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�. Mailing: P.O. `�76,Salida,CA 95368 <br /> 4612 Kiernan Court,Solid X38 <br /> George W. Lowry, Inc. Phone: 209.545.0791 FA" <br /> Environmental Services Division EPA#CAR000047P19 CC <br /> CA Transporter Number 3844 JAN •j, <br /> CA License#758518 <br /> ENVI RMITISE"GES HEALTH <br /> P <br /> ENE ATOS _ <br /> Site EPA ID#: Ccnsoddatea Manifest Receipt: , .. <br /> Contact Person: Shipment Date:I Z LL-2 <br /> Name: r, S ' a G' / n <br /> Driver Signature. <br /> Address: Zi 61a.1-le <br /> City, State, Zip: cve C Truck# g <br /> Site Phone: �- <br /> ProductWaste Manifest Quantity Units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):lubricating 221 GAL <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):industrial 221 GAL <br /> Non-RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 135 GAL <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221 GAL <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 221 GAL <br /> Drained Used Oil Filters Drum(s) adv17-5 <br /> Waste Solids&Sludge lia,1 <br /> Wash Out f <br /> Empty Drums EA. <br /> Transportation&Truck Time <br /> Hazardous Test <br /> 0:ess otherwise specified on this F>111dbfjedl Manl esl Receipt;irvoice7 Te ms Acwan6 due on me 101,.of lne monlr following mon.of pprchasa.Past deh TOtal n <br /> azx unci will be,charged a FiN'ANCL HARGE at he Pe4'ODIC RAF al i 2n, cr maNhwrirf it the annual?ERCE44 AGE RASE of 19`h 4� <br /> By signing!his receipl,the Generator certifies that a program has been established:o reduce the volume or quantity and toxicity 0 the hazardous waste to <br /> a degree as determined by the generator,to be economically practicable. <br /> Generator certifies that all Hazardous Waste listed on this Consolidated Manifest Receipt Is profiled. !!.1 <br /> st the Waste s as ed ove. <br /> Signature of Generator. Representative or Agent of Generator: x C — r <br /> Ile <br /> Recycling k Disposal Facilities <br /> .� <br /> Rnleaf Environmental Amer clear <br /> 3474 Toyon Cr. 2430 Almond Dr. Name: <br /> Valley Springs,CA 95252 Sdver Spf Ings,NV 8°429 <br /> 209-754-4600 775-577-9001 Address <br /> CAL000214411 NVD982358483 ----- -------------- <br /> I <br /> City, State,Zip ___--._ <br /> Riverbank Of Transfer CRI Recycling Service,Inc. <br /> 530C Claus Road 101 Hagan Driveii Phone: <br /> Riverbank,CA 95367 Wuocivdle,WI 54028 <br /> 203-863-8161 715-698-3363 <br /> CA[000190816 N,'..R00002975± FPA ID: <br /> I <br />