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George W. Lowry, Inc. <br />Environmental Services Division <br />GENERATOR: <br />waste <br />Code <br />Site EPA ID #: t+^., -•.. <br />' �. �,� <br />Contact Person: <br />Price <br />Name ""r Lr ., ' t <br />} L, .r' f •�e a <br />Address: <br />r <br />,,4 <br />City, State, Zip:,.,�.G_- r^ <br />Gal <br />Site Phone: I <br />0 <br />Ramos Environmental <br />Mailing: P.O. Box 176, Salida, CA 95368 <br />4612 K)eman Court, Salida, CA 95368 <br />Phone: 209545-0791 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 />4 <br />Truck # <br />PO # <br />Product <br />waste <br />Code <br />CA Manifest #0 <br />Quantity <br />Units <br />Price <br />Amount <br />Non-RCRA Hazardous Waste Liquid (Used Oil) :Lubricating <br />221 <br />Woodville, WI 54028 <br />715.698-3363' WIR000029751 <br />cALOp0097432 <br />Gal <br />Jr: <br />Recycling t,, <br />8� Disposal�.: r� <br />Facilities �,/JRirbankil T ns�ti30` <br />0 <br />Ramos Environmental <br />on-RCRA Hazardous Waste Liquid (Used Oil) : Industrial <br />221 <br />„s c" f 1 a . ` a <br />r <br />Gal <br />916371-5747 <br />CAL0000190817 <br />Non RCRA Hazardous Waste Liquid (Used Automotive Antifreeze) <br />134 <br />Gal <br />, <br />i <br />Non-RCRA Hazardous Waste Liquid (Oil & Water) <br />221 <br />'r��. "i <br />�) . .� "'": <br />cal <br />Non-RCRA Hazardous Waste Solids Contaminated with Used Oil <br />223 <br />Drum(s) <br />Drained Used Oil Filter Drum(s) <br />Drum(s) <br />Empty Drum(s) <br />Each <br />ran;;porhation & Truck Time <br />HR. <br />azardous Test <br />Unless otherwise spsp wed on this Consolidated Manifest Receipt (Invoice) Terms: Accounts due on the 10th of the month following month of purchase. Past due <br />accounts will be char a FINANCE CHARGE at the PERIODIC RATE of 1-12% per month, which is the ANNUAL PERCENTAGE RATE of 18%. <br />Total <br />13 <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 manag-anent stan- <br />dards and not these more stringent requirements. d/' This notification is for information only.Lowry Driver Signature X t;' <br />Signature of Generator, Representative or Agent of Generator: <br />0 <br />, <br />AJS Filter Processing, Inc. <br />CRI Recycling <br />15131 E. Clark Avenue, Bldg. E <br />101 Hagen Drive <br />In ustry, CA 9174 r <br />626-333-5617 <br />Woodville, WI 54028 <br />715.698-3363' WIR000029751 <br />cALOp0097432 <br />Jr: <br />Recycling t,, <br />8� Disposal�.: r� <br />Facilities �,/JRirbankil T ns�ti30` <br />0 <br />Ramos Environmental <br />s Road <br />1515 S. River Road <br />q ft rbank, CA 96367 <br />West Sacramento, CA 95691 <br />095635181 <br />916371-5747 <br />CAL0000190817 <br />CAD004003566 <br />Name: <br />Address: <br />City, State, Zip: <br />Phone: <br />EPA ID: <br />