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11103/2020 11,37 (FAX) P.003/006
<br /> r;r .....•... . ;: ..
<br /> Environmental Services Dlvlelon
<br /> Mining,P.O.136*176,Seffda,CA 95360
<br /> qORGE,N' <461200nan Court,•SMIckCA85308
<br /> LConsoli�Iated Manifest Phone:209.545-0791L£1f61 FROOOCTi COP PONT Invoice/+Ce EPA p CAR000047at9
<br /> . CA'TransporWr'Number 3044
<br /> CA License s 75091s
<br /> GENERATOR:= Invoices:4
<br /> Imrolce.[l _
<br /> _ ate: 0T.
<br /> Contact:Per3on:. ADiiver Prin6d S194turs:
<br /> Name:.
<br /> ;Ad is
<br /> ;CNy,•Stafq,ZIp:. t.A...V! :..C. ,
<br /> 4s�e Phone ?p R 98 3 D O .TERMS;
<br /> Product.ShIpping Name Wae� �A:hAanlfestff0 'Ltuantity 6w6 Price Amount
<br /> Code'
<br /> :Non-RCRk Hazardous-Waste Llquid(Used.0iq:Lubricating Zit
<br /> Non=RCRA Hazardous Waste Uquid.{Used Qii): industrial 227 aei
<br /> 'Non RCRA•Hezardous*asle Liquid(Used•AulomotiveAntdreeze) 194 Gsi
<br /> NorMRCRA'Hazardous Waste Liquid(OR&.Water) 223 cef"
<br /> Non-RCRA Hazardous yVasle;So1ids;Cbntaminated with Used Oil 352 t7ium(aj`
<br /> Paper and/or Pig fit Elller Drums) 352 tirurk
<br /> 4:
<br /> -0rairi0.l1sed OA(Me1aljFilfer:Druin(s) 8e'en
<br /> 'Empty Oriim(sj rcadb
<br /> 'Transpo*pn&`Truck Time Ha.
<br /> lri)iess.'oMea *s ailed on este Coneoli OW Manifest kecel t InvolEe TerMe:Awoun6 due an lhie f0lh.pf Vre morNfi.fclbVWn montl+of urchase,Pasl due total
<br /> p6igantevu111.tiechA�rged.a,FINANCE.CFL4RGEatthePERIOD,CRATE•oF1=11295peiinonlh.whlrhIs.'the;ANNUAL.PMCERMdI tiATE:of18%. V, ;
<br /> By signing•I h0ab.oerllfy that I.;have.not mixed'any of the waste described abov@:Wth,any o W"fi,.rdous'vresle;the total,halide cdirWh ls'I frSS fha 1;00.O;;ppm,.•and
<br /> lhe.Weste does.not contain,any PCB's.f have.complied with the requirements of the appNwlile Callfemla used ori'management regulation to detertnine.lhls is true.I.agree
<br /> to acCepf the'addlhonel ofisrges for the dispp'sal of the waste if the irifomration I have'provi'd 16 di this waste is mo?rre
<br /> Ganerator'e Gerlification:By'signing I certify that if I am a.laige quantity,generator;I certify ghat I Have program•fn;0.14cA to reduce;,"volume and toxlciry of waste.
<br /> generated to fhe.degree I have determined to be edonomlcally:eBordsble end That;I have selected the.-practicable rh6thod of treatment,-storage,or disposes currently
<br /> evalleble to me which minirrmlzes the presentand Nlure fhieatto.liumen llfe.and the ehvlronment Or,iF l em a smell quantity genorator,I have made a Good Faith eHcrt to
<br /> minlmlze,mywaste gbneralion'and select the.waste.management method that fs available tbma.ftiat l can afford.
<br /> George W.Lowry,Inc.hefeby.advises the above Generator lhaf•gehigstors stiipmenl of Used Oil and.011y/Weter may be Bansported.to a facility that is required to comply'
<br /> with fdderal regulations,,applicable to management of UsW'061 end OilyAMaler,'but that is riot.requfred to comply with the more slringent tegvremenls appli�ble to
<br /> haiardous Walste management faeillties.Caiifomia focilitles.thet.hindle or ptoceos Used Oil and 0100oter:are,required to meet those,ni stnngent requlremenfs,:and
<br /> sotne'out-dktete ticilfties.that process uaed'OII and Oiiy/Wetet also meel.tfrose require.merits,.englneering:cer9ficadons,o(tank.Integrity,snd`finsriciel:essuranc$s•fdr
<br /> closure end:aoofdental releases,I.t is Iawfiii to send Used Oil antl Oily/Water to out:of state facllides that comply only wilts federal Used Oil and 011yhvefsrmarregeinent
<br /> standards and.nol Ihese more stringent requirements.
<br /> This notification.Is for the Informational Purposesroniy.
<br /> By both parties signing this'invoice!twill 6ervess'an ag '�lhef Geo .Lowry,Inc, will submit confirmation for(certain waste streams)to the generator that their
<br /> waste has been Irahsported to a pennitted'transfer perm! itrnent;.storage or disp s!al.teciflty,.-
<br /> Lowry`Driver.Signature'X'
<br /> Signature of Generator,Repres aft• nAgent of Generator Date
<br /> ia
<br /> Recy4slirtg;Transfer,Tri3atment,Storage,:Disposai.Faciilifes '. • aiame: •
<br /> ' Address:
<br /> .Bekerefield Transfer a.Kotula Oil Transfer LLC Ramos EriVirodmentai Saiio.011,Ree etfng,'Inc. ,city,atafe,Zip:
<br /> 1030`E.Brundage Lana. 5300 CW6i'Rosd. 1515:3:RI�er•Ro'od 12'17 S.Flasta.'Ave:;
<br /> Bakersfield,CA 93307 Riverbank;CA 953@7 West Sacramento,CA 95091 Pinta id-x5344 Phone;
<br /> W.32Y4256; 2098634181. 910+1171 5747,' .0.2,•
<br /> CAL000262598 CAW 0,1'90616. CAD044003556 A R000816IBi: tePA Ib:
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