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„yp;� Mailing:P.O.Box 176,Salida,CA 95368 <br /> F 4612 Kisman Court,Salida,CA 96368 <br /> George W. Low, inn. Phone:209545-0791 FAX 209-545-2241 <br /> Environmental Services Division EPA#CAR000047019 <br /> _ 1.1—, 11 ”" CA Transporter Number 3844 <br /> CA License#758518 <br /> GENERATOR: Consolidated Manifest Invoice: <br /> 6.. ` <br /> Site EPA ID#: - <br /> - � Shipment Date: <br /> Contact Person: <br /> Name: Driver Signature(Printed): <br /> Address: Truck# <br /> City,State,Zip: <br /> I'O k <br /> Site Phone: <br /> Product waste CA Manifest NO Quantity units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Lubriraling 221 Gal <br /> Nan-RCRA Hazardous Waste Liquid(Used Oil):Industrial 221 Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antiheeze) 134 Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 Dranyal <br /> Drained Used Oil Fitter Drum(s) Dre l <br /> Empty Drum(s) __ Each <br /> Transportation&Truck Time MR. <br /> Hazardous Test <br /> Unless off anew specified on des Consolidated Manifest Receipt(Invdos)Terms: A nM due w Cie loth ar Cu month lolb rig n ofIxxrluae. Past due TOtel, <br /> accounts will be c urgetl a FINANCE CHARGE at the PERIODIC RATE of 1-12%Per month,whicti is Cie ANNUAL PERCENTAGE RATE of le%. <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 Wast 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 '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,facifi ies,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 thatcorrlply 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 /> Signature of Generator,Representative or Agent of Generator: X <br /> 0 <br /> AJS Filter Processing,Inc. CRI Recycling <br /> 15131 E.Clark Avenue,Bldg.E 101 Hagen Drive <br /> Industry,CA 91745 Woodville,WI 54028 <br /> 626-333-5617 7155965363 <br /> RBCyCI1Og CAL000097432 WIR000029751 Address: <br /> & Disposal 0 <br /> Facilities Riverbank Oil Transfer 6300 Ramos Environmental <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Peron: <br /> 2095635181 916-371-5747 <br /> CALODOOIS0817 CAD004003566 EPAID: <br />