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RECEIVED <br /> Mailing:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kiernan Court,Salida,CA 95368 FEB 17 2016 <br /> .GeoEge W Low!X InC. Phone:209-645••0791 FAX 209-545-2241 <br /> Environmental Services Division EPA#CAR000047019 <br /> ENVIRONMENTAL <br /> CA Transporter Number 3844 WCAITLInC:04PTAAC^IT <br /> CA License#758518 <br /> GENERATOR: <br /> Consolidated Manifest Invoice: , Z <br /> Site EPA ID# <br /> Shipment Date. rw H <br /> Contact Person: _ � <br /> Name: •'`.y Driver Signature(Printed): <br /> Address: s f t raw <br /> �. i �S' .� ��� ,. Truck# <br /> City,State,zip:_" PO# <br /> Site Phone: <br /> Product weete CA Manifest 00 Quantity units Price Amount <br /> Code <br /> on-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 Gal < <br /> Non-RCRA Hazardous Waste Liquid(Used 04):Industrial 221 Gm <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 ° ^ ' Gal :N 54 Z <br /> _ Yy � <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gal <br /> n <br /> on-RCRA Hazardous Waste Solids Contaminated wish Used OIl 352Dneee(s) u a <br /> Drained Used Oil Filter Drum(s) Drams► <br /> Empty Drum(s) Each <br /> Transportation&Tnidc Time HR. <br /> Hazardous Test <br /> Unless otherwise spedfied on this Consoiideted Menftst Receipt(Invoice)Terms. Accounts due on the loth of the mo rMh folbwing month of purchase. Past dm <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 14r2%per month,which is the ANNUAL PERCENTAGE RATE of 18%. <br /> By signing this receipt,the Generator cerfifies 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. 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. Califomia facilities that handle or <br /> process used oil are required to meet those more stringent requirements,and some out-of-state facilities that press 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 fad( t qt R npiy 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 Si nature: .,a <br /> Signature of Generator,Representative or Agent of Generator: x <br /> t <br /> Bakersfield Transfer Global Material Management <br /> 1620 E.Brundage Lane 7244 Varna Ave. <br /> Bakersfield,CA 93307 Hollywood,CA 91605 Name <br /> 661322-8258 818.900-8476 <br /> CAL000282598 CAL Address: <br /> Recycling �I _ <br /> &Disposal <br /> Facilities Riverbank Oil Transfer 5300 Ramos Environmental 'State. <br /> Claus Road 1515&River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 : <br /> 2093.8181 916371-5747 <br /> CAL0000190817 CAD004003556 EPA ID: <br /> REV.12-14 <br />