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Mailing:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kiernan Court Salida,CA 95368 <br /> C�. G�eorse W. Lowrv, Inc. Phone:209-545-0791 FAX 209-545-2241 <br /> 1 2 <br /> EnvironmRtal Services Division <br /> EPA#CARD00047019 <br /> CA Transporter Number 3844 <br /> CA License#758518 <br /> GENERATOR: Consolicla'ted Manifest Invoice: -4 <br /> Site EPA 10 <br /> Shipment Date: <br /> Contact Person: <br /> Name: Driver Signature(Printed): <br /> fa <br /> Address: S. Truck# <br /> City,State,Zip: <br /> 110 4 <br /> Site Phone: <br /> Product waste CA Manifest#0 Quantity units Price Amount <br /> Code <br /> _ <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 F <br /> Gal fi <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Industrial 221 Gad <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gal <br /> Non-RCRA Hazardous Waste&Aids Contaminated with Used Oil 352 DrUNS) <br /> Drained Used Oil Filter Drum(s) Drurn(s) <br /> Empty Drurrqs) Each <br /> Transportation&Tnx*Time lift <br /> Hazardous Test <br /> Unless otherwise speofied ontW Consolidated Manifest Receipt(lrvoioe)TsLMW: Accounts due on the loth of the rr"ith fou wing month of pwrhase. Pest due Total <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-1/2%per rnontr�which is the ANNUAL PERCENTAGE RATE of 18%. <br /> Ely 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 /> PJ ote: George W. Lowry, Inc.hereby advises the Genurator 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 requirement;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 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 fbdIftiIW6iiit6bMpIyontywith the Federal used oil management Stan- <br /> dards and not these more strirgent requirements. <br /> This notification is for information only. Lowry Driver Sigindture, X <br /> Signature of Generator,Representative or Agent of Generator: X <br /> 0 <br /> Bakeriffleld Transfer Global Material Management <br /> 1620 E.Brundage Lane 7244 Varna Ave. <br /> Bakersfield,CA 93307 Hollywood,CA 91605 Num: <br /> 661-322-8258 81"GO.8476 <br /> CAL000282598 CAL0003848" Address: <br /> Recycling <br /> Facilities City. Zip: <br /> Riverbank Oil Transfer 5300 Ramos Environmental State, <br /> Claus Road 1615 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209-863-8181 916-3715747 <br /> CAL0000190817 CAD0040036W EPA to: <br /> REV.12-14 <br />