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� r <br /> Nailing:P.G.Box 170,GaIlds,CA ON60 <br /> R 190man COW%$01M,CA MOD <br /> ®®rg® ®Wt`s. IM. Phone; '®1 PAua <br /> Environmental Services Division EPAOC 80 7010 <br /> CA Ttanoporter Number 380 <br /> Cleanse 8 785690 <br /> GENERATOR: Consolidated ManIWInvoice: <br /> site EPA ID tf: ! (; t , r. `? f C. Shipment Date: <br /> > <br /> Contact Person: <br /> Name ,i`;. ,^ Driver Signature(Printed): <br /> Address: x 1') \ �� ` Truck$ rr. '... <br /> City,State,Zip: =���•�•r° ("*Cb'l r <br /> PO# <br /> Site Phone: <br /> Product WNW CA Manifest 00 chnntity lite Pry, ;mount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used Cil):Lubrfcat)ng 221 ted <br /> Non-RCRA Hazardous Waste Lquld(Used 00):Industrial 221 Gw <br /> Non RCRA Hazardous Waste Llqufd(Used Automotive Antifreeze) 134 tear <br /> Non•RCRA Hazardous Waste 1.4uld(OA&Watsr) 223 law <br /> Non•RCRA Hazardous Waste SMs Contaminated with Used 09 992 <br /> 4• • <br /> Drained Used Oil FffWr Drums) oruerKal <br /> Empty Daum sj Eaoh <br /> Transportation&Tnldt Time RRn <br /> Hazardous Teat <br /> Unlace oUea,W ee q�ecmea on eek Contouesead MAnirat Rooegpt(fnvoRae)Timm:Aowuna rias ore tlw 1 om d tr» o0pea" 1.' Y••�" <br /> emounts*111 be 010 god o FINANCE CHARGE ar the PERIODIC RATE 011-12%per nKx ifH wdeirJt is ft ANNUAL nronPERCthEroNTAro»1GE rtnorRATME ofapur1816dww. Total ��I�-•:� r <br /> By signing this receipt.the Generator ceMeo that a program has been estebllahed to reduce Vne volume or quare ty and Wldty of the hazardous waste to a degree as <br /> determined by the generator,be be economicaiy practicable. <br /> Generator certl6as that all Hazardous Waste Dated on this Consolidated Manffest Receipt is prnOted to meet the waste Codas se listed above. <br /> Note:George W. Lowry,Inc. hereby advises the Generator that X 'a(Generator's signature) <br /> shipment of used oil may be transported to a facility that Is required to comply with federal regulations applicable to management of used oil but that is <br /> not required to comply with the mora stringent requirements applicable:to hazardous waste management fadllties. California facilities that handle or <br /> process used oil are required to meet those more stringent traqulromArtts,and some out-of atete WHO"that process used oN also meet those require- <br /> ments These include more stringent leak delecdion and prevention requirements,engirAering=0111cations of tank irtbegft' and ilnandel assurances <br /> for closure and accidental releases, It is lawful to send used oil to out of stats faclif les that plyy with the F rel used oil management stan- <br /> dards and not these more stringent requirements, r r� <br /> This notification le for Information only, Lowry Driver Signature X ` .•—� <br /> Signature of Generator,Representative or Agent of Generator; X <br /> Bakersfield Transfer Yuma Environmorr4al <br /> 1020 P.Brundage I.euw 2790 M 13th <br /> Bskerstfeid,CA 09907 Yuma,AZ 86305 WWW. <br /> 081-322-8268 920.344.0020 <br /> RecyclingCAL000282609 AZROOOSIS024 <br /> &Disposal <br /> Facilities Rlvorb■nk on Transfer Baan Ramos t nv4vnmentai ctty'st2ft'ZIP` <br /> Claus Road 1515$.R(Vaf Rosd <br /> Riverbank,CA 06367 West Ssorarrtento,CA 85891 MMM: <br /> 200.809-0101 915-371-6747 <br /> CAL000100010 CAL10040tt7666 EPA 10: <br /> REV,4-17 <br />