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RECEIVED <br /> Mailing:P.O.Box 176,Salida,CA 95368 FEB 17 2016 <br /> 4612 Kieman Court,Salida,CA 95368 <br /> Cg @ . L s Inc. Phone:209345-0791 FAX 209 1IRONMENTAL <br /> ental services Division EPA#CAR000047019 <br /> AV CA Transporter Number 3844 HEAKYP nI=PkRTk4FnIr <br /> CA License#758518 <br /> GENERATOR: <br /> Consolidated Manifest Invoice: <br /> Site EPA ID#: <br /> Contact Person: <br /> Shipment Date: <br /> Name: DriverSig �.< <br /> Address: <br /> Truck# <br /> City,State,Zip: <br /> Site Phone: <br /> PO# <br /> Product waste CA Manifest#0 Quantity Units Price Amount <br /> Code <br /> p TNon-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 <br /> Gal <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):industrial 221 Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221 Gal <br /> Non-RCRA Hazardous Waste Sobs Contaminated with Used Oil 223 prur,(s) <br /> Drained Used Oil Fitter Drum(s) ®runts) <br /> Empty Drum(s) <br /> E.aeh <br /> Transportation&Truck Time HR <br /> Hazardous Test <br /> Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Terms: Accounts due on the 1011h of the month following month of purchase. Past due <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-1 r2%per month,which is the ANNUAL PERCENTAGE RATE of 18%. Total <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 44€f, Lowry, Inc. hereby advises the Generator thats(Generator's ssgna:s ,A1 <br /> shipment of used oil may be transported to a facility 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 facilities that handle or <br /> process used oil are required to meet thosemore stringent requirements,and some out-ofLstate 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 Federalealused oil management stan- <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Loviry Driver Sigratu <br /> Signature of Generator,Representative or Agent of Generator: X <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95252 , Woodville,Wl 54028 Name: <br /> 209-754.4600 715.6983363 <br /> CAL000214411 MR000029751 <br /> Recycling Address: <br /> &Disposal <br /> *BOB City <br /> Facilities nk Oil Transfer 5300 Ramos Environmental 'state,Zip: <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209-863-8181 916371-5747 <br /> CAL0000190817 CA 3556 <br /> EPAID: <br />