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Jj RECEIVED <br /> Mailing:P.O.Box 176,Salida,CA 96366FEB 17 2016 <br /> 4612 Kiernan Court,Salida,CA 95368 <br /> t' Ge®Cae W. LAwl Inc. Phone.209.646-0791 FAX 209 <br /> ' Environmental services Division EPA#CAR000047019 �.{�JplTta RCDJtr�T�/(CAiF <br /> CA Transporter Number 3844 <br /> CA License#758518 <br /> GENERATOR: Consolidated Manifest invoice: i\ _� <br /> Contact Pennon: <br /> Site EPA ID#: "' �" • r ""` i 266 1 a <br /> Shipment Date: . /,. _,l"/ <br /> `9 <br /> Name: Driver Signafu (Printe ): <br /> Address: o �, Truck# "z r <br /> City,State,zip: <br /> PO# <br /> SK9 Phone: <br /> Product Waste CA Manifest 00 Quantity Unna Price Amount <br /> Code <br /> r Non-RCRA Hazardous Waste Liquid(Used Oil:Lubfi Mg 221 (5/ <br /> 3Gas <br /> 15 <br /> Sr <br /> Non-RCRA Hazardous Waste Liquid(Used 011):industrial 221 l Ga <br /> Non RCRA Hazardous Waste Liquid,(Used Autorooftve Antifredze) 134 Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Ger <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used OR 352 Onsnta) <br /> Drained Used Oil Fitter Drum(s) Dnam{sl <br /> Empty Drum(s) Each <br /> Transportation&Truck Time itR <br /> Hazardous Test ,.-- <br /> Unless othehwise spadaed ort thte Catwtidated Menaest Rech rpt{bhvoicej Temts:A000hints due on ate 10th of tlte'.m&ft followhV month of prrchase. Past due Tota �f <br /> acoaunts will be dwged a FINANCE CWAGE at the PERIODIC RATE of 1-1/2%per month,which is the ANNUAL PERCEWAGE RATE of 10%. !! �� f <br /> 13y signing this receipt,the Generator certifies that a program has been established to reduce the volume or quantity and tonicity of the hazardous waste to d`ddgr <br /> determined by the generator,to be economically practicable. <br /> Generator certifies that all Hazardous Waste listed on this Consotidated'Mamiest Receipt.Is profiled to meet,tfie Waste Codes as listed above. <br /> Note:George W.Lowry,Inc. hereby advises the Generator thatX '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 faci6ttes. California facilities that handle or <br /> Process used o7 are required to meet those more stringent requirements,and some out-of-state facilities that process used of 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 facit7.1�yonlyrwledefpl used oil managementstan- <br /> dards and not these more stringent requirements.This notification is for Information only. Lowry Driver Si nattM`eX" � <br /> Signature of Generator,Representative or Agent of Generator: X ! / <br /> 7 / I ! <br /> Bakersfield Transfer Global Material Management <br /> 1620 E.Brundage Lane 7244 Varna Ave. Na> <br /> Bakersfield,CA 93307 Hollywood,CA 91605 <br /> 661322.8258 818.800.8476 <br /> RecyclingQ �j59,8f CAL000384844 <br /> &t)iSposal � CRY.Side.ZIP: <br /> F8CilitieS Riverbank Oil Transfer 5300 Ramos Environments[ <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Pion: <br /> 209«863-8181 916371747 <br /> CAL00001IM17 CAi3004003656 EDA!D: <br /> REV.12-14 <br />