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,;... �.. <br /> 1'"ED <br /> Miling:P.O.Box 176,SAIda,CA 95369 <br /> 4612 Kiernan Court,Salida,CA 96388 FEB2016 <br /> GeOfge'.W. Lowry, Inc, t; phopm2os545.0791 FAX209-545.2241 <br /> Environmental Services Division i EPA#CAROOOWO19UP <br /> I <br /> r—�-- --� CA Transporter Number 3844 <br /> yF I TH(FPAR., ENT <br /> CA License#758518 <br /> GENERATOR: Consolidated Manifest invoice: <br /> A i iw 23732 <br /> Site EPA fD# �� Shipment Date:t.1 # <br /> Contact Person: ) F f <br /> Name: ip r. Driver Signature(Prints <br /> Address: L'k -1'f!!" Truck# ,/ <br /> City.State,Zip: / <br /> PO# <br /> Site Phone: <br /> Product .waste CAMaaifest#0 Quantity units Pdoe Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used 01JUbfi sting z21 cel <br /> Non•RCRA Hazardous Waste Liquid(Used 011):Industrial 221 Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gal <br /> Non-RCRA Hazardous Waste Liquid(Od&Watery 221 <br /> AkACRA Hazardous Waste Solids Contaminated with Used OR 223 t '7 Dns) <br /> Drained Used Od FBterOmm(s) Dmmts) <br /> Empty Drums) Each <br /> Transportation&Ttudt Tirlte HR. <br /> Hazardous Test <br /> Unless 0% Mae speedied on tlds d Manifest Receipt pnvoleo)Terms:Accounts due on the lft of Ore month fogWft month cf purhasa.Pastdua Total <br /> a000un}s vnD be d a FINANCE CHARGE at D:a PERIODIC RATE or J-112%permonth,v Mch istin ANNUAL PERCENTAGE RATE of M. <br /> By signing this receipt,the Generator ca fm that a program has been established to reduce the volume or quantity and toxi*of the hazardous wade to a degree as <br /> determined by the generator,to be economically practicable. <br /> Generator cartlties that all Hazardous Male 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 oil but that is <br /> not required to comply with the more stringent requirements applicable to hazardous waste management fadwes. California facilities that handle r <br /> prod used oil are required to meet those more stringent requirements,and some out-of-stale late <br /> process used oil also meet those ce- <br /> ments These include more stringent leak detection and prevention requirements,engineering cerlillcatfora of tank integrity,and financial assu s <br /> for closure and accidental releases. It is lawful to send used oil to out of state facilities that comply a*with the F oil ment <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Lowry Driver Si nature X <br /> Signature of Generator,Representatige or Agent of generator: X. t <br /> Greenleaf Environmental CRI RecyclOrg <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95252 Woodville,Wi 54028 Name <br /> 209.7544660 715.6983363 <br /> CALOOD214411 VER000029751 Addesss: <br /> Recycling <br /> &Disposal <br /> Facilities'zip: <br /> Riverbank d0 Transfer 5300 Riuttos Environmental <br /> Claus Road 1515 S.River Road <br /> Riverbank CA 96367 West Sacramento,CA 95691 t'hores: <br /> 209.86331.81 916.3714x747 <br /> CALOON190817 CAD004003656 EPA rD• <br />