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QEG E I V E D <br /> Mailing:P.O.Box 176,Salida,C <br /> 4612 Kiernan Court,Salida,CA 95368 <br /> .o George W. LowM Inc. ? phone:209-646-0791 FAX 209-545-2241 2016 <br /> Environmental Services Division EPA#CAR000047019 <br /> FEBCD U <br /> e CA Transporter Number 3844 <br /> ENVIRONMENTAL <br /> CA License#758518 <br /> HEAITH n—RA.RTMF_NT <br /> GENERATOR: Consolidated Manifest Invoice: <br /> Site EPA ID#: ;t <br /> s Shipment Date: <br /> Contact Person: <br /> y Driver Signature(Printed): r <br /> Name rr <br /> Address: JA"', w r Truck# <br /> City,State,zip ;. PO# <br /> Site Phone: <br /> Product waste CA Manifest 00 Quantity Units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 ` # <br /> Non-RCRA Hazardous Waste Liquid(Used 011):Industrial 221 Gal <br /> Non RCRA Hazardous Waste�!!(Used Automotive Antifreeze) 134 Gal <br /> Non-RCRA Hazardous_W"Liquid(Oil&Water) 223 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used 011 352 Drum(s) <br /> Drained Used Oil Filter Drum(s) Dfungs) <br /> Empty Drum(s) Each <br /> Transportation&Truck Time <br /> Hazardous Test <br /> Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Temps: Accounts dire on the 10th of the month fbgwx g month of purchase. Past due Total <br /> accounts will be chwged a FINANCE CHARGE at the PERIODIC RATE of 1-112%per month,which is the ANNUAL PERCENTAGE RATE of 18%. <br /> By signing this receipt,the Generator certifies 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. Lorry, Inc. hereby advises the Generator that x `s(Generator's signature) <br /> shipment of used oil may be transported to a facility that is required to comply 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 financial assurances <br /> for closure and accidental releases. It is lawful to send used oil to out of state faalities.tftat cxarnpfy only with the Federal used oil management stan- <br /> dards and not these more stringent requirements. W <br /> This notification is for information only. Lowry Driver Signpture X <br /> Signature of Generator,Representative or Agent of Generator: X A., <br /> Bakersfield Transfer Global Material Management <br /> 1620 E.Brundage Lane 7244 Varna Ave. <br /> Bakersfield,CA 93307 Hollywood,CA 91605 Neer <br /> 661322-8258 818.900-8476 <br /> ReC Clir CAL00028MB CAL000384W Address: <br /> y g ; <br /> &Disposal s.,' . cer.stair,.zip: <br /> Facilities Riverbank Oil Transfer 5300 Ramos Environmental <br /> Claus Road 1515 B-River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209-063-0181 916-371-0747 <br /> CAL0000190817 CAD0040035M EPA ID: <br /> REV.12-1, <br />