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tD <br /> tlVa <br /> I Matting:P.O.Box 176,Salida,JR, FCro <br /> 4612 Kiernan Court Salida,CA 95368 <br /> George W. Low 9-s4s-224,FEB 17 <br /> Phone-,209-5454791 FAX 20 <br /> Environmental Services Division <br /> EPA#CAR000047019 <br /> CA Transporter Number 300 'T(-�RFID!lRTi4ACPITCAUcense#758518 Ru <br /> GENERATOR: <br /> Consolidated Manifest Invoice: <br /> 24583 <br /> Site EPA 10 9- <br /> 7`6 Shipment Date: <br /> contact Person: T-1 <br /> Driver Signature(Printez�4. <br /> 5� <br /> Address: <br /> P'E <br /> I Site Phone: <br /> Product Waste CAManifest#o Quantity units Price ount <br /> Code <br /> on,RCRA Hazardous Waste Liquid(Used 011):Lubricating 221 Gal <br /> on' <br /> 'FftZRA Hazardous Waste Liquid(Used 011):Industrial 221 Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive A l!""e"ZO) 134 Gal <br /> Non-RCRA Hazardous Waste uquid(all&water) h 221 Gal <br /> Non-RCRA Hazardous We*Solids Contaminated With Used Oil 223 Drum(s) <br /> A(alffCd <br /> Used Oil Filter <br /> 'Empty Drum(s) Each <br /> Transportation&TiuckTims HP_ <br /> Hazardous Test <br /> Unless otherwise SPeciffed on this Conwdated Manifest Receipt(Invoice)Terms,Accounts due on the im of the month lotowing month of pwchaso. past due Total <br /> L!�ynls will be charged a FINANCE CHARGE at the PERIODIC RATE ort-112%W nm!h,which is the ANNUAL PERCENTAGE RATE of is%. <br /> By signing this receipt,the Generator certifies that bt program has been established to reduce the volume or quantity and b)ddty of the hazardous waste tog <br /> reeco� <br /> determined by the generator,to be economically practicable. 7 <br /> Generator certifies that all Hazardous Waste listed on this donsolklated Manirest Receipt is profiled to meet the Wage Codes as listed above, <br /> Note:George W.Lowry,-Inc.hereby adviseg the Generator that X Is(Generator's signature) <br /> shipment of used oil.may be transported to a facility that Is required to comply with federal regulations all <br /> dringeint requirements applicable to hazardous waste management facilities. California facilities that handle or <br /> not required to comply with the more r applicable to management of used oil but that is <br /> process used oil are required to meet those more stringent requirements,and some out-of-slate facilities that process used all also meet those require- <br /> ments; These include more stringent leak detection and prevention requirements,engineering certifications of tank integrity,and financial qpurances <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 mane 0ent stan- <br /> dards and not these more stringent requirements. <br /> This notification is for Information only. Lowry Driver Slqnj/dre X <br /> Signature of Generator,Representative or Agent of Generator: <br /> (X <br /> Greenleaf Environmental 5FIR\' UP 11 g) <br /> GRO <br /> 3474 Toyon Cr. 101 Hagen Oriv61 <br /> Valley Springs,CA 95252 Woodville,W1 U028 Narno <br /> 289-7 00 715-690-3363 <br /> 0, <br /> TO 1441Y WIR000629T51 <br /> 0 ';� <br /> Recycling ��f21111 Address: <br /> . YC <br /> &Disposal <br /> Facilities Transfer 5300 Ramos Environmental City,State,Zip: <br /> Ctais Road- 1615 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Mrw. <br /> 209-8635181 916-37l.R47 <br /> CAL0000190817 CAD004003656 <br /> EPA 11). <br />