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i <br /> J Mailing: P.O. ea: 176, sallda, CA85366 <br /> 4612 Woman Cour4Sairda, CASS368 <br /> Phona: 20944"791 FAX 209.646.2241 <br /> GeoMeW. Lown), Inc. EPA * CAR00004701s <br /> Environmental sacrlc90 VNtaion <br /> CA TrnnaponarNumbor 3643 <br /> 7 CA Lloomo* 76a616- <br /> GENERATOR' Consolidated Manliest involve: No • 27306 <br /> siteVAIDti: Shlpmenti)ato: 121M. <br /> - <br /> ContadPsraon: �'~� <br /> Name: - Driver Signature (PPW rinted): <br /> Addroaa: zr't7 'Truck # Z� �— <br /> Cityr statorzip: [ PON <br /> $[ts Phone: <br /> Product wase CA Manitest* quantity unes - Price Amount <br /> on-RCRAHazardous Wastet:pui0 (UsedCii) iu6draling 221 <br /> l r •,^ <br /> I <br /> Nona= HazaldauswasteLiquid (UsedOil) : Industrial 211 cat <br /> Non RCM tiazallousWasta LiquW (Used Au�moh" Aslyieeaa) 134 cel <br /> Non-f1i12AHazsdovsWasteL•qutd(Dil &Water) 223 °t1 <br /> i Non42CRll Hazane Was'aSa6dsConaminatedw{Bl Used O0 352 orrMd <br /> Drained Used 0d FA6rDann(s) arn4ei <br /> Facr1 <br /> Empty Drum(9) <br /> Tasepodsdan &To*Time aR. <br /> HareldomTest <br /> f <br /> tlnlazr olhenNx5WJ6odon uiaConedkbiadlfon7eetnaW!pit4rroito)Tmm: N.ooimladuoonthotolhaNamaAhkOowirWnwnthdgMsm Peet due Total <br /> aaourds ws be otagiWeFINA909CWWGEM the PEWOOIC RATE orlA2% peeMNMkwi Il Is aro ANNUN.PERCF.M•AGE RATEorte94. <br /> By0lgning this nec01pt, the Genextorow"as that a program has been 6MOblished to radium 1116vdume or quantity and tMaciyofibe harordom waste to a degroo as . <br /> determined byule pemvator, lobeeconoiNCCIy PraCSMble. <br /> Generator 0er80es [bat all Hasu%iom Waste 0sted on Ikis Consolidated ManiteAReCaPtis WoBled to meet me WasteComs as listed above. <br /> Note: George W. Lowry, Inc. hereby advises thoGenorator thatX rs (Generator's signature) <br /> stdpmentof mod oil may betransported to a facility that is required to complywdh federal regulations applkxble to managerrlantof used o1 but that is <br /> not required to comply with the more stringent requirements applicable to hazardouswaste management fadfiUM California facilities that handle or <br /> process used oil are required to meet those more stringent requirements, and soma out-ofedatetadli ies thatprocess used oil also meet those require• <br /> mans These include more stringent leak detection and prevention requirements, engineering twig iraliOns of tank integrity, and financial assurances <br /> for dostea and accidental release& it is lawful to send used oil to out of state facia - at comply only with Federal used oiimdnagament stan- <br /> dards and not these more stringent requirements. _ / I <br /> This notification is for information only. Lowry Driver Signatu <br /> Signature of Generator, RepresentativeorAgentof GonemtoC X <br /> !ai <br /> Bakersfieldlranstor Global Material Manalamont <br /> 18202. Brundage Lane 1244VsmaAve. _ <br /> Bakersfield, CA93207 Mlywood, CA91605 <br /> 68132242+8 618.900.8470 <br /> CALa00282398 CAL0003UW Addreee: <br /> Recycling ��.{{���� <br /> & Disposal Blot .— © Cny. saue,AP: <br /> Facilities rbankOil Tramfor 6300 Rlenoa2nrimmn0nai <br /> Claus Road 116198. RivarRoad <br /> Rlvarbank, CA963ST West Sacmmamo, CA 95691 Phone: <br /> 209.8834184 3164714147 <br /> CAL0000190617 CADO04GO3666 EPAlm <br /> REV. 12.19 <br /> . 12-t4 <br /> 1 , <br />