the month ENNTMoAwnp month pf Truchas*. Past due q <br /> partrmonlh.mmdmteh Is ate ANNUAL Pt:liCEMAOE RATE or 1819. Total �q. <br /> BY sig does <br /> I hereby twin any <br /> that I have nal mixed arty of the wash desrxfbed above with any other hazardous waste.the!alai halide varier!Es LE55 than 1,000 ppm.and Me <br /> waste area not contain any PCH a.I have otxrlpeed will Me <br /> accept the additional tdmargss for the disposirameri <br /> al of the waste!f the Informal I Dave is of the a Q UNDMIN used ON manapemenl raflufation to determfrw this is true.I <br /> Gonaroloes com kation:B provided about this waele b inverted. agree to <br /> generated to the y I cel'that If I am a large quantity generator. I h,that t have <br /> generate to free I have determined to be economically 11 and that 1 have sethat I the ism in place to reduce the volume and toxicity of waste <br /> minimize mymwaste gsnerat�n and sated lime Waste management <br /> lhreet k human INa end Mee Practicable method of treatment.storage.or die <br /> management method that b avallabl f theOl!can afford.am a small Quontity generator.I have made a GoodpFaith effort to <br /> George er Lowry,Inc.hereby advises the above Generator that <br /> with federal regutallons applicable to ma generators <br /> Wild ly/ shipment of Used o,and OiiylWa{er may transported to a fa <br /> hazardous waste management fadlilles,Californiaar2c t oxftt handle orJWeler, but that is not required b PiY with Me Y that la requited to comply <br /> some out-0f-state ladettes that process Used Oe and Piss Used l79 and OVWater are required to meat <br /> Moetmauiromwis apakable to <br /> Closure and atxkiental releasee,k is lawful to send Used 01 and 04y/Water tmeet wo o out stale encs, " in comply m Ce qui rtkr t of Iatmlt e �stringent requirements,and <br /> standards and not these more stringent requirements. co Ply only with federal Used Opp s al assurances EDr <br /> Thisnotffi�atlon is for the informational and 011WWater management <br /> Purposes only. <br /> By both Parties signing this Involve it wfe as reerrenl <br /> waste has been transported to a pemft nal George W.Lowry,Inc. will submit conor maltort for(certain waste streams to the <br /> Hlsd treatment,storage w disposal faclety. generator that their <br /> Lowry Driver Signature X <br /> Date <br /> Signature of Generator,Reps ntative or Agent of Generator: X L <br /> Date <br /> Recycling,Transfer,Treatment,Storage,Disposal Facilities <br /> ❑ Nstr,s: <br /> Bakersfield TransferAddi <br /> 'no 92611R+eyding � 13os Environmental Yu <br /> ag Lane SM Claus Road 1513 8.River Road ma Environmental City,suite.rp: <br /> Bakersfield,CA 93307 Rhrerbank,CA 96367 West Sacramento,CA 93491 Yum 30��8f5365 Phone: <br /> 1�22�825e <br /> 209443.8161 916-3714747 <br /> CAL0002823a CAL000018111i CA000dee388e 928.344.9626 <br /> AZRcDosi8924 I NPA b: <br />