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t_nvironntentm acr vrura u—b—i Mailing:P.O.Box 176,Salida,CA 95368 G Ea�GE I1NC. 4612 Kiernan Court,Salida,CA 95368 ��L�i�'Rl� Consolidated Manifest Phone:209-545-0791 FAX 209-545-2241 EPA#CAR000047019 •A PETROLEUM PRODUCTS COMPANY Invoice , CA Transporter Number 3844 A sa#758518 GENERATOR: Kve Na 0 Site EPA ID#: F' e: Contact Person: Driver Printed Signature: Name: ,.:... Truck#: Address: PO# City,State,Zip: Site Phone: + TERM . — Product Shipping Name waste CA Manifest#0 Quantity Units Price Amount Code Non-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 Gal Non-RCRA Hazardous Waste Liquid(Used Oil): Industrial 221 Gal Non RCRA Hazardous Waste Liquld(Used Automotive Antifreeze) 134 Gal NO Hazardous Waste Liquid(Oil&Water) 23~ — Gal Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 352 Drums) Drained Used Oil Filter Drum(s) Drum(s) tiK Empty Drum(s) Each HR. Transportation&Truck Time Unless otherwise specified on this Consolidated Manifest Receipi(Invoice)Terms: Accounts due on the 10th of the month following month of purchase. Past due Total accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-1/2%per month,which is the ANNUAL PERCENTAGE RATE of 18%. 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 econamtcally affordable and that I have selected the practicable method of treatment, storage,ar 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 I can afford. George W.Lawry,Inc"hereby advises the above Generator that generators shipment of Used Oil and OilyMater may be transported to a facility Ihat Is required to comply wilh federal regulalions applicable to management of Used Oil and 011yMlater, 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 OIIyMater are required to meet those more stringent requirements,and some out-of slate facilil(es that process Used Oil and Oi1y/Water also meet those requirements,englneering certiFiratlons of tank integrity,and financial assurances for closure.and accidental releases,it is lawful to send Used dil and Oity/Watar to out of state facilities that Comply only with federal Used Oil and OIIylWaler 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 agreement that George W:Lowry.Inc. will submit confirmalton for(certain waste streams)to the generator that their waste has been transported to a permitted transfeyfacittty or permitted trealmenl,storage or disposal facility. I Lowry Driver Signature XDate " Signature of Generator,Representative or Agent of Generator: K - Date Recycling,Transfer,Treatment,Storage, Disposal Facilities Name: ❑ ❑ Address: w Bakersfield Transfer alifomia Oil Recycling Ramos Environmental Yuma Environmental City,State,Zip: 1620 E.Brundage Lane 5300 Claus Road 1515 S.River Road 2730 E.13th phone: Bakersfield,CA 93307 Riverbank,CA 96367 West Sacramento,CA 95691 Yuma,AZ,85365 661-322-8258 209.863-8181 916.371.5747 928-344-9826 EPA to: CAL00028258 CAL0000190817 CAD004003556 AZR000515924