Whitehawk Inc Record ID# PR0523891
<br /> 2101 E Dr Martin Luther King Dr, Stockton, CA 95205
<br /> Program: HW
<br /> July 11, 2019
<br /> PHOTO 4: Receipt of last used oil pickup to verify the correct start date.
<br /> IW!ORGE ns s
<br /> rewr.af.rr;.,a, L�WRY �c olidated Manifest
<br /> a,,rea�m'� rrx>,x Invoice
<br /> rap•u+ihilir`roidcn ..,y be GENEG_ATpR- .......re.....s...
<br /> o C'a,n rrrvr. r:ra anrr c cu brgrr i.C ru r
<br /> Lrir•..nrndxnr m.�c'Cl ?'w+o1 nn •r Inv N9 QO
<br /> usroi rcxu_ An?2',i ,vay�-tch
<br /> ncr<6rncad v a paha i
<br /> .+circ.rn nAcl+crnn SuM'pur e
<br /> a
<br /> a+nnr.Via u Of rH,din.+r+r b. .
<br /> !c pati of CleanTrrrr Cu fl�rclird I 'NIl4v AaC.ese:
<br /> .arnnter•hnrJJ ��- airy.s.m.nP:
<br /> Jirucq mg- sn.Pnone:
<br /> Tear
<br /> Prodvn smpPina RAM.
<br /> Nun.RCRA Hazardous Weare Uqule lUsee 0111 Luonwl,ne x'21 eA nWn,."b Ouo rv . nx cum
<br /> Nan-RCRA Hazardous Waste Liquid(Used O,ti:Iraluslala
<br /> 21r -
<br /> NonRCRAHazeldousWesta Lpe,d Used Act--...Antifreeze, 134 0•
<br /> Non-RCRA Hazardous Waste L,nurtl 10118 Wale,)
<br /> 233
<br /> Non-RCRA Hazardous Waste Solids Contaminated win Used Oil ssz v
<br /> I
<br /> i Paper and/or Plastic 011 Filter Drum,,, .m
<br /> 353
<br /> Drained Used Oil(Metal)Filter Drumis)
<br /> Empty Drums)
<br /> „ Trdnsponalion A Truck Time a<
<br /> -unlsrw,pa Phesee.FINANCE CHARGE al In'PERIOmCRet ATE 112,pe,c.mtl eue_'re Not Ne menrdlnllowln aai Uve
<br /> per monlM1.wnicn, NUAL PERCENTgGE FATE PIIaW.x P To1a1
<br /> By signing I hereby celery that I have not mixed any of the wast.described above with any other hazardous waste,the.be halige ronlent is LESS Nan 1.apic ppm.and
<br /> the waste tloes not contain any PCB's.I have complied with the requirements of the applicable California used oil management negutall-1.determine Mrs K eue.I so—
<br /> to
<br /> a—Pt file additional charges far the cleanse)of the waste If the Infonnabon I have provided about IN,wast.,s Medea.
<br /> Generator's Certification:By signing I teddy that If I am a large quantity generator,I cenify that I have program In place to reduce the al,ma and tarinry of we-ste
<br /> generated to the degree I have determine d to be economically affordable and Thal nave selected the practicable method of treatment,storage.w disposal currently
<br /> ..liable to me which minimizes the pecten"and fulcra threat to human life antl the environment.Or,If I en a small quantity generator,l have made a Good Fave etlon to
<br /> minimize my waste generation and select the waste management method Melia available to me that 1 can afford.
<br /> George W.Lowry,Inc.hereby d es the above Generator that genemlore shipment of Used O'1 and OilyMlater may be transported to a lec lily that e,required to tomos,
<br /> 9t federal regulations app, C to management of Used Of and OdylWatin but that's not required to comply with the more stringent requeamente appholatie,to
<br /> I hazartlous waste management facilities California facilities that handle or process Used Oil and 011y/Water are required to meet those mote stengem tegwrememe,and
<br /> some out-ef-shale facilities that protest Used Oil and Oily/Waler also meet those requirements,engineering cerlificatront of tank integrity,and fmannel assure a tot
<br /> closure and accidental releases,it is lawful to send Used Oil and Oily/Water to out of slate facilities that comply only with federal Used Oil and OlylWatar mnnagemem
<br /> standards and not these more stringent requirements.
<br /> i This notification is for the informational purposes only.
<br /> By both parties signing this invoiced will serve as an agreement that George W.Lowry,Inc.will submit confirmation for(certain waste streams)to the generator Matthew
<br /> waste has been transported to a permitted Ineal facility or permitted treatment.storage or disposal facility.
<br /> Lowry Driver Signature X Date
<br /> I
<br /> Signature of Generator,Representative or Agent of Generator: X Date
<br /> t:
<br /> Recycling,Transfer,Treatment,Storage,Disposal Facilities Nance.
<br /> i❑ 13 ❑ Andress
<br /> Bakersfield Transfer California Oil Transfer LLC Ramos Environmental Sake Oil Recycling,Inc, city.St.",Zip.
<br /> 1620 E.Brundage Lane 5300 Claus Road 1515 S.River Road 1217 S.Fiesta Ave.
<br /> Bakersfield,CA 93307 Riverbank,CA 95367 West Sacramento,CA 95691 Parker,AZ 85344 Phone'.
<br /> 661.322.8258 209-863.8181 916.371-5747 928-854-3202 t
<br /> CAL000282598 CAL000190816 CAD044003556 AZROB0516161 EPA In.
<br /> Tricia Dai, EHS Page 4 of 4
<br />
|