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Environmental Services Division <br /> Halling:P.O.Box.116,fialfda,CA 95368 <br /> e <br /> Consolidated Manifest 4612RI.m.n 5-0791 aAX20AM5-2 <br /> Phono:209.545-0791 fAx 2.9.545-7141 <br /> (GEORGE <br /> PaTnoLayM PgoaUel O COMPANY Invoice EPA#CARD00047012 <br /> CA Transport.01­b.13844 <br /> CA Licosa#75a5/a <br /> GENERATOR: Invoice NO 40000598 <br /> Silo EPA ID#: / d S5 Invoice Data: {{ lam{,l <br /> Contact Person: Driver Printed Signature: -I <br /> Nam.: Ley, t Truck N: <br /> Address•. )•'(.0 r,ld PO# <br /> City,State,ZIP: S L f-yyt <br /> Seto Phone: RMS: <br /> Product Shipping Normo Waste <br /> cods CA Manifest#0 Quantity units Price Amount <br /> Non-RCRA Hazardous Waste LkIuld(Used.Oo:Lubricating 221 Gei <br /> Non-RCRA Hazardous Waste Lkluld(Used Oil):Industrial 221 cm <br /> Non RCRA Hazardous Waste liquid(Used Aulomotive Antifreeze) 134 cal <br /> NomRCRA Hazardous Waste Llqukf(Oil 8 Water) 223 u G.1 '.. <br /> Ncn-RCRA Hazardous Waste Solids Contaminated vnih Used Oil 352 C l b ' l 1 �(,. 3 Dr unt.) Q I <br /> Droned Used Oct Filter Drums) v <br /> Empty Drum(s) Eacn <br /> Transportation d Truck Time NR. <br /> U 4as clhwrlsa spodI.d on IN,Consaedalad MoNfosl Racalpt(brvok4Tome:Aaounts dud un e,o ON.l Ow month <br /> (mows, Hof pwchwo.Pactduo Total <br /> aaunts wig b.Wrgod a FINANCE CHARGE al No PERIODIC RATEoi 1.1r2%pormiiVf <br /> y whirh is awofthANNUAL eEriCEN7AG RATE of 18y,. <br /> By signing I hereby cerilly that I have not mixed any of the waste described above A any other hazardous waste,the total hailde wnl.nt is LESS than 1,000 ppm,and the <br /> accept does not contain any PCB's.I have compiled vdUa the requirements of the eppilceWo C61if.mie used oil management regulation to deleonina this Is we.I agree to <br /> easpthe additional charges for the disposal of the waste II the Infam.0 n I have provided about This waste Is Incorrect. <br /> Gonoatoes Certification:By signing I Cartlfy that it.I am a large quantity general",I certify that 1 have program in place to reduce the volume and toxicity of wast,. <br /> generated to the degree I have determined to be economically affordable and that I have selected the pracUwble method of treatment,storage,or disposal currently'{ <br /> evelieble,to me which minimizes the present and futum.throal to human life and the environment.Or,If I am a small quantity generator,l have mode a Good Faith effort to <br /> minimize my waste generation and select Ula"ale management method that Is available to me that I can afford. - <br /> George W.Lowry,Inc.hereby advises the above Generator that generators shipment of Used Oil and ORyMPoter may be transported to a facility that Is required to comply <br /> with federal regulations applicable to management or Used OR end Oly/Water,but that Is not required to comply wire the mom stringent requirements applicable to <br /> hazardous waste management hscififiss.California facilities that handle"process Used OR and Oily/Water am required to meet those more stringent requirements,and <br /> sane outof-atato facilities that process Used Oil and OilylWater also most those requirements,engineering ceNOraUons of tank Integrity,and flnanciat asedrances for <br /> dorsum and accidental relpases,it is lawful to sand Used Oil and Oily/Water to out of stato facilities that comply only with federal Used oil end OIty/NTalor management <br /> standards and not these mom stringonl requirements. <br /> This notification is for the Inl.rmatlo at Pu oro onl <br /> By both pelves signing Nie invoice i I o e a city" int gut Gporga W.Lowry,Inc.will submit confinnalbn for(certain waste streams)Io the generator that the[ <br /> waste has been transported to a pa 'tt ra s(e(ditty"pa U6d treaMenL storego or tllsposai redllly. <br /> Lowry Driver Signature X Dates {L( L <br /> Signature of Generator,Re resen ative or Agent of Genorator. X L�\.J Datell y ( <br /> Recycling,Transfer,Treatment,Storage,Disposal Facilities Name: <br /> ®OVA C O vO$ ❑ ❑ Address: <br /> Bakuaflald Trsnsf.r California Oil Rocycling Ramos Fmlronmontst Yuma Environmental City,stab,Zip: <br /> 1620-Brundage Lana 5300 Claus Road 1515 S.River Road 2730 E.111h <br /> Bakar,flold,CA 93307 Riverbank,CA 96367 Woat8acramanto,CA 95691 Yuma,AZ,85365 Phono: <br /> 661.322.8250 209-863.8181 916-371.6747 928-344.9820 <br /> CAL0002825�� CALoofio18081� CAD004003556 AZR000515924 EPA IO: <br /> E <br /> i <br /> 1 <br />