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OPT bm� <br /> Environmental services Division <br /> o � Nc. . Malting:PA.80:176,Salida,CA e536a <br /> winConsolidated Manifest 4B12k��Caun,WWa,CAas36a <br /> Phone:26a.a4547a1 FAX20a-S4S-2241 <br /> A f+ at <br /> eTROLturr!•ROOaCTa COYpA87 Invoice EPA a CARD0047010 <br /> CA Transporter Number 3644 <br /> CA Ltcanae fr 76aS16 <br /> GENERATOR: Inv it:e N° 40000442 <br /> Site EPA Tin e: L QUA (� Invoice Date: t <br /> Contact Person: <br /> Hama; <br /> Driver Printed Signature; �[,t. <br /> � ` <br /> Truck 0. <br /> Address: POI <br /> City,Stats,Zip: A.T[ <br /> Sfte Phone: <br /> TERM% <br /> Produ�Shlpplr"v�Nama Waste CA NEanifesl#Tia <br /> Code Quantity units pr<ce Amount <br /> ENmAC�RAIHiamrdous Waste Liquid(Used a1:Lubriraling 221 <br /> Non-RCRA Hazardous Waste Liquid(Used 09): Industrial 221 <br /> Get <br /> Non RCRA Hazardous Waste Uquid(Used Automotive Antifreeze) 134 <br /> Gel <br /> Non-RCRA Hazardous Waste Liquid(()I&WS(er) 223 <br /> Gal <br /> Ikon-RCRA Hazardous Waste Solids Contaminated will Used OR 352 <br /> lNumial <br /> Drained Used Olt Fater Drum(s) <br /> arurr(q <br /> Empty Drum(s) <br /> Each <br /> Transportation a Truk Time <br /> HR. <br /> Unloss erh wMse sperd6ad on this Consondaisd manifest Receipt(invoice Ten.Tema Aeoounte due on the 90th or the month loowing month of <br /> accounts will W charged a FINANCE CHARGE at the PERIODIC RATE a1 1-112%per month,which Is the ANNUAL PERCENTAGE RATE of 1 Poodue Total <br /> ay signing I hereby certify that 1 have not mired any of the waste deseribed above with any other hazardous waste,the total halide orient le LE5S Than 4,000 pp[m�a•nal the <br /> waste doss not contain any PCB's.t ileus compiled with the requirements of the applicable Califamle asst!cit management reputation to determine this is true,I agree to <br /> accept the additional charges for the dlsposel of the waste if the Information 1 have provided about this waste Is lncorrect <br /> Generators Certification:By signing i certify that It I am a large quantity generator. I certify lhat 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 dispose Currently <br /> available to me which minimizes the present and future threat to human fife and the envirortmerd.Or,if i Am a small quantity generator,I have made a Good Faith effort to <br /> minimize 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 ferallty that is rtquired to comply <br /> with federal regulations applicable to management of Used tail and OilyNVater, but that is not requ red Io comply with the more stringent requirements appicabie to <br /> hazafd0us WOSte managemeM facilities.California facilities that handle or process Used OT and Oily/Water are required to meal those more stnngent requirements.and <br /> some out-0f--stale facilities that process Used 01 and OilyNVoter atlio meet those requlroments, ertgfnesring certifications of fault Integrity.and financial assurances and <br /> closure and accidental releases,it is lawful to send Used 04 and OlyrWater to out of state facilities that comply only with federal Used Oil and OtlyrWater managemefor <br /> nt <br /> standards and not these more stringent requirements, <br /> This notification Is for the informational p Poses only <br /> BY bath parties signing this invoice it will a ement George W Lowry,Inc wilt submit confirmation for(certain waste streams)to the generator that their <br /> waste has been transported to a pemrf r fa ,ty or fled treatment,storage or disposal sposal facility. <br /> Lowry Driver Signature X__ _ Rated't <br /> Signature of Generator,Representative or Agent of Generator: X <br /> Date <br /> Recycling,Transfer,Treatment, Storage, Disposal Facilltles <br /> Name: <br /> ® G 11 13 <br /> Address: <br /> 8akttrsf3eid Transfer altftxnla 011 Recycling Ramos Environmental Yuma Environmental City,stats,zip: <br /> 1620 E Brundage Lane 5300 Claus Road 1515 S.River Road 2730 Lc.131h <br /> Bakersfield,CA 93307 Riverbank,CA 96357 West Sacramento,CA 95691 Yuma,AZ,85365 Phone: <br /> f81 -8238 209-N3.8181 916-371.ST47 926.344.9826 <br /> CAL00029256 CAL0tt0019091& CAD004003556 AZR000515924 I EPA l0: <br />