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RE(;EIVED <br /> d rP' Mailing:P.O.Box 176,Salida,CA 95368 p C <br /> 4612 Kiernan Court,Salida,CA 95368 FE2016 <br /> G eo rg aW.Lo=% Inc. j Phone:209-5464791 FAX 209-546-2241 <br /> Environmental Services Division ( EPA#CAR000047019 NVIRONMENTAL <br /> CA Transporter Number 3844 H , PARTENT <br /> y CA License#758518 <br /> GENERATOR: Consolidated Manifest invoice: ti i2 <br /> Site EPA ID#: (!!W0 `3 _fy" _ , f <br /> 6056 <br /> Contact Person: Shipment Date: ,' i-I - <br /> Name: 17-6 Driver Signatur (Printed): <br /> Address: j Z6 Truck# <br /> City,state,Zip: <br /> PON <br /> Site Phone: <br /> Product waste CAManifest#0 Quantity Units Pike Amount <br /> Code <br /> .Non-RCRA Hazardous Waste Liquid(Used oiQ:Lubf gng 221 0 /,`7 f Z Q 0 Gal s�,s <br /> Non-RCRA Hazardous Waste Liquid(Used Off):Industrial 221 Gat <br /> Non RCRA Hazardous Waste Liquid(Used Automotive AnNeeze) 134 Gat <br /> Non-RCRA Hazardous Waste L4uid(Oil t£Water) 2211 Gat <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 Drums) <br /> rained Used OA Filter Drum(s) ono) <br /> Empty Dium(s) each <br /> Transportation&TruckTime HR. <br /> Hazardous Test <br /> i <br /> Unless otherwise specified on this Consolidated Manifest Receipt(invoice)Teens:Acommts due on the t01h of the month following month of p achase. Past due To r I <br /> a=unts win be c1mved a FINANCE CHARGE at the PERIODIC RATE of 14r2%per month,which Is the ANNUAL PERCENTAGE RATE of 16%. `y'g <br /> By signing this receipt,the Generator certifies that a program has been established to reduce the volume or quantify and toxicity of the hazardous waste to a degree as <br /> determined by the generator,to be economicaliy practicable. <br /> Generator certifies that all Hazardous Waste listed on this Consolidated Manifest Receipt is profited to meet the Waste Codes as listed above. <br /> Mote: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. Califomia 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 meet those require- <br /> ments These include more stringent leak detection and prevention requirements,engineering ce0catlons 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 oft management stan- <br /> dards and not these more stringent requirements. , <br /> This notification Is for Information only." Lowry Driver Sig <br /> Signature'of Generator,Representative or Agent of Generator.. XI <br /> GreenteallEnvitnnmental C�YRe/g <br /> Vill ToprnCr. �4��,VDNd84028 Name. <br /> Valley Springs,CA 95262 r'r <br /> 209-764.4600 // 715698.3363 <br /> CAL000214411 iJ WVIR000029761 Adder; <br /> Recycling _ <br /> &Disposal <br /> FaCi)itle5 Riverbank Oil Transfer 5300 Ramos Environmental Cry, ,zip: <br /> Claus Road 1516 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209.8635181 916371.5747 <br /> CAL0000190817 CA0004003656 'EPAID: <br />