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Environmental Service Division
<br /> ~ rllaning; Plow Sox 178, Salida, CA 95384
<br /> fNCt �C* t8l2 Kiernan Cour# Belida, cp 9
<br /> Consolidated Manifest Phone* 2004454101 FAX20940*M1
<br /> vewnat eua� reao»urate CONiAriV
<br /> Invoice
<br /> EPA # CARbritlA7019
<br /> tATransporter flumbor3li" '
<br /> CA Lleansa rl 75&518
<br /> GEN R.ATOR: voce W 40000 , 439
<br /> Site EPA Iii #, � lnvoir Data;
<br /> Contact Pelson; Drivor Printerd Signature; :
<br /> Name, Tick
<br /> Atidrses; PO #
<br /> Glty, Siete, Zip; Art
<br /> site Phone*
<br /> Product Shipping Name est CA Manifest #0 Quantity units Pricy Amount
<br /> NonACRA Hazardous Waste Laid Need tJ I Ubricaling
<br /> Non&RCRA Hazardous Waste Liquid Gleed OQ: Industrial 221 1 teal
<br /> Non RCRA Hazardous Taste Liquid (Used Automotive AnWeeze) 134 fiat
<br /> Noxi»RCRA Hazardous Waste Liquid (0118 water) 223 tial
<br /> Npii-1;'tCRA Hazardous Waste Solids Contaminated with Used flit 352 arum{s)
<br /> firmed Used Oil ftr Drum(s) l�rr'mtai
<br /> Empty Drum($) Each
<br /> Transportation Trutk Time Hit
<br /> EEr . . ... ....
<br /> Unless otherwise spedflad on this Consolidated Me,)Ifost RBcalpt {{rnvolm) Teraw Aocounis duo on tha 10th of bra n m it tollowing month of purchase;. Past duo Total
<br /> accounts vAl be dwrod a FINANCE CHARGE, at " Pl+RltrDiC I;ATE of ltAJ2% P$r month, With Is the ANNUAL'PERCENTAGE RATE of 18%,
<br /> By signing I hereby certify that I have not mixed any of the waste described above with any other hazardous wasia, the total halide ;amara is LESS than 1 ,00il pprrr, and the
<br /> waste does not contain any P08's. t have complied with the requirements of the applicable California used oilmanagnrr ant r�uiadora to iermine this ie iliac, i agr to
<br /> accept the additional charges for the disposal of the waste If the Information I have provided about this waste is Incorrect,
<br /> (3eneratcr's Ceridi tion; By signing t car* that If t am ' a large quantity generator, it torlify that I have program in place trr 'reduodthe vol6inifand tcm city of waste'
<br /> generated to the degree 1 have determined to be economically affordable and that i have selected the practicable method of treatment, storage, or disposal .currantly
<br /> available to me which minimizes the present and future threat to Truman life and the environments Or, It I am a small quantity generator, I have made a Hood with effortto
<br /> minimize my waste generation and select the waste management method that Is available to me that I can afford,
<br /> George W. Lawry, Inc. hereby advisee the above Generator that generators shipment of Used Oil and 011y Wator may be transported to a facility that Is roquirstt to comply
<br /> with federal regulations applicable to management of Used Oil and 011yPvriater, but that Is not required to comply with the more stringent requirements; a
<br /> p, llcable to
<br /> hazardous waste management facilities. California facilities that handle or process Used tail and Oity/Water are required to meet those more sten nt raqulramatifs and
<br /> some out-of-stats facilities that process Used Oil and 011ylWeter also mosta ora s for,
<br /> requirements, engineering celt�icetions of tank integrity, and financial
<br /> closure and accidental releases, it Is lawful to send Used Oil and 011ylWatar to out of state facilities that comply only with federal Used 011 and i71iy1mNater tnanagamant
<br /> standards and not these more stringent requirements.
<br /> This notification is for the Informational purposes only.
<br /> By both parties signing this invoice It will serve t Goo ld Lowry, Inc. will submit confirmation for (certain waste streams) to the generator that their
<br /> waste has bean transported to a permitted reatment, storage or disposal f��
<br /> Lawry Driver Signature XHate
<br /> Signature of Generator, Re a etre or Agent of Generator; X
<br /> Reoyoling, Transfer, Treatment, Storage, Disposal Facilities
<br /> Addross;
<br /> Bakersfield Transfer Ilfomta oli Racycling Ramos Environmental Yuma Environmental ,city, State, zip:
<br /> 1420 E, Brundage lane 009 Claus Road 1515 $, River(toad 2730 Et 13th
<br /> Sakersfleld, CA 93307 Riverbank, CA 96347 West Sacramento, CA 45091 Yuma, AZ, 85365 Phone;
<br /> 841 .32258 209 8# 818 t1. t1
<br /> 8T14? 94
<br /> " 928 *g$26 " EPA tD:
<br /> CALOOp 8258 CAU7piH31 l8 CAD000035"08� A OOg59 4
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