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4 <br /> Melling:P.O.Box 176,Salida,CA 95 8 <br /> ECEIVED <br /> 4612 Kiernan Court,Salida,CA 95368 <br /> `:.George W. Lowm Inc. Phone:209.545-0791 FAX 209.545-2241 ' FEB 2016 <br /> • <br /> Environmental Services Division l <br /> EPASCAR000047019 <br /> CA Transporter Number 3844 <br /> ��� ✓` CA License#758518 ENVIRONMENTAL <br /> HFAlTN nPP4.RTMFN'T' <br /> GENERATOR: Consolidated Manifest Invoice: ;..icy 24804 <br /> Site EPA ID M �, �^"r <br /> �� Shipment Date:_.__ <br /> Date: <br /> Contact Person: 1`Y f 1 <br /> Name �r Driver Signature(Printed). � <br /> Address: t Z i J • 07 4! � Truck# / t 1ti� <br /> City.State,Zip: - -1—y t E z• . <br /> Site Phone: <br /> PO# <br /> Product waste CAManifest#0 quantity units price Amount <br /> Code i <br /> Non=RCliA Hazardous Waste Liquid(Used Oil):Lubricating 221 Gate' <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):indushiai 221 ! f Gal <br /> Non RCRA Hazardous Waste 1l4ufd(Used Atttomtotive Antiheeze) 134 Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221 Gat <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used 01 •223 ihurrge) <br /> rained Used Oit Filter Drum($) <br /> Empty Drum(s) Each <br /> Transportation&TruckTims pR <br /> Hazardous Test <br /> Unless otherwise spedfied on 0Js Consoacmed Manifest Receipt(invoice)Terns:Acocunts due on"10th'orthe month following month of pusham Past due Tota <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 14f2%per month,which is Ore ANNUAL PERCENTAGE RATE of 1a%. <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 <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 Geheratdr 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 most those more stringent requirements,and some out-of-state facilities that process used OR 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. If Is lawful to send used oil to out'of state�C11,706arMaticono Illy with the F Mused ori management stan- <br /> dards and not these mare stringent requirements.This notification Is for information only. Lowry DriverSi � t <br /> Signature of Generator,Representative or Agent of Generator: X_--- .� <br /> EwaiWN <br /> / 13 <br /> Greenleaf Environmental ,C6Recycifng <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95252 Woodville,W!54028 Harhha: <br /> 209-754-4600 7156983363 <br /> CAL000214411 MR000029751 Address: <br /> Recycling , . <br /> &Disposal ��'" �'"' • <br /> Facilities Riverbank Oil Transfer 5300 Ramos Environmental chr.Stara,zip: <br /> Claus Road 1615 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209-863.8181 9163713747 ' <br /> CALOODO190817 CAD004003556 EPA ID- <br />