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,'f.; <br />George W. Lowry, Inc. <br />Environmental Se -vices Division <br />GENERATOR: <br />Site EPA ID #: <br />Contact Person: <br />Name: <br />Address: <br />City, State, Zip: <br />Site Phone: <br />Mailing: P.O. Box 176, Salida, CA 95368 <br />4612 Kiernan Court, Salida, CA 95368 <br />Phone: 209-545-0791 FAX 209-545-2241 <br />EPA # CAR000047019 <br />CA Transporter Number 3844 <br />CA License # 758518 <br />Consolidated Manifest Invoice: <br />Shipment Date:,.. <br />Driver Signature (Printed): <br />Truck # <br />PO x <br />By signing this receipt, the Generator certifies that a program has been established to reduce the volume or quantity and toxicity of the hazardous waste to a degree as <br />determined by the generator, to be economically practicable. <br />Generator certifies that all Hazardous Waste listed on this Consolidated Manifest Receipt is profiled to meet the Waste Codes as listed above. <br />Note: George W. Lowry, Into- hereby advises the Generatorthat X 's (Generator's signature) <br />shipment of used oil may be transported to a facility that is required to comply with federal regulations applicable to management of used oil but that Is <br />not required to comply with the more stnngent requirements applicable to hazardous waste management facilities. California facilities that handle or <br />process used oil are required to meet those more stringent requirements, and some out-of-state facilities that process used oil also meet those require- <br />ments These include more stringent leak detection and prevention requirements, engineering certifications of tank integnty, and financial assurances <br />for closure and accidental releases. It is lawful to send used oil to out of state facilities that comply only with the Federal used oil management stan- <br />dards and not these more stringent requirements. <br />This notification is for information only. Lowry Driver Signature X _elf �n <br />Signature of Generator, Representative or Agent of Generator: X <br />Product <br />Waste <br />Code <br />CA Manifest 90 <br />Quantity <br />Units <br />pace <br />Amount <br />Non-RCRA Hazardcus Waste Liquid (Used Oil) :Lubncanng <br />221 <br />CAL000097432 <br />& Disposal <br />Gat <br />FBCIIIt1eS <br />Riverbank Oil Transfer 5300 <br />Non-RCRA Hazardous Waste Liquid (Used Cil) - Industrial <br />221 <br />Riverbank, CA 96367 <br />Gal <br />CAL0000190817 <br />Non RCRA Hazardous Waste Liquid (Used Automotive Antifreeze) <br />134 <br />Gat <br />Non-RCRA Hazardous Waste Liquid (Cil & Water) <br />221 <br />Gal <br />Non-RCRA Hazardous Waste Solids Contaminated with Used Oil <br />223 <br />D um(s) <br />Drained Used Oil Filter Drum(s) <br />pmts) <br />Empty-Drum(S) : ) <br />Each <br />Transportation & Truck Time <br />HR. <br />HazafdoUS-TEST <br />Unless otherwise soecfied on Ihs Consolidated Manifest Recmpt (Invoice) Terms. Accounts due on the 11th of the month following month of purchase Past due <br />accounts Noll be charged a FINANCE CHARGE at the PERIODIC RATE of 1-1/2% per month. Mvch is Ste ANNUAL PERCENTAGE RATE of 18% <br />Total <br />- <br />By signing this receipt, the Generator certifies that a program has been established to reduce the volume or quantity and toxicity of the hazardous waste to a degree as <br />determined by the generator, to be economically practicable. <br />Generator certifies that all Hazardous Waste listed on this Consolidated Manifest Receipt is profiled to meet the Waste Codes as listed above. <br />Note: George W. Lowry, Into- hereby advises the Generatorthat X 's (Generator's signature) <br />shipment of used oil may be transported to a facility that is required to comply with federal regulations applicable to management of used oil but that Is <br />not required to comply with the more stnngent requirements applicable to hazardous waste management facilities. California facilities that handle or <br />process used oil are required to meet those more stringent requirements, and some out-of-state facilities that process used oil also meet those require- <br />ments These include more stringent leak detection and prevention requirements, engineering certifications of tank integnty, and financial assurances <br />for closure and accidental releases. It is lawful to send used oil to out of state facilities that comply only with the Federal used oil management stan- <br />dards and not these more stringent requirements. <br />This notification is for information only. Lowry Driver Signature X _elf �n <br />Signature of Generator, Representative or Agent of Generator: X <br />CRI Recycling <br />101 Hagen Onve <br />Woodville, WI 54028 <br />71598-3363 <br />WIR000029751 <br />0 <br />Ramos Environmental <br />1515 S. River Road <br />West Sacramento, CA 95691 <br />916-371-5747 <br />CAD004003556 <br />Name: <br />Address: <br />City, State, Zip: <br />Phone: <br />EPA ID: <br />0 <br />AJS Filter Processing, Inc. <br />15131 E. Clark Avenue, Bldg. E <br />Industry, CA 91745 <br />626.333-5617 <br />Recycling <br />CAL000097432 <br />& Disposal <br />Q <br />FBCIIIt1eS <br />Riverbank Oil Transfer 5300 <br />Claus Road <br />Riverbank, CA 96367 <br />209-863-8181 <br />CAL0000190817 <br />CRI Recycling <br />101 Hagen Onve <br />Woodville, WI 54028 <br />71598-3363 <br />WIR000029751 <br />0 <br />Ramos Environmental <br />1515 S. River Road <br />West Sacramento, CA 95691 <br />916-371-5747 <br />CAD004003556 <br />Name: <br />Address: <br />City, State, Zip: <br />Phone: <br />EPA ID: <br />