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Mailing:06ox 176,Salida,CA 95368 <br /> '. George W. Lowry, Inc. 4612 Kiernan Court,Salida,CA 95368 <br /> 1111 <br /> Environmental Services Division Phone:209.545.0791 FAX 209-545.2241 <br /> Mu EPA#CAR000047019 <br /> CA Transporter Number 3844 <br /> CA License#758518 <br /> TT <br /> GENERATOR: <br /> Site EPA ID#: �� #1 � !I y / .' L % Consolidated Manifest Receipt: <br /> Contact Person: <br /> P,� Shipment Date: - <br /> Name: tH;.. - <br /> Driver Signature: <br /> Address: I( '-C�.' <br /> City, State,Zip: <br /> Site Phone: <br /> Product Waste Manifest Quantity Units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 sem' GAL <br /> Non-NonHazardous Waste Liquid(Used Oil):Industrial 221 ^;;C,,,.:-; _ L/ c- 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 Drunrl <br /> Waste Solids&Sludge <br /> Wash Out <br /> Empty Drums EA, <br /> Transportation&Truck Time HR. <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 t <br /> amounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 14/2%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 a or q ntity and toxicity of 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 Receiptcprofj,-k�t the Waste Codes as listed above. <br /> Signature of Generator, Representative or Agent of Generator: x <br /> Recycling $ Disposal Facilities ' � _; --o -;J <br /> 1 3 a C)(D C) , a -P <br /> 0 0 <br /> Greenleaf Environmental Ameridean <br /> 3474 Toyon Cr. 2430 Almond Dr. Name: <br /> Valley Springs,CA 95252 Silver Springs,NV 89429 <br /> 209-754-4600 775-577-9001 Address <br /> CAL000214411 NVD982358483 <br /> 0 City, State,Zip: <br /> Riverbank Oil Transfer CRI Recycling Service,Inc. <br /> 5300 Claus Road 101 Hagan Drive Phone: <br /> Riverbank,CA 95367 Woodville,WI 54028 <br /> 209-863-8181 715-698-3363 <br /> CAL000190816 WIR000029751 EPA ID: <br />