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Environmental Services Division qE70 RGE Malting;P.O.Box 176,Salida,CA 95368 INC. . 4612 Kiernan Court,Salida,CA 95368 YConsoli■dated Manifest Phone:209-545-0791 FAX 209.545.2241 RODUCTS C O MPANY ■�\/O'/'�A EPA#CAR1100047019 invoice V ei CA Transporter Number 3844 CA License#758518 GENERATOR: Invoice N° 41) 19 5 2 Site EPA ID#. rel ,q " Invoice Date: _ O Contact Person: 04044 1 Driver Printed Signature: G-w!� Name: r o f i Truck#: Address: PO# City,State,Zip: L—t'�-4 Site Phone: ' *3-q`'t2o TERMS: Product Shipping Name Code CA Manifest#0 Quantity units Price Amount Non-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 Gal Non-RCRA Hazardous Waste Liquid(Used Oil): Industrial 221 "D � Gal Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 p�•i Gal Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gal Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 352 Drum(s) Paper and/or Plastic Oil Filter Drum(s) 352 o V- I l c 1 J,,{� Drum(s) 3 J Drained Used Oil(Metal)Filter Drum(s) ( t Each Empty Drum(s) Each Transportation&Truck Time NR. Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Terms: Accounts due on the 10th of the month following month of purchase. Past due TOtal W37 accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-1/2%per month,which is the ANNUAL PERCENTAGE RATE of 18°Io. By signing 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 waste does not contain any PCB's.I have complied with the requirements of the applicable California used oil management regulation to determine this Is true.I agree to accept the additional charges for the disposal of the waste if the information I have provided about this waste is incorrect. Generators 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 1 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 aavises the above Generator that generators shipment of Used Oil and Oily/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 fol° closure and accidental releases,it is lawful to send Used Oil and Oily/Water to out of state facilities that comply only with federal Used Oil and Oily/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 transf f ility o er d treatment,storage or disposal facility. Lowry Driver Signature XM aDate 7 Signature of Generator,Representative or Agent of Gefi/erator: XA/O i� f 5!nrr;o n 4/ J r � Date Recycling,Transfer,Treatment,Storage, Disposal Facilities,..++ Name, E3t t 13 xj�1 ez Address: Bakersfield Transfer California Oil Transfer LLC Ramos Environmental Sako Oil Recycling,Inc. City,State,Zip: 1620 E.Brundage Lane 5300 Claus Road 1515 S.River Road, 1217 S.Fiesta Ave. Bakersfield,CA 93307 Riverbank,CA 95367 West Sacramento,CA 9569.1 Parker,AZ 85344 Phone: 661322.8258 2094633181 916.371-5747 928-8543202 J` CAL000282598 CAL000190816 CA0044003556 AZR000516161 EPA ID: