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Environmental S.-I...OIAsl.n M.IIIn9:P.O.sax 176,Salida,CA Wes 4611 Kiaman Court,Salida,CA 95308 '"Q Consolidated Manifest Phon.•209.545-0701 FAX2095454241 CEORGE InVO�Ce EPA-CM000047019 COMPANY ler CA Transporter Numb°r 3944 CA Liconso$750518 GENERATOR: Invoice N° 40000098 Site EPA ID 9: C44_L4()(),*3{(�,i7' 7 Invoice Data: Contact—P.... r r—•• =� Driver Printed Signature: Nam.: Truck#: Add...a; wl- (yk PO# City,Stale,zip: Site Phone: - + Product Shipping Name C 1° CA Manifest 00 Quantity Unit. Price Amount Non-RCRA Hazardous Waste UquM(Used.OR):LublimJng 22+ lC Go' .3s' // Non-RCRA Hazardous Waste Liquid(Used OB):Industrial 221 G°t Non RCRA Haze rdous Waste Uiluld(Used Automotive Antifreeze) 134 Non-RCRA Hazardous Waste Liquid(OB&Water) 223 Got Non-RCRA Hazardous Waste Solids Contaminated With Used Oil. 352 0 V17 qJ77j J/ fined Used told Filter Drum(s) Empty Drum(s) Each Transportation&Tmdl Time Hrs. UNeaa dhemtw.padAcd on e9.Cana.ndaletl Alardlosl RecWpl linvdu)Tamu:Acramb tlu.on 0w 10U or U,.month lo.oMrg month of purNv.o.Posidue T.I. acwunU w8 be chwgod a FINANCE CHARGE at N°PERIODIC RATE 0 Wfi%pormonlh,which Is the MNUALPERCEWAGE RATE of 18%. 9y signing I hereby canny Nal l have not mixed any or the waste described above with any other hazardous waste,the total hand.contain Is LESS Nan 1,000 ppm,and the waste does not conla(n any PCB..I have complied with the requirements of the applicable California used OR management regulation to determine this Is We.I agree to accept the addtllonal charges for the disposal of the waste If the Information I have provided about this waste is InComoCL Generators Certification:By signing I cerbly that If i am a largo quantity generator,I CeNfy that I have program In place to reduce the volume and toxicity of wasto generated to the degree I have determined to be economically affordable and that I have selected the practicable method of treatment,storage,or disposal currently available to me which minlmllea the present and future threat to human life and the environment.Or,8I am a small quantity generator,I have made a Good Faith effort to minimize my mate generation and sale.the wast!management method that is ava8eble to me that I can afford. George W.Lowry,Inc.hereby advises the some Generator that generators shipment of Used Oil and Oily/Water may be transported to a facility that to required to comply with federal regulations applicable to management of Used On and OftyfWater.but that Is Wrequired to comply with the mora stringent requirements applicable to hazardous waste management facil California facilities that handle or process Used OR and Oily/Water era required to meet those more stringent requirements,and some oul-06state facilities that process Used OR and OflyM'ator also meet Besse requirement.,engineering certiBLatlons of tank integrity,and financial assurance.for closure and accidental relesses,)t is lawful to send Used 011 and Oily/water to out of stale facilities that comply only with federal Used Oil and OBy/Watar management standards and not Nra es.mostringent requirements. This notification is for the Information.[purpose-only. By both pm0os signing this Invoke n will serve as an agreement that George W.Lowry.Inc.will submit confirmation for(certain waste streams)to the generator that their waste has been tranepon.d to a permitted tr/aRala�r�Ullly or peadded treatment,storage or disposal facility. Lowry Driver Signature Xl �q Date Signature'of Generator,Representative or Agent of Genorelon X ,1-----� Date Recycling,Transfer,Treatment,Storage,Disposal Facilities Nam.: ❑ - ❑ 13 E3 Add—: Bakersnold Transfer California Oil Recycling Ramos environmental Yum a Environmental City,slat.,23p: 1820 E. Bmndag-Lane 5300 Claus Road 1515 S.River Road 2730 E.13th Bikarefi.Id,CA93307 Rlv.deank,CA96367 Wast Sacramento,CA 95691 Yuma,AZ,85365 Phone; 8614122-8258 209863.8151 91841715747 928.344.9826 CAL00028258 CAL0000190817 CAD004003558 AZROOOSIS924 EPA to: i