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Environmental Services Division <br /> Mallinp:P.O.Box 178,Salida,CA 95388 <br /> WOLOWRY <br /> GEORGEINC. Kiernan Court.Salida,CA 96308 <br /> Consolidated Manifest Mwn 28445-0701 PAX2 8.646.2241 <br /> A PeTROLIUM PRODUCTS COMPANY invoice EPA/CAR000047019 <br /> 1' CA Transporter Number 3844 <br /> CA License N 758318 <br /> ENE�tAyot�: nwo N22 40000583 <br /> Site EPAIDN: invoice Date: `•• b •t <br /> Contact Person: Driver Printed Signature: „�S <br /> Name: Truck N: <br /> Address: C y„h, PO N <br /> City,Stet®,tip; <br /> Sits Phone: TERMS: <br /> Product Shipping Name caste CA Manifest NO quantity Units Prue Amount <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221' d c. �, CL Z Gal <br /> Non-RCRA Hazardous Waste Liquid(Used Oil): Industrial 221 Gal r <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gal <br /> Non-RCRA Hazardous Waste Liquid(011&Water) 223 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used 00 352 <br /> Drum(*) rS <br /> Drained Used Oil Filter Dfum(s) Orum(a) <br /> Empty Drum(s) Each <br /> Transportation&Truck Time <br /> NR. <br /> Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Terms:Accounts due on the 10th of the month following month of purchase, Pasl due Total <br /> scoounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-112%per month,which Is the ANNUAL PERCENTAGE RATE of 10%. � <br /> By signing 1 hereby certify that I have not mixed any of the waste described above with any other hazardous waste,the total halide contenl Is LESS than 1,00 ppm,and the <br /> waste does not contain any PCB's.1 have compiled with the requirements of the applicable California used oil management regulation to determine this is true,I agree to <br /> accept the additional charges for the disposal of the waste If the Information 1 have provided about this waste is Incorrect. <br /> Generators Certification: By signing i certify that If I am a largequantity generator, 1 certify that 1 have program In place to reduce the volume and toxicity of waste <br /> generated to the degree 1 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,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 facility that Is required to comply <br /> with federal regulations applicable to management of Used Oil and 011y/Water, 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 Off and Oily/Water are required to meet those more stringent requirements,and <br /> some out-of-state facilities that process Used 03 and OIty/Water also meet those requirements,engineering certifications of tank integrity,and financial assurances for <br /> Closure and accidental releases,it is lawful to send Used ON and Oily/Water to out of state fecil(tlea that comply only with federal Used ON and 011y/Water management <br /> standards and not these more stringent requirements. <br /> This notification is for the informational purposes only. <br /> By both parties signing this Invoice it wia o as reement at George W.Lowry,Inc. will submit confirmation for(certain waste streams)to the generator that their <br /> waste has been transported to a pemlitt nsf f Itted treatment,storage or disposal facility. <br /> Lowry Driver Signature X Date <br /> Signature of Generator,Repre ntative or Agent of Generator: X page „ <br /> Recycling,Transfer,Treatment.Storage,Disposal Facilities so <br /> - t{Name: <br /> i <br /> Y 8 Address: <br /> [3 Lia Bakersfield Transfer stfen�ai \Roc Recycling Ramos Environmental �a Environmental �City,Steno,zip: <br /> 1620 E.Brundage Lane 5300 Claus Road 1515 S.River Road 2730 E.13th I <br /> Bakersfield,CA 93307 Riverbank,CA 96367 West Sacramento,CA 95691 Yuma,AZ,85365 Phone: <br /> 661.322-0256 209403-0181 916.371.5747 928.344.9828 <br /> CAL00020250 CAL000019081-Q CA0004003556 AZR000515924 EPA 60: <br /> 1 <br /> E <br />