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Feb, 24. 2015 11 : 05AM �G�EOORGE W LOWRY, INC No. 1242 P. 3 _ 0 L Please print or type.(Porto designed for use an elite 12- IGt)rygawnter.) Form Approved.OMS No,205DW39 I UNIFORM HAZARDOUS IT GeOeretorlDNumber 2.Paget of 3.Emelij Response Phone A.Manifest Tracking Number WASTE MANIFEST CALpp K589R 209-460.13= 1 013435269 JJ K 5.Generators Name and Mailing Address Generators Site Address(it dAkrenl Nan malling address) I. PACIFIC SOUTHWEST IRRIGATION RECEI �[., 8372 S.JACKTON RD- STDCKTON,CA 25215 I: Generators Phone: 6.Transporler t Company Name U.S.EPA ID Number 15 George W. LlltYrp,Inc. CAR000047019 lMi 7.Transporter 2 Company Name U.S.EPA ID Number E-10111ROWNT,A� 8.W aplAy Name enE SppJ�dressCA71LI rwo SACNIY 6ARERSFIElD TRIW SEER INC- U.S.u EPA ID Number I 1520 E. BRUNDAGE LD BAKERSFIELD,G 93307 Feanlye Phone; 551a322$258 gra 9b.U.S.DOTDescrlp9on(includingProperShlppingName.HazardClam,1)Number• 10.Conlainar 11.Total 12.Unit jf and Padding Group it any)) 13.Wrists Codes ;I HM n9 PI Y)) No. Type quenfily WCNaI. i+ W X t NON RCRA HAZ4RDOUS WASTE SDup (metal gnrtGingS) I OM p 352 o J ) h W 2. U) Ij $ fI �I d (i 114 Special Handling E1nAWc*As and Addibonel InformationI' ERGH17t rG�t1Q- p77,O1' —O USE GLOVES INVOICEiF aSv 3 7 15, GENERATORWOFFEROWS CERTIFICATION:I hemby dedare that Te contents of this consignment amfudy and accurately described above by the proper shipping name.and are ceeai9ed,packaged, marked and laheledlplararded,and are in an respects in proper conQUon for trampod according to applicable international and national goyemmental milulabons.I(ekpoll sYipmentand I am the Primary Eaporer,I mrW that the=bBnm of NIa consignment conform to the terms of are adafaed EPA Acknowledgment of Consent. I certify that the waste minimIzallon statement identified In 40 OFR 262,27(a)(if I am a large quantitygenerator)or(b)If I am a small quantity generator)Is we. i Gamratoest09er0/s PritdedfT ed Name Signature Month Day Year I e 15.IntemaUohat SMpmenta F El Import to U.S. ❑Espoo from U.S. Portofenlryletil: ? Transpo te"19rabae(for exports only); Deteleaving U•S.' ,W ITTmnspoderAcEr Medgmentof ReceiptofMaledals Trampaner 18Aelaryped N e ( Signaku Month Day Year L/.�D' Vit t j RTtansportar2 Pdn yped Neme Signature Marlin Day Year I 18.Dieaepancy I Ills.Discrepancy Indication Space ❑ Quantity ❑Type ❑Residue ❑Partial Rejection ❑Full Relecdon I Mandegl Reterence Number: 18b,Alternate Facility(or Generator) U.S.EPA ID Number J U LL Facalys Phone i 1So,Signature of Alternate Facility(of Generator) M" Day Yea a I z 19.Hazardous Waste Report Management Method Codes(.e.,codes for ha7Ndomwaste(realmea dlspasal,and recyd'ng systems) 20.Deognaled Facility Owner or Oparato[Cerdticedon of mceipt of haaardoua materials Governed by Un manifest exept as noted in Item 18s Prinladrfyped Name Signature Month Day Year :PA Form 8700-22(Rev.3.05) PreJlouseditions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED)