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5 1(7.M, Environmental Services Divislon EDGE Mailing-P Bax 176,Salida,CA 95368 '"C' Consolidated Manifest 4612 Kiernan Court,Salida,CA 95366 I LGWRY Phone:209.545-0791 FAX209S45-2241 TROLEUM PRODUCTS COMPANY Invoice EPA#CAR000047019 CA Transporter Number 3844 CA License#758518 GENERATOR: 117vtsice JVo 40 Site EPA ID#: Invoice Date: Contact Person: Driver Printed Signature: Name: Truck#: Address: PO# City,State,ZIP: Site Phone: TERMS. Product Shipping Name Waste I CA Manifest#0 Quantity units Price Amount Code Non-RCRA Hazardous Waste Liquid(Used Oil) Lubricating 221 Gat Non-RCRA Hazardous Waste Liquid(Used Oil) industrial 221 Gal Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gal Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gat Non-RCRA Hazardous Waste Solids Contaminated with Used Oil $52 Drum(s) Drained Used Oil Filter Drum(s) Drum{s) Empty Drum(s) Each Transportation&Thick Time NR Lit Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)TermsAccounts due on the 10th of the month fallowing month ofpurchase Past due accounts wil be charged a FINANCE CHARGE at the PERIODIC RATE of 1-1I2%per month,which is the ANNUAL PERCENTAGE RATE of 18% To F ng 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 oes not contain any PCB's 1 have complied with the requirements of the applicable Califomta used all management regulation to determine this is true I agree to he additional charges for the disposal of the waste if the Information I have provided about this waste is incorrect or'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 I can afford George W Lowry,Inc hereby advises the above Generator that generators shipment of Used Oil and OIIy/Water may be transported to a facility that is required to comply With federal regulations applicable 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 Oily/Water are required to meet those more stringent requirements,and some out-of-state facilities that process Used Oil and Oily/Water also meet those requirements, engineering certifications of tank integrity,and financial assurances for closure and accidental releases,it is lawful to send Used Oil and Oi]YlWater to out of state facilities that comply only with federal Used Oil and Odyr'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 agreement that George W Lowry,Inc will submit confirmation for(certain waste streams)to the generator that their waste has been transported to a permitted transfer facility or permitted treatment,storage or disposal facility Lowry Driver Signature X_ Date Signature of Generator,Representative or Agent of Generator. X _ _ Date Recycling, Transfer,Treatment,Storage,Disposal Facilities Name- r ❑ ❑ ❑ E f Address, Bakersfield Transfer California 011 Recycling Ramos Environmental Yuma Environmental city,State,zip. 1620 E.Brundage Lane 5300 Claus Road 15158 River Road 2730 E.13th Bakersfield,CA 93307 Riverbank,CA 96367 West Sacramentc,CA 95691 Yuma,AZ,85365 Phone. 661-322.8258 209.863-8181 - 916-371-5747 - CAL00028258 CJAL0000190817 CAD004003556 AZRGO0515924 i EPA ID._