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UGg <br /> Mailing:. ..Box 176,Salida,CA 95368 <br /> 4612 Kiernan Court,Salida,CA 95368 <br /> ge W. Lowry, Inc. Phone:209b45-0791 FAX 209-545-2241 <br /> ental Services Division EPA#CAR000047019 <br /> CA Transporter Number 3844 <br /> CA License#758518 <br /> GENERATOR: Consolidated Manifest Invoice: <br /> Site EPA ID#: Jf' t "• ,N . f,. 4 { <br /> Shipment Date: r_„„.. ':", -. .¢ ✓: <br /> Contact Person: <br /> x• Driver Signature(Printed):,",, i <br /> Name: �,,._ , '°' �F"` "�f�d�� �'��''��,.,k� �"1, <br /> Address: c # 6 0i roT`t1 Truck# <br /> City,State,Zip: t ''a^ <br /> ki PO# <br /> Site Phone: r <br /> Product ►Vesta CA Manifest#0 Quantity Units Price Amount <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 { Gal <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Industrial 221 Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 Drurrye) <br /> Drained Used Oil Filter Drum(s) Drurr(s) <br /> Empty Drum(s) Each <br /> Transportation&Truck Time HR. <br /> Hazardous Test <br /> Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Terns. Accounts due on the 10th of the month following month of purchase. Past due Total <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-112%per 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. Lown!, Inc.hereby advises the Gene,atorthat 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. Califomia 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 onty with the Federal used oil management stan- <br /> dards and not these more stringent requirements. F '3 <br /> This notification is for information only. Lowry Driver Signature X <br /> Signature of Generator,Representative or Agent of Generator: X <br /> r <br /> AJS Filter Processing,Inc. CRI Recycling <br /> 15131 E.Clark Avenue,Bldg.E 101 Hagen Drive <br /> Woodville,WI 54028 Hams: <br /> Industry, 91745 715598-3363 <br /> 626-333-56611 7 WIR000029751 <br /> Recycling CAL000097432 1 Address: <br /> & DisposalQ e Q <br /> � �" jf 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 /> 209$63$181 916-3715747 <br /> CAL0000190817 CADD04003556 EPA ID: <br />