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IV <br /> E%jE '"Eru <br /> \ -• r° ?"„ Mailing:P.O.Bax 176,Saitda,CA 9.52 <br /> { - 4612 Kiernan Court,Salida,CA 95368 <br /> C72016 <br /> y <br /> '. eOrge W;,L�w.l = 'nC Phone.209.545-0791 FAX 209546.2241 .. EB 17 L o c <br /> U <br /> Environmental-services Division FtFt EPANCAR00t1047019 <br /> CA Transporter Number 3844 <br /> jrI i CA License#758518 ENVIRONMENTAL <br /> HF&17rMJ npPARTk4;=NT <br /> GENERATOR: ,...J <br /> Consolidated Manifest invoice: <br /> Site EPA ID 26237 <br /> #: d `'� .� --y_ ``"` <br /> T Shipment Date: !L e`j <br /> .Contact Person: lJ <br /> E,Name: r Q Driver Signature(Printed): A <br /> Address: Q <br /> Tntck# <br /> City,State,Zip: <br /> Site Phone: <br /> Product was <br /> e <br /> code CA Manifest#0 Quantity units price Amount <br /> Cad <br /> •Non-RCRA Hazardous Waste Liquid(Used 011).-Lubricating 271 ® �.�^°° �-� - � @ Gat <br /> Non-RCRA Hazaidoas Waste Liquid(Used Oil):Industrial 221 eat f/l <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gat <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) z211; Gat <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 ntimtei <br /> -grained Used 011 Filter Drum(s) Drum(s) ' I� <br /> Empty Druni(s) Each ' �? <br /> Transportation 8 Tludt Time HR. <br /> Hazardous Test ,.- <br /> /r <br /> Unless otherwise speafied on this cwt idatedManliest Receipt(hwoice)Terms:Acmmts due on the loth of the month fotoeStng mardh M Kffchase. Past due <br /> accounts va't be charged a FINANCE CHARGE at the PERIODIC RATE of 1-1/216 per month,which is the ANNUAL PERCENTAGE RATE or 18%. <br /> By signing this recelpL'the Generator cerfifies that a program has been established to reduce the volume orguantily 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 /> 1 <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 regulattons applicable to management of used oil but that is <br /> not required to comply with the more stringent requirements applicable tobazardous waste management facilities,.California facilities that handle or <br /> proeess'used oil are required to meet those more stringent requirements,and some ouW-state facilities that process used 011-also meet those require <br /> Mints 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 o€state facilities that compiyony with the F etallmed oil m <br /> dards and not anagement stan- <br /> these more stringent requirements. <br /> This notification is for.information only. Lowry Driver Si� tri 4 <br /> • 1 „r- <br /> Signature of Generator,Representative or Adent of Gdneratoc X i 1 <br /> I ft i <br /> • r- � <br /> Greenleaf Environmental CRI Recycling <br /> 3474 T®yon Cr. .• 101 Hagen Drive <br /> Valle)i Springs,CA 96252 Woodville,Wi 64028. Ware: <br /> 20,9-7"00 . 715-696.3363 <br /> CAL000214419 WIR000029751 Addms: <br /> Recycling �t • <br /> L ` <br /> FaCflities Riverbank Oil Transfer 5300 Ramos Environmental cam'S��'gyp` <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phono: <br /> 209463.8181 . 9163715747 <br /> CAL0000190917 CAD004003656 EPA 1e: <br />