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Melling:P.O.Box 176,Salida,CA 95368 <br /> 4832 lGernan Court,Salida,CA 95368 <br /> George W. Lowry, Inc. Phone:209545-0799 FAX 209-M-2241 <br /> Environmental Services division EPA 0 CAR000047019 <br /> CA Tkaneporter Number 3044 <br /> CA Licensed 758518 <br /> GENERATOR: Consolidated Manifest Invoice: ,tet <br /> Site EPA ID 4. j r%i i`i .'( `;•`, A t'f° - c. <br /> Shipment Date: <br /> Contact Person: <br /> Mame: <br /> Driver Signature(Printed): <br /> Address: Truck# <br /> City,State,Zip: �. �� j ii-_ E•y,E <br /> PO d <br /> Site Phone: <br /> Product wasto CA Manifest 9D Quantity Units Price Amount <br /> Code <br /> Nan-RCRA Hazardous Waste liquid(Used Oil):Lubricating 221 ti. Gal r <br /> Non-RCRA Hazardous Waste LNuid(Used Oil):Industrial 221 Cat <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 �,� ,c^� l y Gal <br /> Non-RCRA hazardous Waste Liquid(Oi18 Water) 223 Gat <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 352 fir:. ;;T Drum(r) "z > <br /> Drained Used Oil Filter Drum(s) Drvm(s) <br /> Empty Drum(s) Each <br /> Transportation&Truck Time NR <br /> Hazardous Test <br /> Unless otherwise specified on tins Consolidated Wnifest Receipt(Invoice)Terms:Accounts due on the 10th of the month€ollaMag month of purchase. Past due Total <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-1f2%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 hazardous waste 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. <br /> Note: George EIV. Lowry, Inc, hereby advises the Generator that X 's(Generator's signature) <br /> shipment of used oil may be transported to a facility that is required to comply with federal regulations applicable 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 facilities that handle or <br /> process used oil are required to meet those more stringent requirements,and some out-ofttate facilities that process used oil also meet those require- <br /> ments These include more stringent leak detection and prevention requirements,engineering certifications of tank integrity,and financial assurances <br /> for closure and accidental releases. It is lawful to send used oil to out of state facilities that comply only with the f=ederal used oil management stan- <br /> dards and not these more stringent requirements. r <br /> This notification is for information only. Lowry Driver Signature X <br /> Signature of Generator,Representative or Agent of Generator: X <br /> Bakersfield Transfer Yuma Environmental <br /> 1620 E.Brundage Lane 2730 E.13th <br /> Bakersfield,CA 93307 Yuma,AZ 86366 7AIdncss: <br /> 661.322-8258 928.344-9826 <br /> RecyclinCAL1000282598 AZR000515924 <br /> g <br /> DisposalFacilities � ' t city,state,Tp: <br /> Riverbank Oil Transfer 5300 Ramos Environmental <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209-863-8181 9965715747 <br /> CAL000190816 CAD00400350 EPA ID: <br /> REV.4-17 <br />