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> Mailing;P.Q.Box 176,Salida,CA 95368 <br /> 4612 Kiernan Court,Salida,CA 95368 <br /> George W. Lowry, Inc. Phone:209-545-0791 FAX 209-545-2241 <br /> Environmental Services Division EPA#CAR000047019 <br /> CA Transporter Number 3844 <br /> CA License#758518 <br /> GENERATOR: Consolidated Manifest Invoice: N _/ <br /> 25 Site EPA ID#: L �` 1 <br /> j <br /> Contact PersonShipment Date: <br /> : t. U �� I <br /> Name: �f r Df'iver Signature(Printed): <br /> (rt <br /> Address: ! <br /> 1 v ! Truck# <br /> City,State,Zip: <br /> PO 4 <br /> Site Phone: <br /> Product wasts CA Manifest#0 <br /> code Quantity Units Price Amount <br /> Nun-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 Liqud(Used Automotive Antifreeze) 134 <br /> 15174 r) 1 9L C-1 <br /> on-RCRA Hazardous Waste Liquid(Oil&Water) 221 Gal <c� <br /> J <br /> 36 <br /> >ZNon-RCRAHazardous Waste Solids Contaminated with Used Oil 223 �,y, S or„r,ils) <br /> rained Used Oil Fitter Drum(s) Drvrn(s) j S <br /> Empty Drum(s) <br /> Each <br /> Transportation&Truck Time / HR , <br /> Hazardous Test <br /> Unless otherwise specified on this Consolidated Manifest Receipt(lnvace)Terms: Accounts due on the 1f?th of the month following month at purchase. Past due To w•� <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-1f2%per month,which is the ANNUAL PERCENTAGE RATE of 18%. !/ <br /> By signing this receipt,the Generator Certihes 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, tflc. hereby advises the Genera <br /> tor 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 Signature X <br /> r <br /> Signature of Generator,Representative or Agent of Generator: Xown 7 <br /> 6le.41 <br /> v f 4 V�U/f�+t �5 <br /> AJS Filter Processing,Inc. i0RI Recycling <br /> 15131 E.Clark Avenue,Bldg.E 101 Hagen Drive I <br /> Industry,CA 91745 Woodville,WI 54028 iNanra: I L;1 u=— <br /> 626-333-5617 715-698-3363 <br /> RecyC6ing CAL000097432 MR000029751 � <br /> / Address: <br /> &Disposal vtt„� �s"ir-ice+ Al <br /> Facilities City,State,Zip: t <br /> Riverbank Oil Transfer 5300 Ramos Environmental <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209-863-8181 916-371-5747 <br /> CAL000m190817 CAG00.9d703556 EPA 10. <br />