Laserfiche WebLink
'. : . . . . . . . . . . . . . . . . . <br /> ::,>. . <br /> _q14 ; - .; � ,;�..o.; Mailing:P.O.Box:176,Salida,CA 95368 <br /> .4612 KleinertCourt,Salida CA 95368 <br /> George W. Lowry, Inc Phone 209545-0791 FAX 209.545-2241 . <br /> EnWronmental Services Oiwsion .. EPA#CAR000047019 <br /> '--"' CA Transporter Number 3844 " <br /> CALlcense#758518 - <br /> GENERATOR: Consolidated Manifest In <br /> 3 7 SRe EPA ID M. 1 . �J19 . Y�7S 77 V�" <br /> Shipment Date:• � _� <br /> Contact Person: <br /> Name: " / Driver Signature(Printed): - <br /> ri fir:. ,. I;iP.s .,�l!J��iu,rr:/n CAL <br /> Address: 9,1 / S.- iii -frill L�� Truck# <br /> City,State,Zip:.'( <br /> .. <br /> Site Phone: PO# ' <br /> Product Waste CA Manifest#( Quantlty units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used 010:Lu1licating 221 Gai <br /> Non-RCRA Hazardous Waste L'Iquid(Used 01Q:Industrial' -221 - Gy <br /> r. <br /> Non RCRA Hazardous Waste LNuid(Used Automotive Antifreeze) 134 Gal . <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221 GO ' <br /> 1 ' <br /> Non-RCRA Hazardous Waste Solids Conlaminated with Used Oil 223 l��p'T!J neQADr�eq r— Omm(6J . ! <br /> Drained Used Oil Fier Drum <br /> (s) Oram(s) <br /> Emptyalum(s) <br /> ranspodation8TruckTime <br /> Ta=unt"nbe <br /> rdous TestV_ � J�t1C rpe V W ?gq j3 spedrieGolhrsCMSOtdatedManliestReceiptllnvofw)Terms:Amounts dW On Bre 1001 of Bre Month following month ofpurd,asePast due TOW <br /> tlur9ed a FINANCE CHARGE at the PERIODIC RATE Of 1-12%per moth,wilkh is Ore 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 wastetoadegreeas <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-maybe transported to a facility that is required to comply with federal regulations applicable to management of used oil butthat,is <br /> not required to comply.with the more stringentrequirements-applicable to hazardous waste management facilities. Califomiafiacillies that handle of <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 certificationsoftank integrity,and financial assurances <br /> for closure and accidentaLreleases It is lawful to send used Ditto out of state fadllies that comply oglywlh.the Federal used oil rnanagement stan- <br /> dards and not thesemorestringent requirements - f/ <br /> This notification is for information only: Lowry Driver Signalure X:� Y_!n) t�✓1 ' <br /> h <br /> Signature of Generator,Representative or Agent,of Generator: X � L!"(/ <br /> Gieenteaf Environmental _ Recycling - <br /> 3474 Toyon Cr:' . 101 Hagen Drive -' <br /> Valley Springs,CA 95252 Woodville,W)U028 Name:- _. <br /> 209-754-0600 715-69"363 <br /> CAL000214411 MR000029751 Address: <br /> Recycling <br /> �tsposal " <br /> Cllitle5 Riverbank Oil Transfer 5300 Ram as Environmental City,state,Zip: <br /> Claus Road _ :i..;1575:Si River Road - <br /> Riverbank,CA96367. - 'r:;NlesfSacramento,CA 95691 Phone: <br /> 209.863.8181 .. <br /> CAL0000190817 7i GA0004003.556•�:" EPA Io: - ' <br />