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di <br />> <br />Environmental Services Division <br />GENERATOR: <br />_/I <br />._M MA `A i <br />Mailing: P.O. Boa 176, Salida, CA 95368 <br />4612 Kiernan Court, Salida, CA 95368 <br />Phone: 2095454791 FAX 209-545-2241 <br />EPA # CAR000047019 <br />CA Transporter Number 3844 <br />CA License # 758518 <br />Consolidated Manifest Invoice: <br />N C 2 6 2 0 6 <br />Shipment Date: �I <br />®�'l <br />Driver Signature ( nted): <br />Price Amount <br />Truck # <br />221 <br />Pox <br />661-322-8258 <br />Product <br />C de <br />CA Manifest #0 <br />Quantity <br />urots <br />Price Amount <br />Non-RCRA Hazardous Waste Liquid (Used Oil) :Lubricating <br />221 <br />661-322-8258 <br />Gal <br />CAL000282598 <br />on-RCRA Hazardous We* Liquid (Used ail): Industrial <br />221 <br />Facilities <br />R nk Oil Transfer 6300 <br />Claus Read <br />Non RCRA Hazardous Waste Liquid (Used Automotive Antifreeze) <br />134 <br />209463.8181 <br />Gal <br />CALOODO190817 <br />Non-RCRA Hazardous Waste Liquid (00 8 Water) <br />223 <br />Gr <br />Non-RCRA Hazardous Waste Solids CoMamirlated vri01 Used Ot <br />392 <br />Orurate, <br />Drained Used Oil Filter Drum(s) <br />Drums.) <br />Empty Drum(s) <br />Each <br />Transportation & Tmdc Time <br />ml <br />Hazardous Test <br />Unlam otherwise specified m this CmW de Manifest Rawipt (Invoice) Terms Accents due m Ma 10x1 d ma mmthfolbvnry mmnth d Pacha , Pan due <br />sccounta will be durged a FINANCE CHARGE at the PERIODIC RATE d 1-UT%Par month, whirl) is the ANNUAL PERCENTAGE RATE d 18%. <br />Total O <br />y <br />By signing this receipt, the Generator cer8fies that a program has been established to reduce the volume or quantity and toxicity of the hazardous waste to a degree as <br />determined by the generator, to be economically practicable. <br />Generator certifies that all Hazardous Waste listed on this Consolidated Manifest Receipt is profiled to meet the Waste Codes as listed above. <br />Note: George W. Lowry, Inc. hereby advises the Generator that X _ ;ator's signature) <br />shipment of used oil may be transported to a facility that is required to compty with federal regulations applicable to management of used oil but that is <br />not required to comply with the more stringent requirements applicable to hazardous waste management facilities. California facilities that handle or <br />process used oil are required to meet those more stringent requirements, and some out-of-state facilities that process used oil also meet those require- <br />ments These include more stringent leak detection and prevention requirements, engineering certifications of tank integrity, and finy ncial assurances <br />for closure and accidental releases. requirements. ts lawful to send used oil to out of state "' t IXNnpy only with the FegeraLgsed oA management stan- <br />dards and not these more stringent \ ` `� <br />This notification is for information only. Lowry Driver <br />Signature of Generator, Representative or Agent of Generator: <br />I <br />Global Material Management <br />7244 Varna Ave. <br />Hollywood, CA 91605 <br />818.900.8476 <br />CAL000384844 <br />Ramos Environmental <br />1515 S. River Road <br />West Sacramento, CA 95691 <br />916-3715747 <br />CAD004003556 <br />Name: <br />Address:_ <br />City, state, Be: <br />Phone: <br />EPA to: <br />REV. 12-14 <br />C3 <br />Bakersfield Transfer <br />1620 E. Brundage Lane <br />Bakersfield, CA 93307 <br />661-322-8258 <br />Recycling <br />CAL000282598 <br />& Disposal <br />Facilities <br />R nk Oil Transfer 6300 <br />Claus Read <br />Riverbank, CA 96367 <br />209463.8181 <br />CALOODO190817 <br />I <br />Global Material Management <br />7244 Varna Ave. <br />Hollywood, CA 91605 <br />818.900.8476 <br />CAL000384844 <br />Ramos Environmental <br />1515 S. River Road <br />West Sacramento, CA 95691 <br />916-3715747 <br />CAD004003556 <br />Name: <br />Address:_ <br />City, state, Be: <br />Phone: <br />EPA to: <br />REV. 12-14 <br />