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Mar. 30, 2016 3: 36PM GEORGE W LOWRY, INC 1'c. 4985 P. 6
<br /> McOtllgt P.O.BOK 1r8,A fft-,CA.96768
<br /> j 461E KtealM court,9aed6.CA 66 I
<br /> oorga W.Lowry,Inc. Pfo aV14AfQ e) FAX
<br /> a Emir9nm•nl•I s•Mcee rl•l9n ePAPCwupgmA7D1@. '
<br /> .SA Ttmepart+l ryumtror�M1•„ .
<br /> CA LIap.e67686fE., ..';,.•.:;`. : .
<br /> OEWRATOR: Con.aneotoe6grjYg6lryryajGb N::' 21251
<br /> BM EPA ro Ps ahlpmee6 Dow; V. q' .f/ r••";irt'g,c7,l 7;x;.1,:;T
<br /> Can Person: •�+.J+.' ::J:''+.c...
<br /> Nems OrWer 61y1p(Hle•(rrinteC�^,;~ "/
<br /> Addr •.:,or, truck# .. .. ... «'A:"_.::
<br /> ' POs . .:.:;:..:•.;;...,,•;,,...:•.
<br /> $Ke Phone; :......:..... .«._____.__.�.�
<br /> Product W CAMaNlesIND Wendy '"ft ''C Amount
<br /> Coal
<br /> ._ ...... RCRA Haordas WaslelgcAd(Uese al:I.ueratlbq 221 .Q q+
<br /> Hon.RCRA hazardous Waele LOW(t1:ed W):Industrial
<br /> Nan RCM nemrdlue WON.L4.16(USES Aulorni AnYw-) 10°
<br /> NwACRA Hann,s Wade Lhud(Dd 6 MID4 m
<br /> f NM-RGRA HVA(dous W3818 SOMe COPla"9kd Alin Used 00 952 on-0)
<br /> IigBd Used 02 FBer MM(9) °n'n't•I
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<br /> ErVty Dlum(s) �^
<br /> Tnnsporddon 6 TnKk runeqR
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<br /> Hazareous Teal
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<br /> ismiM••el ib aaTpaefWNICF dH.agCu au atnlCOlC Mineall-rd's a�aMT•.Iidli•Jr AHYUAL D[RCeMAee eareellelt,
<br /> ' ayei9n1nolnia Nci�pl,iM Oenenlor ceNeaa chola pper•mn•.ern Mmeli9Wa anduoe Ne volumeaevarmN•^el.•cry9(Iro rglA1410u6."tat—degreeas
<br /> delernlln"q um gAnaalw,boa emagmigtlly wemcade.
<br /> Oenerabr certiAee ln•I a H9LNd+e Wada U91M on NL5 CoxatlOaleo fAe.Jl•el Rrlmplf9 proeledla Teel Ne Waele Codec as Ibted Prove.
<br /> Note:George W.Lowry,Inc.hareby 9dvlsesmaco^a:am((helix 'a(Oenerator'a aignalure)
<br /> ahipmen(or Vaad oil may M IranspOneO to a facility that is requited to Comply with federal regulations applicable to rhan8gement of usad oil but[hat Y
<br /> not required to comply with th1 mora 91Mgent requirement,applicable to hifUld0ve wa910 management mdtalec. California fac4itiee that h8nde or
<br /> process used oil are required to m9et those Toro sI"ngenl requirements,and 1,111 outaii,aY IIJlaYs lea,ptoo9s uses oil also meet!hose require-
<br /> ments These Include mole al ingont leak detection arW pfe•niton nsOulromarC,engir*a6"CeHAC 60A1 O(ISM h my,and KI..dal assuranrr.
<br /> for do8ufe and accidental rebases.II is lawful to mend used oil to out of stale fad, that compry only wen 1 Oil Tanesernenl clan,
<br /> dards and not Ih/ee more 9Nngent legmrements.
<br /> This nollgcetdo011 for ln(O(MAUon only, LowryDriver Si
<br /> fI 'lignaturo of Cane ra for,Repfaaanlall9 or Agent of General
<br /> I 0—fl.ldn...br ®•I M•e•,i.l MancgomeM
<br /> 1620E.8 rundmge L•n• 72"Vame Ave.
<br /> 8•renheid,CAa9a07 H9)tywaod,CA 6/606 Ham'
<br /> 3eetandi]B
<br /> ,84 04470
<br /> Recycling
<br /> 1 8 Dispocal
<br /> i Pg0111tles glowWnt Oh TnnatOr 6x00 o.e^•,nr.rna^UI nry,s�,.,na:
<br /> ri—ii Filed 161b A rtl•e•r9.•a j
<br /> .I.•r k,CA 18967 Weft Surarnah"CA 95x91 (Tarn!
<br /> 'all, 910-371-6747
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