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i <br /> R E LO)"'E <br /> e Mailing:P.O.BOX 176,Salida,CA 95368 <br /> .G@OIY�L'W. L® nom '3 4612 Kiernan Court,Salida,CA 9536FEB 17 2016 <br /> rv� a <br /> " - ! Phone:20954E-0791 FAX 209545-2241 <br /> Environmental Services Dlvlsion ] EPA#CAR000047019 <br /> CA Transporter Number 3eZNVIRONMENTAL <br /> CA License#758518 <br /> .LT14 lD;:PARTgAGNT <br /> GENERATOR: <br /> [Driver <br /> solidated Manifest Invoice: 24944 <br /> Site EPA to 0: 1�.. ✓10`. f `�� Ca C- <br /> Contact Person: !I7 T pment Date: <br /> Name: / / Signature(Printed):Address: '�:l7 �rC f �City,State,Zip: C, k (2--Site Phone: <br /> Productwaste <br /> Ma <br /> CA Manifest fl0 Quantity units Pie Amount <br /> Non-RCRA Hazardous Waste Liquid(Used Or7);Lubricating 221Gal`� <br /> Non-RCRA Hazardous Waste Liquid(Used pit}:Indushet 221 ' / V Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antrilreeze) 134 Gal <br /> r3al <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221 <br /> Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 Drurrits) <br /> Drained Used Olt Filter Drums) +mts1 <br /> Empty Drums) . <br /> Each <br /> Transportation&Truck Time <br /> HX <br /> Hazardous Test <br /> Unless diherwise sPedfied on this Consolidated Manilast Receipt(Invoice)Terms:Accounts dub on the 10th Of the month folf <br /> accounts win be charged a FINANCE CHARGE at the PERIODIC RATE of T-1t2% 0� th er pose. Past due Total �Jl� <br /> per month,which is the ANNUAL PERCENTAGE RATE of 18% <br /> By signing this receipt,the Generator certifies that a C.r as <br /> determined by the generator,to be economicallyprogram has been established to reduce the volume or quantity and toxidty of The hazardous waste to a degree as <br /> Generator certifies that all Hazardous Waste listan 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 <br /> shipment of used oil maybe transported to a Tacit that is comply `s(Generator's signature) <br /> not required to comply with the more stringent requirements pp!cable to hazardous wastederalregulations <br /> management facilities. Califocable to rnia facilities that handlement of used oil but hor is <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 Certificcations of tank Integrity, <br /> and financial <br /> for closure and accidental releases. It is lawful to send used oil to out of state faci1- ty only with the Federal sd a t management stances <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Lowry Driver Si nature X <br /> ^ <br /> Signature of Generator,Representative or-Agent of Generator. <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr 101 Hagen Drive <br /> Valley.Springs,CA 95252 Woodville,WI 64th H-0- <br /> 209-764-4600 716498-3363 , —7 <br /> Recycling CAL000214411 1MR000029751 Addy ss: <br /> sum <br /> $Disposal <br /> FaCilitfes Riverbank Oil Transfer 5300 Ramos Environmental city,State,ZIP: <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone- <br /> 209-863-8181 916-371-5747 <br /> CAL0000190817 CAD0040035N <br /> EPA ID: <br />