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Environmental Services Division GEGRGEMailing:P.O.Box 176,Salida,CA 95368 W-LOWRY 95368 Consolidated Manifest Phone4612 iern-55-07D5alida,CA545-2Phone:209.545-9791 FATS 209-545-2241 ROLEUM PRODUCTS COMPANY Invoice EPA#CAR000047019 CA Transporter Number 3844 CA License#758518 GENERATOR: Invoice N° 4000 1 2 0 9 Site EPA ID#: l � , � Invoice Date: Contact Person: Driver Printed Signature: Name: Truck#: Address: e PO# City,State,Zip: Site Phone: TERMS: Product Shipping Name Waste CA Manifest#0 Quantity Units Price Amount Code Non-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 61, Gal t✓vz' Non-RCRA Hazardous Waste Liquid(Used Oil): Industrial 221 11 Gar Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gal Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gal Non-RCRA Hazardous Waste Solids Contaminated with Used Gil 352 Drum(s) Paper and/or Plastic Oil Filter Drum(s) 352 1/ Drum(s) Drained Used Oil(Metal)Filter Drum(s) V Each Empty Drum(s) Each Transportation&Truck Time HR. Unloss otherwise specified on this Consolidated Manifest Receipt(Invoice)Terms: Accounts due on the 1 Dth of[tie month following month of purchase. Past due accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-112%per month,which is the ANNUAL PERCENTAGE RATE of 18%. Totef By signing I hereby certify that I have not mixed any of the waste described above with any other hazardous waste,the total halide content is LESS than 1,000 ppm,and the waste does not contain any PCB's.I have complied with the requirements of the applicable California used oil management regulation to determine this is true.I agree to accept the additional charges for the disposal of the waste if the information I have provided about this waste is incorrect. Generator's Certification: By signing I certify that if I am a large quantity generator, I certify that I have program in place to reduce the volume and toxicity of waste 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 minimizes the present and future threat to human life and the environment.Or,if I am a small quantity generator,I have made a Good Faith effort to minimize my waste generation and select the waste management method that is available to me that f can afford. George W.Lowry,Inc.hereby advises the above,Generator that generators shipment of Used Oil and OilyNdater may be transported to a facility that is required to comply with federal regulations appficahre to management of Used Oil and Oily/Water, but that is not required to comply with the more stringent requirements applicable to hazardous waste management facilities.California facilities that handle or process Used Oil and OilylWater are required to meet those more stringent requirements,and some cut-of-state facilities that process Used Oii and Oily/Water also meet those requirements, engineering certifications of lank integrity, and financial assurances for closure and accidental releases,it is lawful to send Used Oil and OilyA'Vater to out of state facilities that comply only with federal Used Oft and Oily/Water management standards and not these more stringent requirements. This notification is for the informational purposes only. By both parties signing this invoice it will serve as an a e hal Geor. �.wrylncrwill submit confirmation for(certain waste streams)to the generator that their waste has been transported to a permitted transfer il' r ermitte atment, is facilit Lowry Driver Signature X ate Signature of Generator, Repre five gent of Generator: X Date r Recycling,Transfer, Treatment, Storage, Disposal Facilities Name: 13 ❑ 1 Address: Bakersfield Transfer AC-rlornia Oil Transfer LLC Ramos Environmental Sako p11 Recycling,Inc. City,state Zip: 1620 E.Brundage Lane 5300 Claus Road 1515 S.River ! y P Road 1217 S,Fiesta Ave. Bakersfield,CA 93307 Riverbank,CA 95367 West Sacramento,CA 95691 Parker,AZ 85344 Phone: 661-322.8258 209-863-8181 916-371-5747 928-854-3202 CAL•000282598 CALOCO190816 CAD044003556 AZR000516151 EPA ID: