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�1 Halling:P.O.Box 176,Salida,CA 95368 <br /> 4612 Klernan Court,Salida,CA 95368 <br /> Georga W. Lowry, Inc. Phone:209.64541791 FAX zo9445-2z61 <br /> Environmental Services Divislon EPAOCAROWN7019 <br /> CA Transporter Number 3844 <br /> CA License#758518 <br /> GENERATOR: Consolidated Manifest invoice: <br /> Site EPA ID* <br /> Contact Person: <br /> Shipment Date: <br /> Name: Driver Signature(Printed): <br /> Address: <br /> Truck a3 <br /> City,State,Zip: _ <br /> Site Phone: <br /> POO <br /> Product Coale co is CA Manifest SMO owntity UnHa Price Amount <br /> Non-RCRA HazardWaste Liquid(Used Oa):LubricatWg zz1 <br /> ous c.a <br /> Non-RCRA Hazardous Waste liquid(Used Og):IrldustrW 221 Gal <br /> Non RCRA Hazardous Waste Liquid(Used Aube Antifr;m) 134 Mrd <br /> Non-RCRA Hazardous Wasts Liquid(Oil 8 Water) 223 Gal <br /> Non-RCRA Hazardous Waste Solids CorMmiriatad wide Used 01 352 a,r„t•t <br /> Drained Used Oil Flltar Drurn(s) X81 <br /> Empty Dlum(s) - W _ �rw� <br /> Transportation&Truck T'MV _ <br /> _ NR <br /> Hazardous Test - — <br /> Unless cAharvnse apepried on tMa t ar�soNdpted INairias!Ropstpl(InworeJ 7 erne Ap-wft duo one*im or Bis ngnlh <br /> scmLr"vrA be du gsd a FINANCE CHARGE at ft PERIODIC RATE d 1-U2%per month,Which is rhe AIWAL4L PERCE RATE of 1 Pel o Total <br /> By signing this receipt,the Gilimm or 0111`111198 that a prongram has been eslabhohed to reduce the volume or quantity and tDZZity of the hazardous waste to a degree as <br /> determined by the generator,to be economically pimbeable. <br /> Generator ostfie8 that all Hazardous Waste listed on this Cansoiidated Manifest Re0elpt is profiled to meso 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 110h..f0deral regulations applicable to man <br /> not required to comply with the more stringent requirements agement of used oil but that is <br /> applicable to hazardous waste management fadilfiies Cillft iia facilities that handle or <br /> process used ail are required fi meet those more stringent requirements,and some ouW-3tate faci�ies that process used oil also meet those require- <br /> ments These include more stringent leak detection and prevention requWame its,engineering GWVK8b0ns of tank integrity.and financial assurances <br /> for closure and accidental releases. it is lawful to send used oil to out of state fecali ++tid=rvy only with the i=ederell u9W oil management stan- <br /> dards 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: iX <br /> C <br /> Bakersflsld Transfer Global Material Management <br /> 1620 E.Brundage Lane 7244 Varna Ave. <br /> Bakerafleld,CA 933117 Hollywood,CA 91605 <br /> 661322.8258 818400-8476 <br /> Recycling CAL0002825M CAL000a64644 Adam. <br /> &Disposal <br /> Facilities Riverbank Oil Transfer 5300 Ramos Enwroninentiii cft Starr,zip: <br /> Claus Road 1515 S.River Road <br /> Rlrerbank,CA 96367 West Swxame,tto,CA 956181 <br /> 209.863.8181 9163713747 <br /> CAL0000190817 CAD004083666 <br /> EPA 1D: <br /> REV 12-14 <br />