Laserfiche WebLink
_ <br /> Fill! III <br /> s� <br /> i Mailing.t-.0.Box 176,Salida,GA 95368 <br /> 4642 Kiernan Court,Salida CA 95368 <br /> George W. Lowry, lnc. Phone:2O9545-0791 FAX 209545-2241 <br /> Environmental Services'Division g Q EPA#CAROOOO4701a <br /> P 3 2016 <br /> CA Transporter Number 3844 - <br /> a CA License#758518 <br /> S,. 'GENERATOR: _ <br /> Consolidated ManifestInvoice: - 2 <br /> Z;:te EPA ID#: 176 ` Shipment Date: - 7/ <br /> t ' <br /> - Contact Persow. <br /> t.jrrfe: 3. {_- — Driver Signature(Printed). <br /> # - ,aFt <br /> ^: Address: } Truck# <br /> c:;y,State,Zip: <br /> PO ft <br /> ., .. Site Phone: <br /> ':G l Product Waste CA Manifest#0 Quantity III Price Amount <br /> ua <br /> code <br /> Non-RCRA Hazardous Waste Liquid:(Used Oil):Lutxlcating 221 CS <br /> 4" <br /> Non-RCRA Hazardous Waste Lquid.(Used Oil):Industrial 221_ <br /> r`i Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gat <br /> Non-RCRA HazardousWaste L'quid(Oil:&Water) 221 <br /> F r' <br /> Non-RCRA Hazardous Waite Solids Contaminated with Used 011 . 223 ., -' 1 o`t""(S) t <br /> t..; - - - : : <br /> Drained Used-Oil FilterDrum(s) Drum(s) <br /> \� Empty Drum(s) r" r^ k <br /> Transportation&Truck Time HR -- <br /> Hazardous.-Test . <br /> iless otherwise specified on this Consolidated Manifest•Recerpt(InvoFce).Terins Accounts due ori-the 10th of Tie month following month of p_C1_ Past due Total'. <br /> u. dccwrits:will be dwgied"a`FINANCE CHARGE at tfie'PERIODIC 2 <br /> RATE of 1-1 %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 volume or Quantity and toof the hazardous waste to abegree as <br /> determined by the generator,to be economically practicabie. <br /> Generator certifies that all Hazardous Waste iisted 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:requlred:to comply with federal regulations applicable.to management;of used oil but that is <br /> not required to comply with the more stringenYrequirements applicable to hanrdous.waste nnanagement facilities Califomla.facilities that handle or <br /> process used oil are,required to meet those more stringent requirements,and some out-of-state facifities that process used ofl also meet those require- <br /> menu These include more stringent leak detection and.prevention requirements,engineering certifications of tank Integrity and_.financial assurances <br /> for closure and accidental releases. Itis lawful to send used oil to out of'state facilities that empty on with the Fedm(Ili <br /> esed-o0 management stan- <br /> dsrds and not these more stringent requirements. <br /> This notification is for information only. Lowry Driver Signature X + <br /> F <br /> Signature of Generator,Representative or Agent of Generator'- X <br /> Greenleaf.Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 H9gen Drive <br /> Valley Springs,CA 95252 Woodville,VA 54028 <br /> 2Q9-754-4600 reaa: <br /> 715-698.3363' <br /> CAL000214411 VAR000029751 Add _ <br /> Recycling ,. <br /> o aZip: <br /> T <br /> { FdCifltl@S <br /> Riverbank Oil Transfer 5300 Ramos Environmental <br /> i <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA.96367 West Sacramento,CA 95691 : <br /> 209-863-8181 916-3715747 <br /> CALO0O019O817 CADO04O03556 EPA Io- <br /> y"y-a- <br />