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Pill GEORGE Envtranment.t Services Division Mai line!p.6.Aox T7@,Sal Ida.CA 95368 L� G. Consolidated Manifest 461ZKiernan Court Sanda,CA983ea Phone:209.545.0791 FAX 209-545.2241 A PETROr,EUM PROOUCYs COMPANY Invoice EPA#CARD000470Y19 CA Transporter Number 3844 GA License#758518 GENERATOR' invoice No Site EPA ID#: N— 40 Invoice Date: Contact Person: Driver Printed Signature: Name: Truck#: Address: po# City,state,zip: Site Phone; TERMS: Product Stripping Name Waste CA Manifest#i] Code Quantity Units Price Amount Non-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 Gal Non-RCRA Hazardous Waste Liquid(Used Oil): Industrial 221 Gal Non RCRA Hazardous Waste Liquid{Used Automotive Antifreeze} 1 134 Gal Nan-RC RA Hazardous Waste Liquid(pit&Water) 223 Gal Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 352 Drum(s) Paper and/or Plastic Oil Filter Drum(s) 352 Drums] Drained Used Oil(Metal)Filter drums) Each Empty Drum(s) Each Transportation&Truck Time Manifest Fee HR. Unless olharmse specified on this Consolidated Manifest Receipt(Invoice)Terms:Accounts due on the loth of the month followir)9 month of purchase. Past due accounts will be charged a FINANCE CHARGE at the PERIq 71G RATE of 1-11230 per month,which is the ANNUAL RERCENTAGE RATE of 18%. LI Total gy signing I hereby certify that i have not mixed any of the waste described above witb any other hazardous waste,the total halide content is LESS than 1,000 ppm,and the waste does not contain any PCB's.1 have compiled with the requirements of the applicable California used ail management regulation to determine this is true.I agree to accept the additional charges for the disposal of the waste if the information 1 have provided about this waste is in cc e&, Generators Certification: By signing I certify that If I am a large quantity generator, I certify that I have program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be ecenomicaily affordable and that I have selected the practicable method of treatment,storage, or disposal currently available to me which minimizes the present and future-threal to human life and theenvironment.or,if I am a small quantity generator,I have made a Good Faith effort to minimize my waste generaticn and select the waste management method that is available to me that I can afford. George W.Lowry.,Inc.hereby advises the above Generator that generators shipment of Used Oil and OilylWater may be transported to a facility that is required to comply with federal regulations appJlcable to management of Used Oil and OilylWater, but that is not required to comply with the more stringent requirements applicable to hazardous waste management facilities.California facilities that handle or process Used Oil.and 011ylWater are required to meet those more stringent requirements,and some out-of-state facilities.that process Used Oil and Oily/Water also meet those requirements,engineering certifications of tank integrity, and financial assurances for closure and accidental releases,it is lawful to send Used Oil and Oilyftatar to out of state facilities that Comply only with federal.Used Oil and Oily/Water management standards and not these more stringent requirements. This notification is for the informational purposes only. By both parties signing this invoice it will serve as an agreement that George W.Lowry,Inc. w111 submit confirmation for(certain waste streams)to the generator that their waste has been transported to a permitted transfer facility or permitted treatment,storage or disposal facility. Lowry Driver Signature X Date Signature of Generator,Representative or Agent of Generator: X Date Recycling, Transfer, Treatment,Storage, Disposal Facilities Name: 13 13 13 13 Address: Bakersfield Transfer California Oil Transfer LLC Ramos Environmental Sako Oil Recycling,Inc. city,state,Zip: 1620 E.Brundage Lane 5300 Claus Road 1515 S.River Road 1217 S.Fiesta Ave. Bakersfield,CA 93307 Riverbank,CA 95387 West Sacramento,CA 95691 Parker,Az 8 53 44 Phone: 661.322-8258 209-863.8181 916371-5747 928$54.3202 CAL000282698 CALDOCIOOS16 CAD044003556 AZR000516161 EPA ID: