COMPLIANCE INFO_2026 - Laserfiche WebLink

Home Browse Search

Environmental Services Division Mailing:P.O.Box 176,Salida,CA 95368 ORGEINC. 4612 Kiernan Court,Salida,CA 95368 Consolidated Manifest !7PETRLOLEUMWRY Phone;209-545-0791 FAX 209-545-2241 EPA#CAR000047019 ODUCTS COMPANY Invoice CA Transporter Number 3844 .nimmooCA License#758518 GENERATOR: Invoice N°40 0 0 4 2 6 4 Site EPA ID#:L��-D k Invoice Date:-Z- 57" Contact Person:6 E�� Driver Printed Signature: Name:Cd Truck#:� Address:!®W PO# City,State,Zip: Site Phone:M�j I�'� TERMS: Product Shipping Name waste CA Manifest#0 Quantity units Price Amount Code Non-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 Gal Non-RCRA Hazardous Waste Liquid(Used Oil);Industrial 221 Gal Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze)134 Gal Non-RCRA Hazardous Waste Liquid(Oil&Water)223 O�/,j`��Gal Z L 1 U Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 352��®'�JJ/Drums) Paper and/or Plastic Oil Filter Drum(s)352 Drum(s) Drained Used Oil(Metal)Filter Drum(s) Each Empty Drum(s) Each Transportation&Truck Time HR. Manifest Fee t Cf Z-A L u Unless othermse specified on this Consolidated Manifest Receipt(Invoice)Terms:Accounts due on the 10th of the month following month of purchase.Past due Total 1-�� 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%,` 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 PCBs.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. Generator's 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 I 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 advises 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 for closure and accidental releases,it is lawful to send Used Oil and 011y/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 tha eorge W Lowry,Inc.will submit confirmation for(certain waste streams)to the generator that their waste has been transported to a permi r fer facility o pe d tre ment,storage or disposal facility. Lowry Driver Signature X Date 7 Z� Signature of Generator,Representative or Agent of Generator:X r Date 7�t Z� Recyc I g,Transfer,T eatment,Storage,Disposal Facilities Name: 0 Vj ED Addross: Environmental Waste Solutions California Oil Transfer LLC Ramos Environmental US Ecology City,State,zip; 31915 Industrial Ln,5300 Claus Road 1515 S.River Road Highway 95,11 miles S of Beatty Parker South,AZ 85344 Riverbank,CA 95367 West Sacramento,CA 95691 Beatty,NV 89003 877-227-0189 209-863.8181 916-371.5747 775-553-2203 Phone; AZR000520478 CAL00019o816 CAD044003556 NVT330010000 EPA ID: