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Environmental Services Division Maning:P.O.Box 178,Salida,CA 95308 11dated Manifest Conso LOWR 4612 Kiernan Court,Salida,CA 95380 ® Phone:200.595.0791 FAX 209545.2241 A P"RLORGEINC. oouoTa COMPANY Invoice EPA 0 CAR00o047019 CA Transporter Number 3099 CA License 0 758518 ENERAT®R: lnvoico o - Site SPA►D 0: A, � - RI_ 40000583 Invoice bate: ` ,.t Contact Parson: Name: Driver Printed Signature: - -- Truck R: Address: C PO a _ - - City,Stat®,2{p: Site Phone: YER@AS: Product Shipping Name Waste CA Manifest#0 - Code Quantity Units Price Amount Non•RCRA Hazardous Waste Liquid(Used OU):Lubricating 221 - _ o!� �- �L Z set Non•RCRA Hazardous Waste Liquid(Used 011): Industrial 221 Gal Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 cal Non.RCRA Hazardous Waste Liquid(011&Water) 223 - - Gal Non•RCRA Hazardous Waste Sokds Contaminated with Used o0 352 Drum(*) Drained Used Oil Filter Drums) 6s - on,m(s) Empty Drum(s) - - - Each Transportation&Truck Time HR. Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Terms; Accounts due on the 10th of the month following month of purc=dueaccounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1.112%per month,which is the ANNUAL PERCENTAGE RATE of 18% Total By slgnlng I hereby certify that i have not mixed any of the waste described above with any other he-zardous waste,the total halide content Is LESS than 1,000 ppm,and the waste does not contain any PCB's.I have compiled with the requirements of the applicable California used oil management regulation to determine this is true.I agree to accept the additional charges for the disposal of the waste If the information I have provided about this waste is incorrect. Generator's Certification: By signing I certify that If 1 am a largequantity generator, I certify that 1 have program In place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically affordable and that 1 have selected the practicable method of treatment, storage, or disposal currently available to me which minimizes the present and future threat to human life and the environment.Or,If I am a"mall quantity generator,I have made a Good Faith effort to minimize my waste generation and select the waste management method that Is available to me that 1 can afford. 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 with federal regulations applicable to management of Used Oil and Oily/Water, but that is not required to comply with the more stringent requirements applicable to hazardous waste management facilities.California facilities that handle or process Used Oil and Oity/Water are required to meet those more stringent requirements,and some out-of-slate facllRles that process Used 00 and 011y/Water also meet those requirements, engineering certifications of tank integrity,and financial assurances for closure and accidental releases,it is lawful to send Used Oil and Oily/Water to out of state facilities that comply only with federal Used ON and OIIyMrater management standards and not these more stringent requirements. This notification is for the informational purposes only. By both parties signing this invoice n will a�as reementtbat George W.Lowry,Inc. will submit confirmation for(Certain waste streams)to the generator that their waste has been transported to a permits ansf f '' oihrtiried treatment,storage or disposal facility. Lowry Driver Signature X Daus Signature of Generator,Repre entative or Agent of Generator: X_4 Data �j•.-t Recycling,Transfer,Treatment,Storage, Disposal Facilities Name: C3 13 Address: Bakersfield Transferem a 0\11 Recycling Ramos Environmental Yuma Environmental 1620 E.Brundage Lane 5300 Claus Road 1515 S.River Road City,stat®'Zip: Bakersfield,CA 93307 Riverbank,CA 96367 West Sacramento,CA 95691 Yuma,AZ,85365 Phona: 681.322-0258 209-883-8181 918.371.5747 928.384.9826 CAL00026250 CAL00001908iff CA0004003556 AZR000515924 I EPA to