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03106fZu113 1:L/ Lowry vn 41JU-010-V l�+c v^" """„” „ • •--- --- <br /> e ► - <br /> Melling:P.O.BOX 170,0allds,CA 96808 <br /> 44U 129rnm COUN 000,CA 1103141 <br /> Geor e W Lowry. 19C. Phone.209414-07011 PAX 200-5454"1 <br /> ®PA a CAR0000M17019 <br /> Environmental sorvicee Division CA Transporter Number 38" <br /> . .. CA Llanee s 760016 <br /> r <br /> Conaoll <br /> C�EN��RA1'OR: datadmg"IfestInvoice; <br /> Site EPA ID*: r (;, t?��( ""f,Z'? f 7 Shlpmorlt Date: <br /> Contact Person: <br /> Driver Signature(Printed): t yb l .T_, <br /> Name: ri.. t r f�,.r i� <br /> Addraa: h�" ' Truck# <br /> City,S # <br /> alts Phone: t' <br /> Product CA Manifest 100 QUAD" Urine P110 Amount <br /> code <br /> . 1' -Y �`'` � t"! ri•1 r i1- 1.1�-t.•'fin <br /> Non•RCRA Hazardous Waste Llquid(Used 011):Lutxicallng 221 tom, t��.%�'i,1 �r i� �� ` � 1 <br /> Non•RCRA Hazardous Waste Lquld(Used Oil):Indusblal 2x1 Ail <br /> Non RCRA Hazardous Weak[quid(Used AutomolNe An0lreeze) 134 <br /> Non•RCRA Hazardous Wada Liquid(DU 8 Water) 223 <br /> • . ,� r ,.. <br /> Non•RCRA Hazardous Waste Solids Contaminated wink Used 00 362 <br /> Drained used(M Filter Drum(s) m(•1 <br /> P.eW1 <br /> Empty DNm(s) <br /> Transpottton&TPA'nm0 <br /> Hazardous Test <br /> UnIm othawtee epee5te0 on ai Cmi;*11 *1 Me fig RecWpt(lnvda)T•nm:Ammirite due on ttw Im d trio rnmh kx*wlnO n10rtUr of V�+ w• Pat hue TOtel <br /> •uaurd�wtA be s wod a FINANCE CHARGE at the PERIODIC RATE Of 1.1rzx per month,wrsU+U the ANNUAL PERCENTAGE RAPE at 10%. <br /> By signing this rocelpt,the Generator cerOnee that a program has bw established to reduce the volume or Quantity and toxicity of the hazardous waste to a degree as <br /> determined by the generator,bo be ecorbmicaly pradkable. <br /> Generator ceniAes that all Hazardous Waste rioted on this Consolidated Manifest Recelpt is prafrad to meet the Waste Coda as listed above. <br /> Note: George W. Lowry,Inc. hereby advises the Generator that X 's(Generator's signature) <br /> shipment of used oil may be transported to a facllfty that l9 required to comply with federal regulations applicable to management of used oil but that Is <br /> not required to comply with the more stringent requirements applicable to hazardous waste management fadiffles. California facafdes that handle or <br /> process used oil are required to meet those more stringent Mqulraments,and someout-of-state fadHtin that process used oll also meet those require- <br /> ments These Include more stringent leak detection and preventlon requirements,engineering certf icatione of lank integdty,and Anenclal assurances <br /> for closure and accidental rebases. It Is lawful to send used oil to out of state facilities that pry 7y with the Fral used oil management stan- <br /> dards and not these more stringent requirements, <br /> This notificad'an is for Information only, Lowry Driver Signature X f -•' <br /> Signature of Generator,Representative or Agent of Generator: X <br /> 0 ca �1.�if'J ►i��T�• _ <br /> Bakerstietd Transfer Yuma Envlronmert(al <br /> 1020 F.Brundage Lane 2730 E.19th <br /> Bskeretield,CA 09807 Y1rms,AZ 06305 N <br /> enw <br /> 061322.8268 0283440820 <br /> CALOOD202608 AZR000616924 Address <br /> Recycling r <br /> Disposal <br /> (\^j ( tbty,sten,zip: <br /> Faciiitles Riverbank Oil Transfer 6300 RAmoa$nvirorm"Mal <br /> Claus Road 1616$.Rlvw Road <br /> Riverbank,CA 04857 West Suranwrilo,'CA 06001 plate: <br /> 200-803-8101 915-7714747 <br /> CAL000190810 CA13011400]666 EPA 10: <br /> REV,4-17 <br />