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1110312020 11:39 (FAX) P.0051006
<br /> Environmental Services:Division
<br /> Mailing:P:O.Box 170,Wide,CA 85360
<br /> CA!.�0,8T8OLgtlM
<br /> O RG E.INC, . 4612 Kletmen Court,Safida,CA 95360
<br /> L0WRYConsolidated/+M'anifes.t Phone:209445.07s1 FAX209.5452241
<br /> nvoi Ce EPAO CAR000047019
<br /> ■ROeUCTa COMPANY CA.Tiansporler Nwnber3944
<br /> CA Ucenee 11768518
<br /> 'GENERATOR: in►►oice VA. i 0 14 5
<br /> Site EPY11D# 0 64L cwo J q'1q', invoice Date: +
<br /> Contack,ftrson: �VA 'Driver Printed Signature;
<br /> f
<br /> Name: �,r1 , Ti*uck#:
<br /> Address;
<br /> City;$tete,zip: PO
<br /> Site Phone: •w. Runs:
<br /> ProductShlppinp Name INas1a CA kanife it 00 Quantity tinits ",Pride Ailrourit
<br /> Coda'
<br /> Non-RGRA Hezardoua Waste Liquid(Used Oil):Lubricating ill cal
<br /> Non-RbRA HazaMous Waste Liquid(Used 011): Industrial 221 S- f(, 6a *�-
<br /> 1Jon•RORA Hazrtrdous.,Waste Liquid(Used Automotive Antifreeze) 134 Gel
<br /> Non-ACRA Hazardous�Wasle Liquid(011&'Water) 223 f Out
<br /> 66
<br /> 'Noit RCR'A Ne ardousWaste Shclds Contaminated with Used 011 352 orumiio.
<br /> Paper'andlortblas11e0Y>FllterDtum(s) 352 orumlej
<br /> Drained Used 011(Metal).Fllter Drums) Each
<br /> EriptyDrum(s) Eaen
<br /> :Transportation'8`Vilck Time HR
<br /> tiNase otherwise epeclned on.tli(s'.Gonsol1daied Manifsel'fieoelpi'{Imrolee)Tamic:Ar�unte due'omhe°1":gf Ni,iiloj fh i. lowlrp•montlf.of•purehami. Past due Total
<br /> accounts will bd6argio o:FI4W3 C CHAF1GE al the PERIObICRATE of 1-1%2%per.mono which lei thy ANNVALPERCENIM0EIiATE of 18.90.
<br /> V.
<br /> By:eigiiirig l heretiy i;e}lily that I hove not mliced'any of the''waste des"1110d above', v.' �'any othaYhape ous4ve'st@,'•the.lotaPtialide content Is.LESS"than"1 QOD p'pm;aiid
<br /> lha'waste'does bot. tafn any PCB's.l have'compiied wilh.the,requl(eryients of ttie,applidable Celiloriiie used oil mehioemant regulation to determine this is Vuef I agree,
<br /> to•eccept.11'a aid i Chal'cfiaiges:for the disposal of the wasle:lF tfie irifortnation l have:'provided'about Phis waste is Inoorecl:
<br /> Generators Cerliliced6n:By signing I certify that if I am a,large.quantity generator, I•certlfy that I.have;program In„place,to reduce th'e.vplutne and toxlc ty of waste
<br /> generetad.to the degree i have de`terrnlned'to be ebonomlcaliy affordable and that I'have selected the practicable method of treatment,..storage,or disposal currently
<br /> available to me Which minimises the present and future threal to:human Ilfe-and the en5itonment Or,If I am a smell querillty generator,I have'mada a Good Faith effort lo•
<br /> minimize my waste garieratloh and select lfie waste management rllAthod.tt►iit is:evaila6le to me:that I can afford,
<br /> George W Lowry,enc.hereby advises the above Generator that generators shipmept,of Wbal Oil-and 06y/llVater may:be tramspoiled,to a,facllity,that'is requlred:to comply
<br /> with,federal regulations applicakle td management of'Used Oil and 011y*ater, bui That is not.required to iomoily wllh:ttie more siriirgerll'requirerrients eppllcatile to
<br /> hazardous waste management fac11111es.Callfomla faciittles that.handle or process Used(34amd Oily/Wate are required to rheet'those more stringent requirements,and.
<br /> some.o44—tis tActilities,thet.process Used Oil and Oily/Weter also.:meet lhose.•iaquirements,,.engineering ceirtifiei3llons of tank integrity,.and flntinpial assurances for
<br /> closure and 4ccidental'releases,it is lawful to send Used Oil and OIIyNkler to;outofstate faofilU dhat comply.ohly with1sderal.Used Oil and OIiyiWater me
<br /> nagement
<br /> slaritards and not these m-ore.slnngent requirements.
<br /> This.noaficatlon Ls for the.informafibnal puiposes only,
<br /> By Dgih.padies 91wiing this invoice it will'serve as an ag: ent-that George W._Lowry,Inc. will subiriil confirmation for(certain waste streams)to the generator that their
<br /> waste'has bean transported to a perm d nsfe . cl pe pled,treatment;staiage or disposal facility,
<br /> Lovury Driver,$ignafure X- Date ?.
<br /> Signature of Generator,RepresentathIi Ag nt of Generator: X410. 011r, f. S/Wd __ Date l-_740
<br /> r
<br /> Recycling,Transfer,Treatment,S.torage,.'Dlsposal FaciIiEies mama:
<br /> QWdreae:
<br /> Bakeregeld Transfer California Oil Transfer LLC Ramos-Environmental Sako 011_Recycling;Inc: City,.stale,Zip:
<br /> 1620,E.:6iun4ageLane 59t10,CiaueRead 1615&.4tWerRoad 1217.4.'Flest$Ave.
<br /> Bakersfleld,t 99307 OJVaoank,.PA 95367 Wikillacrahieido,.CA 95691 ,Paiker,,AZ 98344 Phone:. .
<br /> 661322=82511 209,463418.1 91¢;371.5747 . 928.0544202'°'`
<br /> bALG002e2598. CAL0d01911016 CAD044003556 AZRd005a8101EOAIP.
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