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thBDrII: D=IM Sands,CASSM <br /> 4882 Xlarnm Court,Sagdn.CA 95.988 <br /> George W.Lowry,Inc. h ` M FAX2MWAS27A1 <br /> Y n EPASCAFMOD M9 <br /> EmrlA-tal Sellas DMn° cAT aeapww Nuedw 38bt <br /> CALlcae$09759518 <br /> GENERATOR: Qprso6dated-or—tovoice: N0 27663 <br /> SBe EPA to 0: Shipaent Date: L—tG—t1 <br /> contKIPnso'r Driver Signature(Printed): <br /> ria C\ Uf <br /> asI MO AA4 At u— TrucktF i'L`L <br /> CBY.StjWZ4r e C PO ti <br /> site Plan <br /> waama CA Manaest80 Quantity 1 e Price Amount <br /> Product Cay ( rr <br /> Nw-RCM Hamdaa Wastel kluid(Used M <br /> Nal4M HazedaaWaste LigwdPed C,p:lrMms�l �+ <br /> Noo RCRA Hamdous Waste LKIM OjsW Adlomolive kCM—) +� <br /> NarRCRA HamMas Waste Liquid(00&wafer) 223 <br /> N.RCM HamldasWaste Soils CaftmmtW wah used Oa 352 r»ar <br /> ora{a1 <br /> Drama Used oa POW13nml(s) <br /> rarD <br /> EnO DnOK6) <br /> I9L <br /> TM*Wr m8TruttTune <br /> iHamdousTest <br /> lIN®almavwba ryedfiad mthb CarmYOded MmdfmUtncaipt(trnaka)T u�mdnmme tan ortro nvmla0ae&gaivm�alp+rt.ma.Paaeie Total <br /> �.mrara badm9ada FlNPNCE CamnGEat Uta Pl3LODIC ItATEar142%prnvtlM1 rtddmtne pRMyLLt�JTAGE RATEor18Y <br /> sysigning tMs reaipC the Gwwaar cwMas ttmt a P�has Deer estab"ehed to reds"the vokane orgwntily all fmodiy of the hazardous vraste ar a degree as <br /> determined by the 9enevier•to be ecormom c*Rte- <br /> Cwordtercertdimgot all Hazardevs waste riled on this Casofidated MaMdcd ReelPt is P Alled to meet me Waste Codes a56sted ab— <br /> (dote:George W.Lowry,Inc.hereby advises the Generator that X 's(Generators slgmature) <br /> shipment of used oa may be transported to a faeTdy that is required to comply with federal regulations applicable to management of used oa but that is <br /> not required to compy with the more str'utgerd requirements apprroable to hazardous vraste management fad6ties.Cailomia facilities that handle or <br /> plot,=ss used od are requved to meetihose more stringers requirernerds.and sane outof-state � that Pmcess Ian 00 also meet those requim- <br /> merds These kmdude more sfrirtgent leak detection and preverdion requinerlmermts,engvmeairtg citantc• .and assurances <br /> fa dawns and amdental reN,ases.)tis lauvful io sell used oa to oui of state faa'fines emt �C <br /> dams and not these more stringent requiremerds. <br /> This ratification is for ird'ormation only. t-ovary Driver Signature X <br /> Signature of Generator,Representative or Agent of Generator. X <br /> C3 CM 13 <br /> Bakersfield 7manvfer Yuma EnWmnt <br /> nnai) <br /> 1620 E.Bmndsge Lara 2730 E 13th lac <br /> Bakediold,CA93307 Ymna,Az85365 <br /> 661322.8738 926'3b3A826 <br /> CALggM2,1M AZR000515M <br /> Recycling <br /> &Disposal dr 5-\ c r.3-1z a <br /> Facilities Rlvarbaek on Tmnd*r 53v0 Ramos Environmental <br /> ISIS S.River Road <br /> Claus <br /> 96W WestSaaarardo.CA 95691 <br /> CAPlo..e <br /> 209.863-8161 9Ira7L6717 <br /> CALOW190816 6+A m: <br /> REv.4-tl <br />