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- — <br /> ox 17 fide <br /> Mailing:P 0 8 6,Sa , <br /> flEuElVED <br /> 4612 Kiernan Court,Salida,CA 95368 p <br /> George W. Lowm Inc. x Phone:209.545-0791 FAX 209-545-22a Ep 17 2016 <br /> Environmental Services Division <br /> EPA#CAR000047019 <br /> r w - CA Transporter Number 3844ENVIRONMENTAL <br /> CA License 111758518 HEA!TH SPA RTkAPAI`r' <br /> GENERATOR: Consolidated Manifest invoice: <br /> Site EPA ID# <br /> Contact Person: Shipment Date. <br /> Name <br /> Driver Signature(Printed}: <br /> 5. ..' .. _ <br /> Address: a ; Truck# x � <br /> City,State,Zip <br /> PON <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 y y; x�r', = i'., Gat <br /> Non-RCRA Hazardous Waste Liquid(Used ON):Industrial 221 Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gat <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gar <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 352 "h ° ( `_. ws rkr,m(s) <br /> Drained Used Oil Filter Drum(s) Drums) rra <br /> Empty Drum(s) Each <br /> Transportation&Truck Time HR. <br /> Hazardous Test <br /> E <br /> rwise specified on this Consolidated►r ifest Receipt(Invoice)Terms:Acwunts due on the 101h of Vie month foAowi month of ll be dhar9ed a FINANCE CHARGE at Nre PERIODIC RATE of 1-1/2% �' Past due TOtel SF. <br /> permonth,which is the ANNUAL PERCENTAGE RATE of 18%. 4>_^• <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 degrees as <br /> determined by the generator,to be economically practicable. <br /> Generator certifies that all Hazardous Waste fisted on this Consolidated Manifest Receipt is profiled to meet the Waste Codes as listed above. <br /> Note: George W. Lowry, Inc. herebyadvises 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 prowess 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 facilities that-comply only with;the Federal used oil management Stan- <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Lowry Driver Signature:--, <br /> Signature of Generator,Representative or Agent of Generator f ' <br /> g p 9 4 <br /> Li <br /> Bakersfield Transfer Global Material Management <br /> 1620 E.Brundage Lane 7244 Varna Ave. <br /> Bakersfield,CA 93307 Hollywood,CA 91605 Hearin <br /> 661322-8258 818000-8476 <br /> Rec clip CAL000282598 CAL00038"" Address: <br /> Cyg a <br /> Dis <br /> Facilitie3 Riverbank Oil Transfer 5300 Ramos EnvironmentalCity'Side, <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phi: <br /> 209-863-8181 9163715747 <br /> CAL0000190817 CAD0040035M EPA to: <br /> REV.12-14 <br />