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n Mailing:P.O.Box 176,Salida,CA 95368 <br /> 4612 Klernan Court,Salida CA 95368 <br /> .,George W. Lowry, Inc. Ptane:208a45-0791 FAX 209545-2241 <br /> `Environmental Services Division a F_PA S CAR000047019 <br /> . : CA Transporter Number 3844 <br /> CA License#758518 <br /> GENERATOR: Consolidated Manifest Invoice: ' <br /> Site EPA ID A- {w <br /> Contact Person: Shipment Date: <br /> Name: + Driver Signature(Printed): <br /> Address:. i i Ly, ? Fruck#City,State,Zip: <br /> Site Phone: <br /> Product Cove CA Manifest So Quantity units Price Amount <br /> ' Non-RCRA Hazardous waste Liquid(Used Oil):Lubricating 221 Gat <br /> Non-RCRA Hazardous waste Liquid(Used Off):Industrial 22, r r� <br /> f J ^�- 7 <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gal <br /> ` oit-RCRA Hazardous Waste Liquid(Oil&Water) 221 Gal80 <br /> ; <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used ON 223 I Drunys) <br /> Drained Used Orf Filter Drum(s) <br /> Eby Drum(s) Each <br /> Transportation&Trudc7tme ►Itt <br /> Hazardous Test <br /> Unless otherwise specified an this ConsoldAed Manifest Recut(Invoice)Tom:.AcwurAs due on the 10th of the moalh <br /> cxrrlswill be charged a FINANCE CHARGE at the PERK)DIC RATE of 1-12% E RATE of perchase. Past due <br /> aaTOtal K M <br /> Per rerxNh,which is the ANNUAL PERCENTAGE RATE of 18'16. �,�',•, <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 ort but that is <br /> not required to comply with the rrfnre 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 certiftations 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 <br /> ge requirements. <br /> This notification is for information only. Lowry Driver Signature X <br /> Signature of Generator,Representative or Agent of Generator: X <br /> Ile <br /> Greenleaf Environmental CRI R icling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95252 Woodvi'Ae,Wt 54028 crania: <br /> 209-754.4600 715-698-3363 <br /> CAL000214411 YYIR000029751 mss: <br /> Recycling , � -. <br /> f &Disposal C3 <br /> Facilities staft <br /> Ri300 verbank OH Transfer 5Ramos Environmental ' ' ' <br /> Claus Road 1515 S_River Road <br /> Riverbank,CA 96367 West Sacranierillo,CA 95691 % <br /> 209863-8181 916-371-5747 <br /> CAL0000190817 CAD004003556 EPA ro: <br />