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Mailing:P.O.Box 176,Salida,CA 95368 <br /> _. 4612 Kiernan Court,Salida,CA 95368 <br /> George W. Lowry, Inc. Phone:209-5454791 FAX 209-545-2241 <br /> Environmental Services Division 6EPA#CARD00047019 <br /> _,f_� "' CA Transporter Number 3844 <br /> CA License#758518 <br /> GENERATOR: Consolidated Manifest Invoice: <br /> Site EPA ID M: '2. Shipment Date' t; / <br /> Contact Person: <br /> Name: 7 '? ° f^ Driver Signature(Printed): '" f• <br /> Address: <br /> Truck# <br /> City,State,Zip: I' _• •r <br /> _ ..!-� ;<.r'"�t IPO# <br /> Site Phone: <br /> Product waste CA Manifest#0 Duanft units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Lubrnxting 221 cal <br /> 'Non-RCRA Hazardous Waste Liquid(Used Oil):Industrial 221 ' '` �` r Gat r,l <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gat <br /> ^'' F Non-RCRA Hazardous Waste Liquid(Oil&Water) 221 Gm }� <br /> n f!: > «-. <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 Drunlla) <br /> Drained Used Oil Filter Drum(s) Drum(s) <br /> Empty Drums) Esq+ <br /> Transportation&Tack Time NR <br /> Hazardous Test <br /> Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Terms: 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 1-1 r2%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. Lowry, Inc. hereby advises the Generator 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. hg• ry Driver Signature X <br /> f F- <br /> Signature of Generator,Representative or Agent of Generator. X``t. <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 7fi-dmd- <br /> C3 <br /> : <br /> i• 715-6983363 <br /> 626-333-5617 • WIR000029751 : <br /> CALOQAb97 .ter <br /> Recycling �: t•` � <br /> &Disposal °^ <br /> Facilities .'-,91"rtiiink Oil Tralmifer/5360}� Ramos Environmental city,�'Zip <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209863-8181 9163715747 <br /> CAL0000190817 CAD004003556 EPA ID: <br />