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� �� Environmental Services bivieian <br /> C. 6tsitioQ:P,O Box 176,3a11da,CA 95398 <br /> 0 <br /> ' 4612 Kleman Court,Salida,CA e53aa <br /> Wig Consolidated Manifest <br /> Phone 200•ti4s 0701 FAX 2a9S15 2241 <br /> •PETAQLCUM P11OaUCT9 COMPANY Invoice <br /> nvo i Ce EPA a CAnaOMTtlt9 <br /> a 1 V CA TransporterNumber]641 <br /> CA License A 758sia <br /> ENL A7 <br /> glia EPA 10 N: . E NO 4 0 0 0 0 5 9 8 <br /> U O S j Contact Person: gnaturo a� ' <br /> Name: 1 ��, <br /> Truck sat: <br /> Address: (,tO �L <br /> PO 0 <br /> ILcity,stats,zip; G <br /> Site Phone: <br /> I�RhES: <br /> Product Shipping Name Waste CA Manirest No <br /> Code Quantity units Price Amount <br /> Non-RCRA Hazardous Waste Liquid;Used 0*Lubrtcatin 221 <br /> Gat <br /> Non RCRA Hazardous waste Liquid(Usedt3ii): Industrial 221 <br /> Non RCRA Hazardous Waste Liquid(USW Automotive Anti€reeze} 134 -cat <br /> Gal <br /> Non-RCRA Hazardous Waste L' uid(oil&Water) 223 <br /> Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 352 u { <br /> { lL" 3 °n'mtaf <br /> Ora nod Used Oil Filter Drums} <br /> ErtgilyDrunI Dnmrts) Z$S: <br /> TraEa`h <br /> n <br /> sporwom EVoixi T=me <br /> HR. <br /> Unless alherwlsa spedged on this CoMalidated Manifest Rxelpl(lmdco)Ternn A=ounh due en pne 1COr et the month lo6ornn0 month of pug Total <br /> Past due <br /> accounts VAI be dMrord a FINANCE CHARGE at the PEREODIC RATE of 1-112% Total <br /> per month,which is the ANNUAL PERCENTAGE RATE of taI t�7/sr <br /> aY signing I hereby certiy that I have not mixed a <br /> waste does not contain any PCB's.t have compile�dowith the requirements off the applicable Callfomuiadused oft tmanaa management r�eonlent Is LE55 than 1,000 ppm•and the <br /> 8CCapl the additional charges for the dsposal of the waste if Ilia Information 1 have provided about this waste is incarra�. regulation to detemane this as true.I agree to <br /> Generator's Certification:By signing I Carllfy that if r am a large quentty generator, t Certify that I have program In place to reduce the volume and toxicity o}waste <br /> available <br /> generated <br /> me whch degree I have thede ermined to be acanornically affordable and that I have selected the Practicable method of treatment,storage.or d;sposat currently <br /> rnrnimixe my waste generation and sated the waste ent and managre rementeat to hmelhod that human fire davailatsle to rnethe ntha�I-if I am qn alfa�u guangty generator,i have made a Good Faith effort to <br /> George W,Lowry,Inc.hereby advises the above Generator that generators shipment of Used ON and OItYAMI may be transported to a facility that Is requ red to comply <br /> with federal regulations applicable to management or Used 00 and ORYANSItar, but that is not required to comply with the more stringent requ rements applicable t4 <br /> hazardous waste management tacit lies,California fad ices that handle or process Us"Oil and O IylWater are required to meet those more stringent requirements,and <br /> some out-of-state fecilities that process Used OJ and OiIylWater also most itsose requiremenls, engineering certifications of tank Integrity,and Fnanciat assurances for <br /> Closure and accidental releases,it is lawful to send Used 0:1 and Oily/Water to out of state fadikles that comply only with federal Used O i and CkVffaler management <br /> standards and not these more stringent requirements <br /> This notification Is for the Informagone p one <br /> By both parties slgmngtransported <br /> the invdce i ill e s greement that George W.Lowry,Inc w h submit Carnffmalron for(Certain waste streams)to he generate that Iheu <br /> waste has been transported to a ra i dh or <br /> h' pe treatment.storage or disposal facrhly <br /> Lowry Driver Signature X _ date <br /> Signature of Generator,Re sen at€ve or Agent of Generator. X— �., Date Ll—1 `(`S <br /> Recycling,Transfer,Treatment, Storage, Disposal Fac€litles Nisma: <br /> A -.A J'� � Nemo; <br /> r'44i a�.• 0!LA ❑ ❑ �Address: <br /> Bakersfield Transfer Camforrila DU ReCyCling Ramos Environmental Yuma Environmental <br /> 1624 E.Brundage Lane s3go Claus Road 1513 S.River Road 2730 E.13th City,state,Zip; <br /> - fluid,GA 93307 Rirerbarsic,CA ae367 <br /> 66181.2232241268 West Sacramento,CA M91 Yuma,AZ,85365 Phone: <br /> 2004163.0181 916.371.5747 <br /> CAL000282 CALti00019061 CADOWN3556 928-34;•9626 <br /> AZR000ti15924 BPA Ip: <br />