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RECEIVED <br /> Mailing:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kleman Court,Salida,CA 95368 F4�B 17 2016 <br /> C&Geogge W. Lowry, Inc. Phone:209-545-0791 FAX 209-M6-2 <br /> Environmental Services Division EPA#CAR000047019 <br /> CA Transporter Number 38mENVIRONMENTAL <br /> CA License#758518 HEA!.Tfj nl=PARTMENT <br /> GENERATOR: <br /> Consolidated Manifest Invoice: <br /> Site EPA ID <br /> Shipment Date: <br /> Contact son <br /> Name: Y-. <br /> Driver Signa, ure '7 r): <br /> Truck <br /> Address: <br /> City,State,Zip: <br /> PO# <br /> Site Phone: <br /> Product waste CA Manifest#0 Quantity units Price Amount <br /> Code <br /> .NoriACRA Hazardous Waste Liquid(Used Oil):Lubricating 221 Gal t <br /> 2 <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 Solids Contaminated with Used Oil 223 Drungs) <br /> Drained Used Oil Filter Drum(s) Drum(s) <br /> Empty Drum(s) Each <br /> Transportation&Truck Time HP, <br /> Hazardous Test <br /> Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Terms- Amounts due on the 10th of the month following month of purchase. Past due Total <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-12%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 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 K Lowry, Inc. hereby advises the Generator that sionatui-_) <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 those more stringent requirements,and some out-of-state facilities that process used oil also met those require- <br /> ments These include more stringent leak detection and prevention requirements,engineering codifications 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 oill_managerniiii Stan- <br /> dards and not these more stringent requirements. <br /> a. <br /> This notification is for information only. Lowt-y Driver Signa'LLWe <br /> 77 7' <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,11111111154028 <br /> 209-7544600 71"98-3363 <br /> tAL009214411 WIR000029751 Address: <br /> Recycling ' "' I" <br /> &Disposal Ind City,State,Zip: <br /> Facilities .�"Rl"'ni�01 Z I Transfer 5300 Ramos Environmental <br /> CW6 Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209-863-8181 916371-5747 <br /> CAL0000190817 CA 3556 EPA ID: <br />