Laserfiche WebLink
Jan. 21. 2013 1 36P ,,� No. 0700, / �\ <br /> 1. J <br /> Mailing:P.O.Box 178,Salida,CA 05968 <br /> 4612 Kleman Court,Salida,CA 95368 <br /> George W. Lowry, Inc. Phone:209-546-0791 FAX 209-s46.2241 <br /> t Environmental Services Dfvlslon EPA#CAR000047019 <br /> l " CA Transporter Number 3644 <br /> ' CA License It 768518 <br /> GENERATOR: Consolidated Manifest Invoice: y( <br /> Site EPA ID#; A L <br /> Shipment pate: <br /> Contact Person: <br /> Driver Signature(Printed)- <br /> Name: f G _ t L <br /> Address! �:y ?0✓ r Truck# 1 <br /> City,State,ZIP: [�/ ,� 1 <br /> PON <br /> Site Phone: f <br /> Product Wasto CA Manifest NO Quantity Untts Prtee ABlount <br /> code ft <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 Gal <br /> ,.^1-7 -RCRA Hazardous Waste Liquid(Used Oil):Industrial 221 <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Ant)fiveze) 134 Gar <br /> on�CRA Hazardous Waste Lpuld(00 d WaW) zz1 r ^,C -'t `? J a� r U <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 Drurr4e) <br /> Drained Used oil Filter Drum(s) orumtst <br /> Empty Dfum(s) Each <br /> Transportation&Truck Time HR. <br /> Hazardous Test <br /> unioas olnerwlw spectfi9d on this Consofidaled Manifest R9Ceipt(Invoicv)T9m�z:Aom'•ds due on the 10th f the r Wth re0owing month of p,aToae. P90 d,a Total <br /> auiwtnls*4 be rhi,9vd-FINANCE CHARGE at the PERIODIC RATE of 1.1(2%pa—Ah,,.Midi is the ANNUAL PERCENTAGE RATE or 113% j <br /> By signing this receipt,the Generator certifies that a program has been established to reduce the volume or quantity and toxidty of the hazardous waste to a degree as <br /> determined by the generator,to be economically practicable. <br /> Generator rertifies that all Hazardous Waste listed on lhig Consolidated Manife8t 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 slgnatute) <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 M <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 facllities that process used oll also meet those require- <br /> ments These include more stringent leak detection and prevention requirements,engineering certifications of tank Integrity,and financlal assurances <br /> for closure and accldental releases. It is lawful to send used oil to out of state facilities that comply onlywith the Federal used oil managgroA stan- <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Lowry Driver Signature X .__ el <br /> r <br /> Signature of Generator,Representative or Agent of Generator. X r i !. <br /> AJS Filter Processing,Inc- CRI Racycling <br /> 15131 E.Clark Avenue,Bldg.E 101 Hagen Drive Name: <br /> Industry,CA 91745 Woodville.N 64028 <br /> 6 6.333-5817 715.898-3363 <br /> WIR040029751 Ad <br /> d4L00D097432 drow <br /> city,state,ZIP; <br /> FaGIIIt10S k OI'f rartefer'6Jbf' Ramos Environmental <br /> Cfau!s Road f ! 1615 S.River Road <br /> Riverbank,CA 96367T+ West Sacramento,CA 95691 Phone= <br /> 209-863-8101 946-371-5747 <br /> cADoo40o35ss <br /> CAL0000100817 I EPAID; i <br />