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' 'ED <br /> RE, <br /> Mailing:P.O.Box 176,Salida,CA 95368 FEB42016 <br /> 5 4612 Kiernan Court,Salida,CA 95368 0;, <br /> George W. Lowry, Inc. Phone:209.545.0791 FAX 209-64 <br /> Environmental Services Division <br /> EPA#cARooaoa7o19 ENVIRONMENTAL <br /> HEALTH n �RT �RIT <br /> CA Transporter Number 3844 <br /> CA License 11768518 <br /> GENERATOR: Consolidated Manifest Invoice: {it �* <br /> �� t:.. <br /> Site EPA 10#: �� � .? ��"' ,,,, <br /> Contact Person: ��€""TTff 66! <br /> Shipment Date: _p �_f / -..1 <br /> Name: i�.' .—� Driver Signature{printed <br /> Address: Truck# <br /> City,State,Zip: X;0E11Zf"f c. C <br /> Sttg Phone: <br /> iPO4 <br /> Product waste CA Manifest 40 Quantity units Price Amount <br /> Code <br /> •Non•RCRA Hazardous Waste Liquid(Used 011):Lubricating 221 /� 7' �.� ! Gat I n— �J <br /> Non-RCRA Hazardous Waste Liquid(Used al):Industrial 221 Gal <br /> Non RCRA Hazardous Waste Liquid(used Automotive Antiheeze) 134 Gat <br /> Non-RCRA Hazardous Waste Liquid(00&Water) 223 Gat <br /> Non•RCRA Hazardous Waste Solids Contaminated with Used 01 362 thum(a) <br /> Drained Used Ott Filler Drums) Drum(a) <br /> Empty Dnrms) Each <br /> Transportation&TruckTime Hi <br /> Hazardous Test 1 <br /> f <br /> Untess otherwise specified at We Consolidated Manifest Receipt(Invotm)Temts:Aeawnte due on Me 10th of the month following mortal cr purchase.Past doe <br /> accounts will be d-VQd a FINANCE CHARGE at are PERIODIC RATE of 142%per ma h which is the ANNUAL PERCENTAGE RATE of 18%. Tota j 3qt _`r <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 degzee as <br /> determined by the generator,to be economlcaily practicable. <br /> Generator certifies that all Hazardous Waste tilted on this Consolidated Manifest Receipt is profiled to meet the Waste Codes as listed above. <br /> Note:George W.Lowry,Inc, hereby advises the Generator that '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 OR also meet those require- <br /> ments These include more stringent leak detection and prevention requireiTients,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 facilres4aLcomply only with the F era,used oil management stan- <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Lowry Driver Signa <br /> s <br /> �.�. <br /> Signature of Generator,Representative or Agent of Generator: X <br /> l <br /> C3 •L <br /> Bakersfield Transfer Global Material Management <br /> 1620 E.Brundage Lane 7244 Varna Ave. <br /> Bakersfield,CA 93907 Hollywood,CA 81605 Name: <br /> 6613228258 818900-8476 <br /> RBC Clin CAL000282598 CAL0t10384844 Add,a: <br /> OMNI City, <br /> Y � <br /> &Disposal <br /> F8CIIItieS It�verbenk Oil Transfer 6300 Ramos Environmental Ste'21p; <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Ptwfro: <br /> 209-863.8181 918371.5747 <br /> CAL0000190817. CAD0040035W EPA ID: <br /> REV.12.14 <br />