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r q•� <br /> RECEIVE[ <br /> Malting:P.O.Box 176,Salida,CA 95368 <br /> r� r 4612 Klernan Court,Salida,CA 95368 FEB 17 2016 <br /> to George W. Lowrv, Inc. ; Phone:209-6454791 FAX 209-645-2241 <br /> < Environmental Services Division { EPA#CAR000047019 <br /> ENVIRONMENTAI <br /> !" CA Transporter Number 3844 )-J��141aR�ic►IlQTgAF^IT <br /> CA License#758618 <br /> GENERATOR: Consolidated Manifest Invoice: <br /> `� <br /> Site EPA ID#: ���� Ut�'- <br /> ``1 <br /> Shipment Date: <br /> Contact Person: VL.f 7 J <br /> Name: C � ./ Driver Signature(Printed): <br /> Address: f D r Truck# !/ <br /> City,state,zip: <br /> ,.<44 PO# <br /> Site Phone: <br /> Product waste CAManifest#0 Quantity units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used 00):Lubricating 221 <br /> f,t f(o Gat <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Industrial 221 ` / 73. Get <br /> Non RCRA Hazardous Waste Liquid(Used Automotive AnIffreeze) 134 <br /> Mon-RCRA Hazardous Waste Liquid(Oil&Water) 221 Gat <br /> Non-RCRA Hazardous Waste Solids Contaminated w1dh Used Oil 223 Drum($) <br /> F rained Used 00 Fitter Drum(s) Drumtsl Ae- �.• <br /> Emply Dium(s) 'Each <br /> Transportation BTruckTnne HR. <br /> Hazardous Test <br /> unless otherwise spea•5ed on this Consolidated Manifest Recelpt(invoice)TW=Accounts due on the 101h of the month foftoWng month or ptrchase. Past due Total / 5 L <br /> accounts wail 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 foidaty of the hazardous waste a degree <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'ssignature) <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 fecilibe§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 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 federal used oil management sta - <br /> dards and not these more stringent requirements. <br /> This notification Is for information only. Lowry Driver Sign) <br /> Signature of Generator,Representative or Agent of Generator: XEnv <br /> t — <br /> t <br /> Lj <br /> Greenteaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95252 Woodville,WO 54028 Nim: <br /> 209-7644600 716-8983363 <br /> CALOOD214411 WIR000029751 Address: <br /> Recycling <br /> 8 Disposal ! C L,� °, • <br /> FaCitities Rive n tt'Qtl ransfer. 5300 Ramos Environmental m�'State,Zip: <br /> Road 1615 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209863.8181 916371-5747 <br /> .j, <br /> CAL0000990817 CA0004003SBO EPA ID: <br />