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2011-Feb-24 02:13 PM DSW AG 209-119-8867 3/3 <br /> 1•�I i+,rrl P':.,•,J l'L.. 4 , •I V�4�. :r,,.f l' JI � 5r1 L .r f.�•.iLL— r .�G�F�;..'T1s,. <br /> ,.;,:ver,aN'�'J:11-a-..t:"-�.'Q'+�:1:!i.,..�.•(«.•.� W wf`:.��. ,"....., ��� <br /> Mailing:P.O.Boz 178,Salida,CA 96388 <br /> 4612 Kiernan Court,3allda,CA 96388 ` <br /> .C7e0 a W. LOW U1 C. Phone;20934b-0791 FAX 209-545-2241 <br /> Environmental Services Division EPA S CARD00047019 <br /> CA Transporter Number 3944 <br /> CA License*758618 <br /> gg"ERATOR: Consolidated Manf lest Invoice'. <br /> site EPA ID A: 1 <br /> Shipment Date: _ I <br /> contact Person: <br /> Name: <br /> I,,/ Driver Signature(Printed): <br /> Address: ` / � Truck# <br /> cny,state,Zip: <br /> PO <br /> Site Phone: <br /> Product wast■ CA Manifest SO Quantity unre Price Amount <br /> cods <br /> Non-RCRA Hazardous Waste Wuld(Used 011)rLubricating 221 — a.l <br /> Non-RCRA Hazardous Waste Wuld(Used OH ;Industrial 221 °r <br /> Non RCRA Hazardous Waste Liquid(Used Aub loflve Antifreeze) 1Sa Get <br /> Non-RCRA Hazardous Waste Liquld(Oil&Water) 221 Gel <br /> "Non-RCRA Hazardous Waste Solids Contaminated wflh Used Oil 2223 00tl 747 K2- ,Uk <br /> Drum(a) s7 <br /> Dralned Used Oil IF[*Drum(s) Drumts) <br /> Empty Drums) Evch <br /> Transportation a Truck Time HR. <br /> Hazardous Test <br /> Unless oewv se on this Consolidated MwftA nsoslpt(rnvolor)Tarr= AaaxlMs due on tM 10th of tM month raMowl narltlt of ss. Pet due Total �+ <br /> so=Lrm will N� FINANCE CHARGE N ale P�RIODIC RATE d 711 r2%per monM,which Is"ANNUAL PERC ENTACE RATE of 8%a <br /> By signing this recelpt,the Generator cartifies that a program has Deen established to reduce the volume or quantity and twddty of the hazardous weate to a degree as <br /> detannined by the generator,to be econorhlcalty pradiaabie. <br /> Generator certltles that all Hazardous Waste listed on this Consoildated Manliest Receipt Is profiled to meet the Waste Codes as listed above. <br /> Note: George W. Lowry, Inc. hereby advises the Generator that X Is(Generator's signature) <br /> shipment of used oil may be transported toga facility that 12 required to compty with federal regulations applicable to management of used all 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 t0 meet thosel more stringent requirerrtents,and some out-of--state facilities that process used oil also meet those require- <br /> ments These inGude more stringent leak detection and prevention requlremerrtil,en neering certifications of tank integrity,and financial assurances <br /> for closure and accidental releases. It Is lawful to send used all to out of state faClla that Comply only with the Federal used 011 management stan- <br /> dards and not these more stringent requirements, <br /> This notification Is for Inf6rimatton only, Lowry Driver 9lgnatI XX��7„_�t,_� <br /> Signature of Onnerator,Representative r Agent of Ganaratcr; X r1 r .7-C-I' <br /> 0 V C'I.f <br /> AJS Filter Processi ,Inc, CRI Reaycnng <br /> 15131 C.Clark Ave tae,Bldg.E 101 Hagen Drive <br /> Industry,CA 91745 Woodville'WI 34028 N+s^s• <br /> 626333-6617 716.8983383 <br /> Rec cling CAL000097432 WtR0000297tl1 , <br /> d.Disposal 0 city,state,zip: <br /> Facilities hiveri ank Off Transfer 5300 Ramos Envlronrnental <br /> Move,Road 1519 S.River Road <br /> Rrvvrbenk,CA 99.78 West 3acromento,CA 96@91 Phone: <br /> 2093698191 916x713747 <br /> CAL0000190917 CAP004003666 tdPA ID: <br />