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Environmental services Division <br /> (GEORGEi... <br /> Mailings P.G.Be.178,S.Ilde,CA 95385 <br /> 4612 Kiymsn Coud,Salida,CA 95368 <br /> off® � Consolidated Manifest Phone:208346-0791 FAX 209345.2241 <br /> Invoice OI Ce EPA A 4AR990ea7o1e <br /> •aaraoeaex Iae.uass caMaANw CA Tnneport.,Number 35th <br /> CA Llcdnee 0768518 <br /> MGENERATOR:_-ATOR: Invoice N_ 40000598 <br /> 71 invoice Data: O A: ��d�fL� sT- ` l�'Anen: Driver Printed Signature: a I t 1�,/� Truck N:�'2U �t vt.tl POA <br /> ,Zip: w L: <br /> Product Shipping Nome West. CA Manifest AO Quantity unhe Price Amount <br /> Code <br /> Non-RCHazardous Waste 221 oat <br /> RA '..... <br /> Non-RCRA Hazardous Waste Liquid(Used OR:Industrial <br /> 221 Gel <br /> Non RCRAHazardous Waste Lk)tlid(Used AURIVIDveAAtlinaze) 134 0.1 '... <br /> Non-RCRA Hazardous Waste Liquid(00&Water) 223 Gat '. <br /> Non-RCRA Heraidous Waste Solids Contaminated vitt Used Oil 352 (,(_ 3 D—(e) 'R I <br /> Drained Used 00 Filler Drum(s) ummp) 7-�S• <br /> Each <br /> ...EmptyDrum(s) <br /> Transportation 6 Truck Time <br /> UNaas oUsmlwapad5ed on W.Contdkatad MvnNoal R.wipl(Inw2e.)T_:Aawnp dvdmtha]Oih olaro month N4exing math of purchwo.Peel due Total �1�f':, <br /> awnta wa bo d,srgad a FINANCE CHARGE M'N PERIODIC RATE oft i-1f2%par month,which is the ANNUAL PERCENTAGE RATE of ta%. l Y <br /> e g <br /> 'ey slening oes i hereby cerUN that I have not mixed any of the weal.described above JA any other hazardous waste,the total halide content le LESS then 1,000 ppm,end Ina , <br /> waste dnot conlain any PCB's.I have compiled with the requirements of the applicable Celifemia used oil management regulation to data <br /> nnlna this Is true,1 agree to <br /> accept the additional charges for the disposal of the waste If the Information 1 have provided about this waste is.ocomact. <br /> of <br /> p nested o Ina degree Bh'weendetermined to b Iecnomkalty aquantity <br /> o deli,Band the til Ihaavve selected thehave <br /> praccticable mogram In ethodace tof treatment,storage,orand <br /> disposal otumniffy:{ <br /> evaliable to me whkh minimizea the present end NNre.lhreet Io human life*and the environment.04 If I am a smell quantity generator,I have made a Good Faith effort to <br /> minimize my waste genemllon and selwA the waste management method that le available to me that I can afford. <br /> George W.Lowry,Inc.hereby advises the above Generator that generators shipment of Used 00 and Oily/Water may be transported to a facility that Is required to comply <br /> with federal regulations applicable to management of Used 011 and Oily/Water,but that is not required to comply with the more stringent requirements applicable to <br /> hazardous waste management facilities.California fecol es that handle or process Used 011 and 00ylWaler ere required to meet those more stringent requiremente;and <br /> soma out-of-sole fedNOes that process Used Oil and OftylWaler also meet those requirements,engineering ceNOcatons of lank Integrity,and 6nanciat,Aeddrances for <br /> docurs and accidental nipases,It Ie lawful to send Used Oil and 011y/Water to out of etat,fadUUes that comply only with federal Used ON and Oily/Water mhna8amenl <br /> standards and not these me stringent requlrements. <br /> This notiffcaton to for the InformatWRd. <br /> soeni <br /> By both partles signing We Invoice areament that George W.Lowry,Inc.will submit con8mnatfon for(certeln Wesle ameama)o the generator that their <br /> waste has been uanspCded o e pe 1 dilty or pe treatment,storage or disposal fadiiiLowry Driver Signature X /Signature of Generator,Rve or Agent of Generator: X v �--� Date <br /> Recycling,Transfer,Treatment,Storage,Disposal Facilities Hem.: <br /> ®V✓W.1r u Qi`/A ❑ ❑ Addreea: <br /> Bakangeid Transfer Calllomis oll Recycling Ramos Environmental Yuma Environmental City,State,Zip: <br /> 1820 E.Bnndaga Lana 5300 Claus Road 1615 S.River Road 2730 E.13th peons: <br /> Bakengold,CA93307 Rlverbank,CA96387 West Sacrament*,CA 95691 Yuma,A7,85365 <br /> 661-3223258 209.8633181 916-371.5747 928344.8826 EPA ID: <br /> CAL0002825q' CAL000010081,+ CAD004003556 AZR000515924 <br /> i <br />