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Mailing:P.O.Box 176,Salida,CA 95368 C <br /> ry 4612 Kieman Court,Salida,CA 9536FE 20 t 6 <br /> DGeoEge LQH/ IhC, Phone:209-64r0791 FAX 209-545-2241 <br /> ental Services Division 'H EPA#CAR000047019 [�ENVIRONMENTAL <br /> CA Transporter Number 384 ���i-l�1 VG�T//�L <br /> '9 <br /> HEALT14 FRARTMENT <br /> r CA License#758518 <br /> GENERATOR: Consolidated Manifest Invoice: <br /> Site EPA ID# �Ce �' <br /> '' Shipment Date: <br /> Contact Person: <br /> r <br /> Name: ®river Signature(Printed): , <br /> Address. . a' Truck#a ' <br /> City,State,Zip , , <br /> PO# <br /> Site Phone: <br /> Product waste CA Manifest#0 Quantity Units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Lubricating <br /> 4 #' t .` '. w I ? <br /> 221 <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Industrial 221 Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 cat <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 352 Drunk) <br /> Drained Used Oil Filter Drum(s) Drungs) <br /> Empty Drum(s) Each <br /> Transportation&Truck Time ►� <br /> Hazardous Test <br /> Eunle-ssEbe: <br /> cified onthis Consolidated Manifest Receipt(Invoice)Terms: Accounts due onthe 10th of� following month of purchase. PastdueTOtel <br /> ged a FINANCE CHARGE at the PERIODIC RATE of 1-1r2%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 8egree 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. 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 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 faci(itiwth t comply only with Ute Federal used oil management Stan- <br /> dards and not these more stringent requirements. '`' <br /> � t <br /> This notification is for information only. Lowry®river Signature V <br /> Signature of Generator,Representative or Agent of Generator: l a— <br /> Bakersfield Transfer Global Material Management <br /> 1620 E.Brundage Lane 7244 Varna Ave. <br /> Bakersfield,CA 93307 Hollywood,CA 91605 Nam <br /> 661322-8258 8184000-9476 <br /> Recycling �AL000282598 CAL000384844 Address; <br /> &DisposalCRY,Stme. <br /> ; $ ,..:... <br /> Facilities Ramer Environmental Oil Transfer 5300 RamEnvironmental zip. <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone, <br /> 209363-8181 916371-6747 <br /> CAL0000190617 CAD004003MG EPA ID: <br /> REV.12-1, <br />