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z I� <br /> Melling:P.O.Box776,Salida,CAgiisee " <br /> 4682 119eman Court,Salida.CA 8568 <br /> George W. Lowry. Inc. Phone:209.545-0791 FAX 209 f2241 <br /> Environmental Services DivisionEPAp CAR000047019 1�i <br /> CA Transporter Number44 1 38 { <br /> CA License#758518 {; <br /> 1 <br /> GENERATOR: <br /> Consolidated Manifest Invoice: <br /> Shipment Date. <br /> Site EPA ID#: " <br /> Contact Person: <br /> Name j /1 .. Driver Signattire(Printed); i <br /> Address. Truck# <br /> City,State,Zip: i <br /> Sitn Phone: PO#' <br /> I ' <br /> Product waste CAManifest#0 j <br /> Code 4u$nttty units ; 'Pfice Amount <br /> Non-RCRA Hazardous Waste Liquid(Used 011):Lubricating 221 Ga) i <br /> M <br /> Non-RCRA Hazardous Waste liquid(Used Oil):Industrial 221Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Ger <br /> ;< <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 352 orum(sl <br /> I a` <br /> Drained Used Oil Filter Drums) tkum(s) <br /> Empty Drum(s) Each h ' <br /> Transportation&Truck Time <br /> lilt! , <br /> Hazardous Test 1 <br /> 7 3 <br /> Unless otherwise specified on this Consolidated Manifest Receipt(Invoke)Terms.Accounts due on the loth of the month fallowing month of purchase, Past due ;Total accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 141'2%per month,which Is the ANNUAL.PERCENTAGE RATE of 18%. <br /> By signing this receipt,the Generator certifies that a program has been established to reduce the volume or quantity and toxicity of the hazardou's 'std to a degree as <br /> determined by the generator,to be economically practicable. <br /> Generator certifies that all Hazardous Waste listed on this Consolidated Manifest Receipt is profiled to meet the Waste Codes as listed above. 1 <br /> Note:George W. Lo fly,InC,,,hereby advises the Generator that x �� �u( Wr�tor'.ss sib"aturo <br /> shipment of used oil may be transported to a facility that is required to comply with federal regulations,applicabie"to management of Used oil but that is <br /> not required to comply with the more stringent requirements applicable to hazardous,waste management facilities. California fac Was that handle or <br /> process used oil are required to"meet those more stringent requirements,and some out-of-state facilities that process used Dili] ,o meet'those require- <br /> ments These include more stringent leak detection and prevention requirements,engineering certifications of tank integrity,and;oncial assurances <br /> for closure and accidental releases. It lawful to send used oil to out of state fatalities that comp -only�th the Federal used oilmanagement Stan- <br /> dards and not these more stringent requirements. <br /> This notification Is for information only. Lowry Driver Signaturo <br /> signature of Generator,Representative or Agent of Generator: X <br /> d <br /> a <br /> Bakersfield Transfer Yuma Environmental <br /> 1620 E.Brundage Lane 2730 E.13th" <br /> Bakersfield,CA 93307 Yuma,AZ 85365 Hama <br /> 661-322.8258 928344-9826 <br /> Recytaing CAL000282598 AZR000515924Address:' <br /> &Disposal <br /> City.Soto.zip: , <br /> FaCiiitieS Riverbank Oil Transfer 5300 Ramos Environmental <br /> Claus Road 1615 S.River Road { <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: ( j <br /> 209-863.8181 916-371-5747 j <br /> CAL000190816 CAD004003556 EPA ID: <br /> a ' <br /> REV.4-17 <br />