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li_; Mailing:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kiernan Court,Salida,CA 95368 <br /> George W Lowry, Inc. Phone:209,545-0791 FAX 209-645-2241 <br /> Environmental Services DivisionEPA#CAR000047019 <br /> ns. �:a ;a z �s�-ur<:e:+^^.}}e +e• ` CA Transporter Number 3844 <br /> CA License#758518 <br /> GENERATOR: Consolidated Manifest Invoice: <br /> Site EPA ID#: <br /> Shipment Date: <br /> Contact Person: <br /> Driver Signature(Printed) _71- <br /> Name: r >•=G i- T %"'`. <br /> Address: '2� �' .: Truck# ^; <br /> a F <br /> City,State,Zip: f ;•, t� '' <br /> PON <br /> Site Phone: <br /> Product waste CA Manifest#0 Quantity Units Price Amount, <br /> Code <br /> -i'Nof-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 „("y'}/l*�" 2 1 '^�-� <br /> T L <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Industrial 221 Gal <br /> -Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gal r f l,.j -`+ <br /> Non-RCRA Hazardous Waste Liquid(Oil B Water) 221 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 Drarn(s) <br /> Drained Used oil Fitter Drums) Dnrn ut), <br /> Empty Drull 'Each <br /> Transportation B Trude Time HR. <br /> �Al.,Hazardous Test 1 ! , <br /> Unless othervnse specified on Mis Consolidated Manliest Receipt(Invoice)Tams: A nts dire m ine 10M of Me month following month of purrJtase. Past due �,.✓� �,,Tote <br /> accounts will be rhaiged a FINANCE CHARGE at the PERIODIC RAPE of 1-12%lar month,which is this ANNUAL PERCENTAGE RATE of 18%. <br /> 1 JM1 <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 i l--^-' <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 Generatorthat X 'a(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 us oil mariagement Stan- <br /> dards and not these more stringent requirements. ` <br /> This notification is for information only. Lowry Driver Signature X <br /> i.', pw.i..µms+' ...✓. <br /> Signature of Generator, Representative or Agent of Generator Y.\ <br /> 0 <br /> AJS Filter Processing,Inc. CRI Recycling <br /> 15131 E.Clark Avenue,Bldg.E 101 Hagen Drive - <br /> Industry,CA 91745 Woodville,Wl 54026 Harris: <br /> 626.333.5617 715,598-3363 <br /> WIROD0029751 'dam; <br /> Recycling CAL 000097432 T <br /> &Disposal 0 <br /> City,Sol o,z P: <br /> Facilities <br /> '"Riverbank Oil Transfer 5300 'Ramos Environmental <br /> Claus Read 1515 S River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone. Mk <br /> 209.863.8181 916371-5747 <br /> CAL0000190817 CAD004003556 EPA to: <br />