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qA ORGE Environmental Services Division \ INC. Mailing:P.O.Box 176,Salida,CA 95368 LOWRYConsolidated Manifest 4612 Kiernan Court,Salida,CA95368 / Phone:209-645.0791 FAX 209.545-2241 EUM PRODUCTS COMPANY Invoice EPA#CAR000047019 CA Transporter Number 3844 GENERATOR: CA License#758518 invoice Site EPA ID#: AL— Invoice Date: NO 40r05F s3 Contact Person: Name: Driver Printed Signature: �"� Truck#: Address; ` *7 7-a 9 V rs PO# City,State,zip: CA Site Phone: 0 TERMS: Product Shipping Name Waste Code CA Manifest#0 Quantity units Price Amount Non-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 t7 21 9 Gal 5 3S i Non,,-RCRA Hazardous Waste Liquid(Used Oil): Industrial 221 1 2 Gal Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gal Non-RCRA Hazardous Waste Liquid(Oil&Water) 223 Gal Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 352 Drum(s) Paper and/or Plastic Oil Filter Drum(s) 352 Drained Used Oil(Metal)Filter Drum(s) Drums) Each Empty Drum(s) L Each Transportation&Truck Time Manifest Fee HR. Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Terns: Accounts due on the 10th of the month following month of purchase. Past due accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-1/2%per month,which is the ANNUAL PERCENTAGE RATE of 18%. Total By signing I hereby certify 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 the waste does not contain any PGB's.I have complied with the requirements of the applicable California used oil management regulation to determine this is true.I agree to accept the additional charges for the disposal of the waste if the information I have provided about this waste is incorrect. Generator's 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 economically affordable and that I have selected the practicable method of treatment,storage,or disposal currently available to me which minimizes the present and future threat to human life and the environment.Or,if I am a small quantity generator,I have made a Good Faith effort to minimize my waste generation 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 Oily/Water may be transported to a facility that is required to comply with federal regulations applicable to management of Used Oil and Oily/Water, 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 Oily/Water 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 Oily/Water 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. will 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: ❑ ❑ Address: 21st Century Environmental California Olt Transfer LLC Ramos Environmental US Ecology Management of Nevada 5300 Claus Road 1515 S.River Road Highway 95,11 miles S of Beatty City,state,zip: 2095 Newlands Dr.East Riverbank,CA 95367 West Sacramento,CA 95691 Beatty,NV 89003 Fernley,NV 89408 209-863-8181 916.371.5747 775-553-2203 Phone: NVD980895338 CAL000190816 CAD044003556 NVT330010000 (775)575.2760 EPA ID: