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Environmental Services Division (G;IEORGEINC. Mailing:P.O.Box 176,Salida,CA 98368 Consolidated Manifest 4612 Kiernan Court,Salida,CA 95368 ��0�� Phone:209-545.0791 FAX 209-545.2241 I nVOI�� EPA#CAR000047019 ROLEUM PRODUCTS COMPANY CA Transporter Number 3844 CA License#758518 GENERATOR: Invoice N° 40 Site EPA ID#: Invoice Date: Contact Person: Driver Printed Signature: Name: Truck#: Address: PO# City,State,Zip: Site Phone: 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 Gal Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 352 Drumfsi Paper and/or Plastic Oil Filter Drum(s) 352 Drumis► Drained Used Oil(Metal)Filter Drum(s) Each Empty Drums) Each Transportation&Truck Time HR. Unless otherwise specified on this Consoildated Manifest Receipt(Invoice)Terms: Accounts due on the 10th of the month following month of purchase. Past due Total accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-112%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 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. 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 t 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 OilyfWater may be transported to a facility that is required to comply with federal regulations applicaLle 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 OilyfWater are required to meet those more stringent requirements,and some out-of-state facilities that process Used Oil and OilyfWater 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 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 confirmatlon for(certain waste streams)to the generator that their waste has been transported to a permitted transfer facility or permitted treatment,storage or disposal facility. Lowry Driver Signature X Date Signature of Generator,Representative or Agent of Generator: X Date Recycling,Transfer, Treatment, Storage, Disposal Facilities Name: ❑ ❑ ❑ ❑ Address: Bakersfield Transfer California Oil Transfer LLC Ramos Environmental Sell 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 95691 Parker,AZ 85344 Phone: 661-322-8258 209-863.8181 916.371-5747 928-854-3202 CAL000282598 CAL0001906% CAD044003556 AZR000516161 EPA ID: