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Mailing:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kiernan Court,Salida,CA 95368 <br /> Georgq W. Lowry, Inc. Phone:209545-0791 FAX 209-645-2241 <br /> Environmental Services Division EPA#CAROOD047019 <br /> CA Transporter Number 3844 <br /> CA License#758518 <br /> GENERATOR: Consolidated Manifest Invoice: 20662 <br /> Site EPA ID#: 00 <br /> Shipment Date: ` <br /> Contact Person: <br /> Name: 2 P/p Driver Signature(Printed): <br /> Address: Truck# D t <br /> City,State,Zip: L <br /> PO# <br /> Site Phone: _0 <br /> Product waste CA Manifest#0 Quantity Units Price Amount <br /> code <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 Gal <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Industnal 221 Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Ant heeze) 134 Gal <br /> on-RCRA Hazardous Waste Liquid(Oil&Water) 221 Q P O Gal G/o S 7 r <br /> on-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 O 7/,S q�I J l� Dmmlal 10662 c <br /> Drained Used Oil Filter Drum(s) '7 Drumla) LJo <br /> mpty Drum(s) Each 3 r� <br /> Transportation&Truck Time HR. <br /> Hazardous Test <br /> Unless otherwise speafied on Mis Conwlldated Manifest Receipt(Invoim)Terms: A nts due on ne 1 Dn of the moon following month cf pu aas Past due To I <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-12%par month,which is the ANNUAL PERCENTAGE RATE of 18%. <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, 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 with federal regulations applicable to management of used oil but that Is <br /> not required to comply with the more stringent 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 integrity,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 ignature X /VC.ir /✓t,'.1 - <br /> r <br /> Signature of Generator, Representative or Agent of Generator: X CRlRy <br /> Oil <br /> thb.5pfb� <br /> AJS Filter Processing,Inc. h g <br /> 15131 E.Clark Avenue,Bldg.E 101 Hagen Drive Name: <br /> industry,CA 91745 Woodville,WI 54028 <br /> 626-333-5617 716-6983363 <br /> Recycling <br /> CA 6-333- 617 WIR090029751 Address: <br /> &Disposal Q 0 City,state,zip: <br /> Facilities Riverbank Oil Transfer 5300 Ramos Environmental <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 ,Phone: . <br /> 209563.8181 916-371-5747 <br /> CAL0000190817 CAD004003556 EPA ID: <br />