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- e Emmonmendi Services Division
<br /> (!G! EORGE.. 461210:PsoBac1.Sslld C SSMEmhonmontat S.M—Division46127t1anmh Court5a8da,G95361fq ® �r YaamC P.O.sox 176,wader,CA 9536E �■@ Consolidated Manifest Plwnc]D9E45eT91 FAX 2095t532N
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<br /> Consolidated Manifest .x,ea,Ea.,•.aaa�r,aa-..NT Invoice GT. porlsr obe, .b
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<br /> Invoice G T,ampmlar NooAr3604
<br /> CALlo 975Ssia _ m1mi2e N° 40000390
<br /> GENERATOR:
<br /> MTOR: Invoice No
<br /> 40000352 I SRe EPA IDS. OC11} ''"°'`°Dam —
<br /> DSkhvWce Dam: � Contact Person_ '1r Driwv Printed Signore: ek IA�
<br /> Namn: mow. Truekg-
<br /> ersom DrW2 -'ar Printed Signature: POS
<br /> Al Truck;l: ZZ Addras Z..+� wF•
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<br /> -Lp-t- She Phan¢ 7ERINS
<br /> R01S: �j Product Shipping Name W_ CA Manifest
<br /> t0 Quanxty Ue1a' Prim Amount
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<br /> Product Shipping Name wan. CA Mandest*0 Quantity Units Price Amount tiqu' N �' Ot�b�' FJ 4 35 m G
<br /> Code / ? Non-RCRA Hazardous Waste d sed,0l):Wbriafmg
<br /> A Hazardous Waste UqW(Used.N:Lubricating dz1 6 f7, -z 3LM tis of wt ,y�Ge, NonMM Hazardous Waste Liquid(Used OI)•.Industrial 221 Gel
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<br /> to Hazardous Waste Liquid(Used 01):IMushial ext Ga • - Non RCRA Hazardous Waste L"quid(Used Automotive Mtifreeze) 134
<br /> A Hazardous Waste liquid(Used Automotive Antifreeze) 134 Gal Non-RCM Hazardous Waste Liquid!(0116 Wafer) 223 cat
<br /> A Hazardous Waste Ugdd(Oa&We" 223 tai Nan-RCRA Hazardous Waste Solids Contatrmrafe f will Used 02 o°°M`)
<br /> - t - Dmmis)
<br /> A Hazardous Was@ Solids Contm9natWwllh Used oil 352 amain) _ ) Drained Used Ot Filter Dm(n(s)
<br /> lsed OU Filter Drum(s) amn[e) EraptyDmm(s)
<br /> an(s) _... __. 6m Transportation&.TtuckTime
<br /> HR.
<br /> ation&Truck T'mne xR.
<br /> Union,
<br /> FiNANCECHARGEatdro PERIODICRAn'Elf)t12%permontlLr wtedi¢1heAWUAL PERCINTAGE PATEofl Pastdue Total 1/71 G
<br /> WWT*d en INS Conmritlebd eta ffic t R=apt Awcice)TamC Axamn due m lie iter ofrhe naNn foil t0� - `UJ
<br /> ,dargeda FINANCE CHARGEm the PFRI001CRATEo(1.12% oalnf9mo^8+ofpudea Pasldue Total
<br /> W rnu0,W*h a the PERCENTAGE RATE of 18%. By signing i hereby codify that I have not mhced arty of ths waste described above with airy oMm hazardous waste.lite mW antis convent is LESS than 1,DU0 ppm.and rhe
<br /> y waste does not contain any PCB's.I have complied will,the regWm nets of the applicable Cal iomia used e0 management regWadon to daterndne tris is tine.l agree to
<br /> hereby Mr*that l have notmam of bced aof the waste described above th
<br /> with any other hazardous waste. e total holds content is LESS than 1.000 ppm,and the accept the additional charges ter ire disposal Of the waste'dthe infmntion t have provided ahou[Mis waste B ingbrtecL
<br /> no[conmin arty PCB's.I have compfed with the requbemenls of the applicable California used at management regulation m determine tics B true.I m
<br /> dddiorai Unar9m for the dspaul of the waste if ire irsonnation 1 have provided abouttids waste is incorrect. agree Ganeratotc Certification:By signing 1 certify that If 1 am a Leslie quantity 9enaator•1 really Mat I have program in Wain in reduce Ma volume and mhdclry of warm
<br /> ganerAW to the degree 1 have d renninod Is be ernrurnka y affordable and Mat I have selected Me practicable method or treatment,storage.or disposal cu,renty
<br /> Certification:By signing I codify Mat t I am a large quantity generator.1 carery that I have program m place m reduce the volume and tmda of waste available m me whidrminimizas Mm
<br /> e present and fum Ovem at human life and the erwimnmauL Or,dl am a small quantity generator, l have made a Good Fanh effort m
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<br /> •the degree I have determined m be economically affordable and that I have selected Me practicable method of teatment ndnuniza nrywasm generation and sebct Me waste managanerd matnod Mat¢available m me that 1 cart a8ord.
