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RECEIVEC <br /> ti s Mailing:P,O.6ox 176,Salida,CA 95368 ��t6 <br /> �' 4612 Kiernan Court,Salida,CA 95368FEB I U <br /> Low Inc. " {' <br /> Phone:209545-0791 FAX 209-545-2241 <br /> Environmental SaMces Division' EPA#CAR000047019 <br /> ENVIRONMENTAL <br /> i _ <br /> —" CA Transporter Number 3844 a{ Q1 T¢®►i%;:pAtgTitAFA1T <br /> CA License#758618 <br /> GENERATOR: Consolidated Man d voice: <br /> :4 `: �. <br /> . <br /> 15 4 <br /> p <br /> Contact Person: Shipment Date: , 3 <br /> Name: d Driver Signature(Printed): r � <br /> T <br /> ruck* <br /> City,State"Zip: C! 12,2 <br /> : <br /> Site Phone: <br /> Product waste CA Manifest 00 Quantity units Price Amount <br /> Code <br /> on-RCRA Hazardous Waste Liquid(Used 011):Lubricating 221 �. i,- 1��� �y Gal / s <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):industrial 221 ! L ., fJ <br /> Non RCRA Hazardous Waste Liquid{Used Automotive Antifieeeze) 134 Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221 Cat <br /> Non-RCRA Hazardous Waste Sorlds Contaminated with Used Oil 223 tirum(s) <br /> Drained Used Oil FiiterDrum(s) ocuin(ai <br /> Empty Drum(s) <br /> Each <br /> Transportation&Tack Time HR <br /> Hazardous Test <br /> Unless otherwise <br /> specified on thts.Consoridated Manifest Receipt(invoice)Terms.,A=unts due an the 10th of the month rolrowine nwnlh of pirrdiase.Fast due Tetd ¢"Z`t <br /> accounts will be Charged a FINANCE CHARGE at Lha PERIODIC RATE of 1-1246 per month,which is the ANNUAL PERCENTAGE RATE aria%. <br /> By signing this receipt,the'Generator certifies that a program has been established to reduce the volume or glian*..and toxiclty or the.hazardous waste to a degree as <br /> determined by the.generator,to be economically practicable. <br /> Generator certifies that all Hazardous Waste listed on this Consolidated Manifest Receipt is profiledto 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 regdired 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 meet those more-stringent requirements,and some out-of-state facilities that process used o7 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 accldentai releases. It is lawful to send used oil to out of state facilities that comply only,with the Federal used oil management stan- <br /> dards and not these more stringent requirements. --....o, <br /> This notification is for information only. Lowry Driver Slg�Ature-X._�3• i <br /> Signature of Generator,Representative or Agent of Generator:. X <br /> --_ <br /> / ... r <br /> Greenleaf Environmental CRI-Recycling. <br /> 3474 Toyon'Cr. 101 Hagen orive <br /> Valley Springs,CA 25252 Woodville,Wi$4028 Name: <br /> 209-754.4600 716-6985363 <br /> Recycling 000214411 MR000029751 Address: <br /> &t)isposal � � <br /> FaC111tIeS rtwnk Oil Transfer 5300 Ramos Environmental 's '�'' <br /> RicCit <br /> Claus Road 1615 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: . <br /> 209.863.8181 916371-6747 <br /> CAL0000190817 CADDUM306 EPA r0: <br />