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Environmental Services Division GEORGE Mailing:P.O.Box 176,Salida,CA 95368 SNC. 4812 Kiernan Court,Salida,CA 95368 w �ovV C o n s o f i d a to d Manifest Phone:209-545-0791 FAX 209-545-2241 ■ EPA#CAR000047019 A PETr10LE U M PR044CT>3 COMPARY Invoice CA Transporter Number 3644 aiiiiiiiiiiiaCA License#758518 GENERATOR: Invoice N° 40 0 0 1 3 2 6 Site EPA ID#: 6 911 Invoice Date: —16 Contact Person: C Q Driver Printed Signature: All, -( Name: d 0V\q is vq Truck#: le,fid Address: k5- 37,6, , wy (7,6 PO# City,State,Zip: Site Phone: [ TERMS: Product Shipping Name Waste CA Manifest#0 Quantity units Price Amount Code Nan-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 UZ �'i� 1'[(�kYS C> 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 Nor-RCRA Hazardous Waste Solids Contaminated with Used Oil 352 Drum(s) Paper and/or Plastic Oii Filter Drum(s) 352 Drum(s} Drained Used Cil(Metal)Filter Drum(s) Each Empty Drum(s) Each Transportation&Truck Time HR. Unless ethemise specified on this Consolidated Manifest Receipt(Invoice)Terms: Accounts due on the 1 Oth of the month following month of purchase. Past due Total { O 3 accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-112%per month,which is the ANNUAL PERCENTAGE RATE of 18% 4 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 oit 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 Oiiy=ater, 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 OilyNVater are required to meet those more stringent requirements,and some out-of-state facllities that process Used Oil and OilylWater 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 OilyfWater 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 agreem t rge W. Inc. will submit confirmation for(certain waste streams)to the generator that their waste has been transported to a permitted transfer it rea t,storage or disposal facility, Lowry Driver Signature X Date Signature of Generator, Represen a gent of Generator: X Date�J_�o L.U&Iii Dail Recycling, Transfer, Treatment,Storage, Disposal Facilities Name: ❑ ❑ Address: Bakersfield Transfer SCI, rnia Oil Transfer LLC Ramos Environmental Sako Oil Recycling,Inc. City,State,zip: 1620 E.Brundage Lane 5300 Claus Road 1515 S,River Road 1217 S.Fiesta Ave. Bakersfield,CA 93347 Riverbank,CA 95367 West Sacramento,CA 95691 Parker,AZ 85344 Phone: 661-322.8258 209-863.8181 916.371-5747 928.854-3202 CAL000282598 CAL000190816 CAD044003556 AZR000516161 EPA ID: