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(3- LIVED <br /> ,o Melling:P.O.Boz 176,Salida,CA 95368 <br /> ff s .1. 4612 Martian Court,Salida,CA 95368 FEB 17 2016 <br /> George W. LAWN'/, Inc. ° Phone:209-545-01191 FAX 2o9-Mlit 241 <br /> ji Environmental Services Division f;l EPA#CAR000047019 <br /> ENVIRONMENTAL <br /> CA Transporter Number 3844 <br /> 4-IFAITW r1;7049TMFNT <br /> CA License#758518 <br /> GENERATOR: Consolidated Manifest Invoice: <br /> Site EPA. a— `f' i ;. ZA 43 <br /> Contact P on: <br /> ` Shipment Date: <br /> t Name: A r1 " Driver Signature(Print@rdl; <br /> Address: <br /> �- �.(►'"' r"' Truck 4s�..:. <br /> City,State,zip: vim• <br /> Slte Phone: '/ PO# <br /> Product Waste CAManifest#0 Quanuunits price Amount <br /> i Code ^� <br /> •` CRA7WMdous Waste Liquid(Used 01):LuMcabg 221 st .�`" '" C Gal I <br /> Non-RCRA Hazardous Waste L4ukl(Used N:industrial 221 Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Anfdreeze) 134 Gal <br /> Non-RCRA Hazardous Waste Ligtrid(08&Water) 221 Gal <br /> Non-RCRA Hazardous Waste Solids Contamirtated with Used 09 223 . onsn(s) <br /> Drained Used Ot Filter•Dmm(s) <br /> Empty Drum(s) Each <br /> Transportation&Truck Time HR <br /> Hazardous Test <br /> Unress otherwise specified On We Consolidated Manifest Receipt(Invoice)Terms:Accounts die an rhe 10dt Offt MO rorlowing month orprrchase. Past due Total � .�°•°""" <br /> aoeourds wid be dwood a FINANCE CHARGE at due PERrODIC RATE of 1412%per month,which Is the ANNUAL PERCENTAGE RATE of 1895. <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 toed dogQ,09r •`" "— <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 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 facil'it'ies that process used oil also meet those require- <br /> merits These include more stringent leak detection and prevention requirements,engineering certifications of tank integrity,and financial a,sU rances <br /> for closure and accidental releases. it is lawful to send used oil to out of state facilities that comply only with the Federal d <br /> ,used oil me em Stan- <br /> dards and not these more stringent requirements. r',r <br /> This notification is for information only. Lowry Driver Signature X s� <br /> T v <br /> Signature of Generator,.Representative or Agent of Generator: X <br /> Greenteaf.Environmentat CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Volley.Springs,CA 95252 Woodville,Wd 54028 dame: <br /> 209-700 7154983363 <br /> RBC C(Irl L00 214411 iMR000029751 Address: <br /> Y g <br /> &bisQosa( • <br /> FaC(ii#es nk Q t Transfer 5300 Rentos Environmental C*state,zip: <br /> Cie Road` 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95891 <br /> 209.863-8181 916371.6747 <br /> CAL000019OB17 CA0004003556 EPA to: <br />