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{{i <br /> Mailing:P.O.Box 176,Salida,CA 05368 <br /> 4632 lGeman Court,Salida,CA 95388 <br /> GeoLge W LOWM Inc. Phone:209.545-0791 FAX208d45=2241 <br /> Environmental Services Division EPAS CAR000047019 <br /> CA Transporter Number 3844 <br /> CA ucenso#758518 <br /> I <br /> GENERATOR: ICOnso'lidatedManifest Invoice: ! 1' <br /> Site EPA iD#: r <br /> :Shipment Wei <br /> Contact Person: J <br /> Name j 'i river ign6tur€�(Prinfed)• # <br /> Address ) <br /> Truck# <br /> City,State,zip <br /> PO#. <br /> Site Phone: <br /> Product Code CA Manifest#0 Quantity units �P�e Amount <br /> i <br /> Non-RCRA Hazardous Waste Liquid(Used 011):Lubricatlng 221Gat { <br /> Non-RCRA Hazardous Waste Liquid(Used 011);industrial 221Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 ,X' >°: x Gat I <br /> s <br /> Non-RCRA Hazardous Waste I.Nuld(Oil&Water) 223 Gal 1� <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 352 3r rhu,,,isj1 <br /> Drained Used Oil Fitter Drum(s) <br /> Empty Drum(s) <br /> Each <br /> Transportation&Truck Time HRi '1 <br /> a <br /> Hazardous Test <br /> Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Tarns:Accounts duo on the loth of the month following month of purchase. Past due Total <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1412%per month,which is the ANNUAL PERCENTAGE RATE"of 18%, <br /> I� <br /> By signing this receipt,the Generator certifies that a program has been established to reduce the volume or quantity and toxicity of the hazardous waste to a degree as <br /> determined by the generator,to be economically practicable. <br /> Generator certiftes that all Hazardous Waste listed on this Consolidated Manifest Receipt Is profiled to meet the Waste Codes as listed above. <br /> [Acte:George W Lowry, Inc. hereby advises the Generator that X ��(���e�r�tc�r"� -nature) <br /> shipment of used oil may be transported to a facility that is required to comply with federal regulation applicable to managemgnti{of used oil but that is <br /> not required to comply with the more stringent requirements applicable to hazardouswaste management facilities. California facilities that handle or <br /> process used oil are required to meet those more stringent requirements,and some out-of-state facilities that process used oil Wad meet those require- <br /> ments These include more stringent leak detection and prevention'requirements,engineering Certifications of tank integrity,and nancial assurances <br /> for closure and accidental releases. it is lawful to send used oil to out of state facilities that comply only with the Federal used oil management stan- <br /> dards and not these more stringent requirements.' 4 <br /> This notification Is for Information only. Lawry Driver Signature X <br /> J <br /> !Y <br /> :signature of Generator,Representative or Agent of Generator:' X-1 <br /> Bakerafleid Transfer Yuma Environmental <br /> 1620 E.Brundage Lane 2730 E.13th <br /> Bakersfield,CA 93307 Yuma,AZ 85365 Name: �I <br /> 661-322.8258 928344.9826 } <br /> RecyclingCAL000282598 AZR000515924 Adkiresst <br /> &Disposal t, y . <br /> Facilities Cttj,state,zip: } <br /> Riverbank Oil Transfer 5300 Ramos Environmental <br /> Claus Road 1615 S.River Road1 ' <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: ' <br /> 209.863-8181 916.371-5747 <br /> CAL000190816 CADW4003556 EPA to: <br /> i <br /> REV.4-17 <br />