Laserfiche WebLink
i Mailing:P.O.Box 176,Salida,CA 953 REGF..'IVED <br /> i 4612 Kiernan Court,Salida,CA 95368 <br /> GeOr_ Qtr Y. LOW t, Inc. rJ Phone:209545.0791 FAX 2og-v45-2241qq C <br /> I Environmentalservice's Division rl "q EPA#CAR000047019 E 'G016 <br /> CA Transporter Number 3844 <br /> CA Ucense#756518ENVIRONMENTAL <br /> i EA.l T1J RTA, PMT <br /> GENERATOR: Consolif3ated Manifest Invoice: t s3 <br /> Site EPA ID#: ,� - <br /> ;�. 251 <br /> contact Person: Shipment Date: d <br /> Name: ; Driver Signature(Printed): <br /> Address: <br /> .Truck <br /> City,State,Zip: 17fylCf t ✓ �. <br /> Site Phone: PO# <br /> Product waste CAManifest#0 Quantity units Price Amount <br /> Code <br /> on RCRA Hazardous Waste Liquid(Used Oil):LubrigBng 221 13 j .. N Gat <br /> J <br /> Non-RCRA Hazardous Waste Liquid(Used 0�:industrial 221 Gel <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Wabr) 221 Gat <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 �m+I6I <br /> Drained Used Oil Filter Drum(s) Drums) <br /> Empty Dnrm(s) <br /> Each <br /> Transportation gTruckTum HR- <br /> , <br /> " Hazardous Test <br /> Uniess otherwise specmed on fhts Cansotidated NWnNest Receipt Onvoke)Terns:Aotwunls due on the loth or dye month toilowinp month or �7 ofai <br /> aomunfs will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-12%per month,which is fhe ANNUAL PERCENTAGE RATE of 18%. Past due <br /> d <br /> By signing this receipt,the Generator certifies that a program has been established to reduce the volume or quantity and toxicity of the hazantous waste a deg <br /> determined by the generator,to be economically practicable. ree as <br /> Generator f ertifies 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 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: C2010mia facilities that handle or' <br /> Process used oil are required to meet those more stringent requirements,and sorne'iiVt-of-state facililies.that process used oil 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. It is lawful to send used oil,to out of state facilities that comply only with the Federal lysed oll management stan- <br /> dards and not these more stringent requirements. <br /> This notification is for information only. LowryDriver Signature X <br /> Signature of Generator,Representative or Agent of Generator: X ` <br /> Greenleaf Environmentat CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95262 Woodville,WI 54028 Nemo <br /> 209-754.4600 715-698-3363 <br /> CAL000214411 MR000029751 Address: <br /> Recycling _ Oj�l <br /> &Disposal <br /> Facilities Riverbank Oil Transfer 5300 Ramos Environmental city.Stets'zip: <br /> Claus Road• 1515 S.River Road <br /> Riverbank,CA 96367 West Sadramento,CA 95691 Ptmm: <br /> 209663.8181 916.37.1:1747 <br /> CAL0000190817 CADON003656 EPA to: <br />