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Mailing:P.O.Box 176,SaIlde,CA 95368 <br /> 4632 Kleman Court,Salida,CA 95368 <br /> George W. Lowry, Inc. Phone:209-545-0791 FAX 209-M-2241 <br /> CEnvironmental Services Division <br /> EPA#CAR00004701 9 <br /> k�o <br /> Y" <br /> CA Transporter Number 3844 <br /> CA License#758618 <br /> (3ENERATOR: Consolidated Manifest Invoice: <br /> Site EPA ID M <br /> Contact Person: Shipment Date: <br /> Name: Driver Signature(Printed): <br /> Address: Truck <br /> City,State,Zip: <br /> PO# <br /> ;lite Phone: I <br /> Product Waste CA Manifest#0 Quantity uFft Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Lkluid(Used Oil):Lubricating 2.21 Gal <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Industrial 221 Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifram) 134 cat <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 <br /> Non-RCRA Hazardous Waste Soids Contaminated with Used Oil 352 Drum(a) <br /> Drained Used Oil Filter Drurn(s) Drurn(s) <br /> Empty Drum(s) each <br /> Transportation&Truck Time HR. <br /> Hazardous Test <br /> Unless Wervnse specified on dus Consolidated Manifest Receipt(Invoice)Tama: AoDounts due on the 10th of the month following month of puthase. Past due Total <br /> awounta will be chargod a FINANCE CliARGEatthe PER11DD(C RATE of 1-V2%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 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 profited to meet the Waste Codes as listed above. <br /> Note: George W. Lowry, Inc. hereby advises the Generator that X _`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. Caqifomia facilities that handle or <br /> process used oil are required to meet those more stringent requirements,and some out-crfwstate 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 facilities that comply only with the Federal used oil management stan- <br /> clards and not these more stringent requirements. <br /> This notification Is for information only. Lowry Driver Signature X <br /> Signature of Generator.Representative or Agent of Generator: X <br /> Bakersfield Transfer Yuma Environmental <br /> 1620 E.Brundage Lane 2730 E.13th <br /> Bakersfield,CA 93307 Yuma,AZ 85365 Narrw. <br /> 661322-8258 928-3440826 <br /> Recycling CALOOD282598 AZR000515924 Address: <br /> Facilities 12 Sta , <br /> Riverbank Oil Transfer 5300 Ramos Environmental City, teZIP: <br /> Claus Fload 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209-863.8181 916-371.5747 <br /> CALBOOISO816 CAD004003556 EPA 10: <br /> REV.4-17 <br />