<br /> re which miNmhes the storage,or deposal currently
<br /> Present eras future agem m human Ith and Lha.N.to
<br /> D d I If 1 am a small quantity generator,I have made aGood Faith e0ort m Georga w.Lawry,Inc hecebyadvses Me above Gemramr that generators shipment d Used 09 and Oly/Water may be tracsported m a fa Tdy Mat is requ0ad 10 coropy
<br /> caste gerrereton and select the waste management nnetled that Is aw0able m rte Ural 1 afford. withfederal regulations;appl cable to management of Used Oil and OilylWaler.but that is not required to comply with the more stringent requirements applicable Is
<br /> awry.Inc hereby advises the above Generator that ganerstom shipmmrt of Used Oil and Oily/water may be transported to a faa'lry that is rMuked to comply I hazardousj.management fadities.California facilities that handle or process Used Cl and My/Weter are required m meet those more stdmgant requirements,and
<br /> regulation applicable be management of Used 00 and Oily/Water.but that is not required m comply with the more stringent requirements appficabio to some out-of-state fealties Mat process Used 06 and OITy/Water also meet inose re Mn meets,ergimeoring cen des"rs stank integrity,and financial assurances for
<br /> ase so egeme t manses.California fn eldes that hands or process Used OR and 011yfWater lie required m meet those more stringent mqukemenls,and closure and accidental raleases.t is lawns m send Used 00 and OByNvater m out of scam fac"Iss Mat campy onty with fodarel Used W and OOylWater management
<br /> state faes at Pcoss Used 00 and OilylWater also most those requirements.agineedel onl fiwaon of tank k tegft,and flnanda)assurances for standards and net Masa more stringent requireman.
<br /> dfitMm
<br /> acti0mdal mlease,It is lawful to send Used 04 and Ol Mss r to out of state facilites that campy only with fedemi Used oa and OlyMrater management This no>estion is forte informational puryoses may.
<br /> d not Mese more stringent requirements
<br /> on is fore,krformatiorW By both partes sngn'ug this Invoice t WNm
<br /> 'A s as n greeent that George W.Lawry.Inc.wig subrdt confmration for(cerate m
<br /> waste streams)to the 9enaoatorMat start
<br /> wast.has beenirmsponed m a pemnted r 1iry or pe hi0ed baaonent storage ordaposal tan .
<br /> s signkg this knWm it 9 end Mat George W.Lowry,me will wbmit confirtna6on for lee min waste stream)m the generator that Meir dowry Driver Signature X 'l 11
<br /> enirmsported ma clay 'fled treatment,storage or disposal facility. Date"1
<br /> river Signature X Date ^� L h Signature'ot Generator,Represenrative or Agent of Generator. X �---� D�
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<br /> -e'of Generator,Rep a or Agent of Generator. X
<br /> Recycling,Transfer,Treatrnent,Storage,Disposal Facilities Name:
<br /> Addr
<br /> riling,Transfer,Treatment,Storage,Disposal Facifiti Name, 13
<br /> fYpV'r1/(j .
<br /> u!a i.uiol�� ❑ ❑ Bakesfi Jd Transfer Wtomia0 Reryg9ng�rYMronmartai Yu Emlronmi tad City.Sub ZIP:
<br /> (7Ja Md— 1620 E Brundage Lane MN Cetus Road 1515 S.Riva Road 2730 E.13th
<br /> 8aJundeid�CA MW RlvarWnk.CA 9636'7 Wast Saaamsnlo,G95691 Yuma,AZ,85365
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<br /> Recycling Ran=Emimnmetal Yuma Environmental city.Stab ZIP., 6 -M-11259 2094636161 916311-6747 9253449826 EPnm
<br /> I.Inv 5300 Clan Road ISIS S River Read 2730 E 13th - CAL00028258 CAL0000190816 CA000000355b AZR000515924
<br /> 93307 RKmtba*CA 96367 Wass Sacramento,G 95691 Yuma,AZ,85365 Photo:
<br /> 209363-8181 9163X.6747 92834d•9826
<br /> CAI.0000190817 CAD000003556 AZR000515924 EPA 10:
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