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C— w w <br /> o ° <br /> = O N -I <br /> UrG1� tNC- M�ec,NSnNpl:epm.Ow.n BGooxu,Nl,ABa9nedNsd,a4,GM eY5p356ltlpe <br /> lv <br /> O <br /> T); Consolidated r^ <br /> Man <br /> WRY.- ifest <br /> �• Invoice n mperteaNumherap,b O � <br /> M cw a.e.eexeps,a CD =r <br /> /l=^ EAATOR: ,p Invoice Nc 40 0 0 1 Oro 1 <br /> VJ re EPA ID k: — {JO 1 In—l—oala: - t Q <br /> Contac[Person: Urlvar arlmea slgnalure. �_ t( O <br /> Nemo: L £5/L C5 NC) Tr <br /> �' uckR'- <br /> Adtlress: iIAA po it <br /> city.State.Zip: C^D <br /> i-�- <br /> Si[e Phone: TERMS: <br /> Produce shipping Namewode eA rNanlrest f40 quan[ity urte: ante amount �rr <br /> C f �' `J <br /> Non-RCRA Hazardous Waste Liquid(Used Oil)',Lubricating 221 Zo q G z vJ k [-sG Z <br /> Gal <br /> Non-RCRA Hazardous Waste Liquid(Used Oil) Industrial 221 �n <br /> cal ^-h <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 O <br /> Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Watery 223 N <br /> ommtsl � <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 352 <br /> eramisl 10 <br /> Paper andlor plastic oil Filter Drum(s) 352 <br /> Each O <br /> Drained Used Oil(Metal)Filter Drums} <br /> Each <br /> ('t <br /> Empty Drvmisl HR. v <br /> Transportation&Truck Time <br /> CSD <br /> .-r <br /> CD <br /> onthofL � <br /> E(J <br /> uniess t 1Wil he chaecettl a FINANCE consolidated CHARGE alahe PERIOD 0 RATE of 1-112%pe, oni h0 is heeANNUAL PERCENTAGE RATE of eoohase.Past due Te1at <br /> N <br /> By signing I hereby cenify that I have not mixed any of the waste described above with any other hazardous waste,the total halide content is LESS than 1 000 ppm,and <br /> the waste does not contain any PCB's-I have complied with the requirements of the applicable Callfomia used oil management regulation to determine this is true.I agree <br /> ttl accept the additional charges for the disposal of the waste if the information I have provided about this waste is incorrect. O <br /> that I <br /> ram <br /> place to redi the volume <br /> of wa5le <br /> I. generator,l have made a Good Faith etfolt to <br /> generated to the degree IBhavle determined t(hat <br /> be leco economically affordable and thatrl Ihavecertl selected lheepractca mall quantity <br /> amity eneot rator,I storage.aorddisposai currenl4y <br /> e and the <br /> minimise my waslelgeneratioin minimizes <br /> selecthe ehe wastnt and e management methodure throat to hurni ithat s available t environment. <br /> at Ir.tcan afford.all quantity g C <br /> CA1 <br /> but that Is not required to comply with the more stringent requirements applicable to rn <br /> George W.Lawry,frit.hereby advises the above Generator that generators shipment of Used oil and OilylWater may be transported to a facility that's require o cv <br /> with federal rat applicable ro management of Used Oil and e or ,prose (7D <br /> hazardous waste management facilities,California facilities tat handle or process Used Oil and OilylWater aro required to meet those more stringent requiremen s,an O <br /> some outs waste facilities that process Used Oil and Oily/Mt fi ater also meet those requirements,engineering certifications of tank integrity,and financial assurances for 0 <br /> closure and sate facilities <br /> releases,itis lawful to send Used Oil and OilylWater to out of state facilities that comply only with federal Used Oil and OilylWater management <br /> standards and not these more stringent requirements. <br /> This notification is far the informational purposes only. <br /> $y both parties signing this invoice it will serve as an agreemenZ.dIr-rl <br /> W.Lowry,Inc. will submit cbnFlmnalion for(certain waste streams)to the generator that their O <br /> waste has been transported to a permitted transfer facility or eat.storage or disposal f�ISty./1 0 <br /> Date 7� �` f� <br /> Lowry Driver Signature% Date t.J� <br /> Signature of Generator,Representativ r nt of Generator: K — <br /> Name: <br /> Recycling,TranTreatment,Storage,Disposal Facilities <br /> sfer, �. <br /> ❑ Address: CD <br /> ❑ Inc. City,State,Vol ' Al <br /> Sako Oil Recycling, - O <br /> Bakersfield Transfer 5 omia Road <br /> LLC Ramos Environmental 1217 S.Fiesta Ave. Phone: rD 0 00 <br /> 1620 rs Brundage Lane Rive Claus Road 1515 S.River Road <br /> i <br /> Bakersfield,CA 83307 Riverbank,CA 95367 West Sacramento,CA 95691 926k-054 32023 0) Q <br /> 661.322.8258 209.8638181 916-371-5741 EPA ID: <br /> CAD044003556 A,ZR00{t515161 <br /> CAL000282598 CAL000190816 0 <br /> C2 <br /> O <br /> U1 <br /> � W <br /> N O <br /> (Q N <br /> O O <br /> O <br /> N <br /> O <br /> W <br />