|
1110312020 11;37 (FAX) P,002/006
<br /> Environmental services.mvision
<br /> NIafling:.P:Q;Bar:176,U1.1 CA 95308
<br /> qGEORGE, .:INC- ■ - d012 man Cour%Sellde,CA 05360
<br /> LOWRY Consolidated Manifest Phone:20B-545-0781 FAX28M4i4A1
<br /> FPA S CAR0600470'19
<br /> LEYM:PYORUpis CRMfAMY Invoice CA TrenepoAer.Numtiar3844
<br /> CA Leine N 758sle
<br /> GENERATOR! Invoice
<br /> Site EPA ID;lk t fnyofce:Cate: l
<br /> Goofed Person:' Dat-T-Pv\ l)rlver Printed Signature:
<br /> blame• VA0 V\ N "60 fs Truelc.if: Z L-.
<br /> %lpdress 2 E t ROM Pb p
<br /> City:State,Zip:
<br /> Site Phone: q 4 TERMS•
<br /> Pr'ductShlppin9 Name waste CA Man4sttt0' quantity 'unlis Prlee Atljourit ^
<br /> code
<br /> Non-AMA Hazardims Waste Liquid(Used.01 LobdootingZZ1 ► l iF „ YL ?r1
<br /> Non-RCRN Hazardous:Waste Liquid(Used Oil):Industrial �1 7C/2eel
<br /> Non KRA Flezardous:WAste Liqufd`(Used Autollbtive Antiheeze) 134 oai
<br /> NonACRA Hazardous Waste L4uid(Oil&:Waley) 223 Gai
<br /> Non-RC RA Hazardous.Waste Solids Contaminatad VAth Used 011 354- utim)I;;
<br /> .Dralned:Used'01l FII(er'Drurn(s) orgrnlSi►`'
<br /> EMnP. Dium(s) EBed
<br /> Transporffation.ATruck.Tlriie Hk.
<br /> Unlees olh'ativlea epedAed on lhls'Cdneolldakd Mgnlfaol Racal t'Invofee Tem:Aseounla dua,on the 1OM df the month'idllowfng,rijonlh orPuoehase. Pes{due e�
<br /> 0( 1 .. Total 1-
<br /> s'c'oop vrlltbe charged a FINANCE I:FtARGE atlM PERIt0IE BATE of 1-1!296 permonlh,Whlehib.ihe'AINtlAL'PERCENTAGE RATE0;14%
<br /> By.eigtiltig'1`t%aretiy,i�tify;thatihai�ehofmixed:ariyofthe:udasteilescrltied:i3tiovewHli.ajyoUje�he rdous•waste;:'Uietofal'Malitle" nterit:lsl'ESS;tlian1,00o endure:
<br /> PPm,.
<br /> waste dose not cont'I any PCBs..!.have complied}wiUi:the requlremants.a !lie applicable California used oil.menagarnenl regulation to de"termlite.This is true.I agree:to
<br /> aeoept fhe.sddlBonel ohar>es for the rllsposal of tlie'weste if the InforrnaUon I have provided about Uils waste IsYnoorreCC
<br /> Generators Certification:By aigning 1 certify that tf'f aM a large quanttty;generatgr,J.certify that l have program In.plage to reduce the volume and,04g1ty.of waste
<br /> genejated to tfie tlegree I have determined to tie economicoliy;•affordable end U+al.I have selected the°pri dcatiie.method of-14ffirriertt,storage;`a.dispasel,currently
<br /> Availabie;lo me which minimizes the preterit and fu6r tKreat to.human lite'end+Ihe:eiwltorltnenL qr,,if Path.a.s
<br /> . mall quaMily generator,I fia",inede:a.Good Faith effoit)o
<br /> minlmtze.rnywasle,gerierattoh and select the waste management rhithodlhat_Is:avai'l' 'lo:me illati.esn iiiw.,
<br /> George:W.Lowry„Ino.•hereby advises the.above Generator'that generatorwithlpment.of used 69 and,011y/Weter,may be,tlranspoded to;a,facility.:thotls gogWradjdc6mply
<br /> with federal repuladohi applicable to management',of Used Oil.end OljyhNater;'but that,Is not.F-80,red to comply with the mole atnr gent:requltemants applicable to
<br /> hazardous waste management facilities.Callfornla facilities that handle or process Used:011 And OIIyJWatet'are required'to meet those mgre etrin9ent requlreei®ots;.and
<br /> soros,outof�late.facililles Drat process Used Oil and OIIyllNaler atso:meettttose.cequlrements,engineering.oertlficatlons of lank.integ*,.arid_financial a'ssurartces for
<br /> closure.and accldenfal releases,Ills lewluLlo send Used Oil and 09y/Watec tb'otit ofafate.fecllilies that oompty:only with"federal Used 011 end OIIyNValer
<br /> 'manegemerit.
<br /> sletzderds end not the..pore stringent'requiiements,
<br /> This notification Is for the Informational purposes-only.
<br /> By both parties slgningihls Invoice Ifwill seive.as an agreementthat Geo Lowry,Inc. wlll.subrMl corifinnation for(certain waste streams)to the generator that their
<br /> viaele hes'been frgnsported to.a permitted lrensfer facility or pe meht,•stora'ge or dposef'fecility.
<br /> .. _E!
<br /> Lowry Driver Signature X --- Date rI
<br /> Signature of Generator,Representative,gO5 ge t'o erator: R-" ' Nl k'"C 1. Date
<br /> Recycling;_Transfer,Treatment,.Sto.,raIR6,Disposalfanllfties Name;
<br /> av o Aad :
<br /> Bakersfield Transfer all mle Oil.Recycling Bah�at Environmental Yuina Environmental coy,state,-ZIP:
<br /> 16Ya E.:'Btundage Lene 5;i0D:Claus•ftotid 1515:8:;Rl Htaad 27a0:E.13th
<br /> Bakelra$old,CA 93307 Riverbank,;CA 96367 VI(eal:Sa"ramIonto,CA9569t Yu6
<br /> 1
<br /> i%:AZ,85365
<br /> B61322�6255 20lI S3-et81 918 71 5747 9�es34d 9926.
<br /> CAL00EPA m.
<br /> .029256 CA1,8.000190817 CADOQ4003586 A2Rt>00515924
<br />
|