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Jan. 15. 2010 11 : 10AM Berry Captive %\ +No, 9516. yP. 2 <br /> V V <br /> N?1w Mailing:P.O.Box 476,Salida,CA 95568 <br /> v r'� 4812 Kleman Court,Salida,CA 85368 i <br /> ,y� 1 <br /> George W. Low Inc. � Pbone:209.G45.0791 FAx209-64e-2241 <br /> `' EnWronmemW Services Division ��� EPA#CAR000047019 <br /> r 2=* CA Transporter Number 7844 <br /> CA License#758518 <br /> GENERATOR: Consolidated Manifest Invoice: 19276 <br /> Site EPA ID#: i Shipment Date: 2- <br /> Contact Parson: <br /> Driver Signature(Printed):�C�� <br /> Name: G57 <br /> Adder: ® Truck# <br /> City,State,Zip: PO4 <br /> Site Phone: <br /> I <br /> Product waste CA Manifest#0 Quantity Onits Price Amount <br /> Coda <br /> RCRA Hazardous Waste Liquid(Used OiQ:Lubricating 221 tJ / Gar <br /> Non-RCRA Hazardous Waste Liquid(Used Oil);Industrial 221 / Gal <br /> Non RCRA Hazardous Waste <br /> Liquid(Used Automotive Antifreeze) 134 oaf <br /> ffCRA Hazardous Waste Liquid(08 5 Water] 221 ® Gal C7 1 <br /> Non-RCRA Hazardous Waste Solids Contaminated With USW Oil 223 <br /> Drained Used Oil Fllter Drurn(s) Drums) <br /> I <br /> Each <br /> Empty Dnim(s) <br /> Transportation R Truck Time flit <br /> i <br /> Hazardous Test <br /> Unloss cthanviw spenf*d On tNs ConeONCsted Mandwt Racapi(Invoice)Terms accounts due on the 10M or the month r000MMg month of purdresa. Past cue Total <br /> awotmts will be dmrf7ed a rINANCE CHARGE at the PERIODIC RATE of 1-112%pa mprdh, ,hire+s 7e ANNUAL PERCENTAGE RATE d 18%. <br /> I <br /> By signing this racaipt,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 economlcally practicable, <br /> Generator certllfes that all HaZardOut:Waste listed on this Consolidated Manifest Receipt Is profiled to meet the Waste Cody as Ilstad above. <br /> Note:George W. Lowry, Inc. hereby advises the Generator that X 's(Generator's slynature) ' <br /> shipment of used oil may be transported to a facillty 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 facilkles that handle or <br /> process used oil are required to meet those more Stringent requirements,and sante out-0t-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 man ment stan- <br /> dards and not these more stringent requirements. <br /> This notification is for infomlatlon only. Lowry Driver signature X <br /> 1 <br /> l <br /> r <br /> r <br /> Signature of Generator,Representative or Agent of Generator: <br /> -� <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive I Name t <br /> Valley Springs,CA 95262 }Y!6�odv111e,Wl 641128 <br /> 209-754-4600 p18 8983363 <br /> 214411 Ji j���ffJJJIR00002976t Addre": <br /> Recycling / � <br /> &Disposal Zilra <br /> sty,State,zip: <br /> nk fir 590 Ramos Environmental <br /> Clzut.Road 1515 S.River Road <br /> Riverbank,CA 6367 Went Sacramento,CA 95891 pteonw. <br /> 209.863 181 9183715747 <br /> CAL0000190 17 CADo04003558 i EPA ID: <br />