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Mailing:P.O.Box 176,Salida,CA 95368 <br /> r <br /> 4612 Kieman Court,Salida,CA 95368 <br /> George W. i-oWr",�, �rIC. Phone:209-5464791 FAX 209-545-2241 <br /> Environmental Services Olvision EPA#CAR000047019 <br /> CA Transporter Number 3844 <br /> CA License#758518 <br /> GENERATOR: Consolidated Manifest Invoice: : <br /> Site EPA ID#: <br /> Shipment Date: ' <br /> Contact Person: <br /> Driver Signature(Printed): <br /> Name: <br /> Address: Truck# <br /> City,State,Zip: <br /> 110# <br /> Site Phone: <br /> Product Waste CA Manifest 00 Quantity Urals Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Luting 221 Gad <br /> Non-RCRA Hazardous Waste Liquid(Used ail):Industrial 221 <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 call <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gar <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 352 Drumis) <br /> Drained Used Oil Fitter Drum(s) thum(s) <br /> Empty Drum(s) Each <br /> Transportation&Tntdt Time tiR <br /> Hazardous Test <br /> Unless v herwisa specified on this Corsdidsled Manifest Receipt(Invoice)Terms: Amounts due on the 10th of the month following month of purchase. Paul due Total <br /> accounts All be ctwrged s FINANCE CHARGE at the PERIODIC RATE of 1-tr2%per month,which is the ANNUAL PERCENTAGE RATE of 16%. s . <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 profiled to meet the Waste Codes as listed above. <br /> Note: George W. I_owi'y, 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. Califomia facilities that handle or <br /> process used oil are required to meet those more stringent requirements,and soiree 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 facilities that comply ony with the Federal used oil management Stan- <br /> dards and not these more stringent requirements. <br /> This notificatlon is for information only. Lowry Driver Signature X. <br /> Signature of Generator,Representative or Agent of Generator, X <br /> 13 <br /> Bakersfield Transfer Global Material Management <br /> 1620 E.Brundage Lane 7244 Verna Ave. <br /> Bakersfield,CA 93307 Hollywood,CA 91605 Name: <br /> 661-322-8258 818.900.8476 <br /> CAL000282598 CAL000384844 Addrm: <br /> Recycling -- <br /> 8Disposal Q Q <br /> Facilities OW"bank Oil Transfer 5300 Ramos Environmental Stade, <br /> Claus.Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209-863.8181 916-371-6747 <br /> CAL0000190817 CADOD4003666 EPA 10: <br /> REV.12.14 <br />