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Mailing:P.O.Bo=176,Salida,CA 95368 <br /> 4612 Nieman Court,Salida,CA 95368 <br /> George W. howryr Inc. Phone:209-5450791 FAX 209-545-2241 <br /> Environmental Services Division <br /> EPA#CAR000047oi9 <br /> CA Transporter Number 3844 <br /> CA License#758518 <br /> GENERATOR: <br /> Consolidated Manifest Invoice: <br /> Site EPA t0#: <br /> Contact Parson: <br /> Shipment Date: <br /> Name: Driver Signature(Printed): <br /> Address: <br /> Truck# <br /> City,suit.,zip: <br /> Site Phone: Pill# <br /> Product ween CA M mlest iNl Quantity does price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used 09) Lubricating 221 cu <br /> Non-RCRA Hazardous Waste Liquid(Used OA) Industrial 221 or <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 qy <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221 Dy <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 Dn.mlel <br /> Drained Used Oil Filter Dmm(s) Dnrrrilq <br /> Err"Orum(s) per, <br /> Transportation 5 Truck Time HR. <br /> Hazardous Test <br /> unless oew oe speoeod m to$Conaokosisd Menifee!Rempt(mvoce)Tams Auuuins sun an are IM or ilo mom,Io ewe mor,d taanieee pal eve Total <br /> arvunls w#be d ispi a FINANCE CI ARGE v ew PERIODIC RATE W 1 1n%par month,ef,rl,is I6e ANNUAL PERCENTAGE RATE of tall. <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 pracficeble. <br /> Generator certifies that all Hazardous Waste fisted on this Consolidated Manifest Receipt is profiled to meet the Waste Codes as listed above <br /> Note: George W. Lowry, Inc. hereby advises the c,,, ;, that _s(Generic,. <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 sane out-of-stale 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 but 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 <br /> Signature of Generator,Representative or Agent of Generator; X <br /> a v _ <br /> AJS Filter Processing,Inc. CRI Recycling <br /> 15131 E.Clark Avenue.Bldg.E 101 Hagen Drive <br /> Industry,CA 91745 Woodville,W154028 <br /> 626-333-5617 715698-3363 <br /> WIR000029761 <br /> Recycling CA 00097432 A4dre=e: <br /> &Disposal Q <br /> err.suu,zp: <br /> Facilities Riverbank Oil Transfer 5300 Ramos Environmental <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 wr^"" <br /> 209 A63 a181 916-371-5747 <br /> CAL0000190817 CAD004003556 EPA to <br />