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�, .•m Mailing:P.O.Box 176,Salida,CA 95366 FEB 17 2016 <br /> 4612 Kieran Court,Salida,CA 95368 !.. <br /> GeoEge W. LowM inc. j Phone:20954"791 FAX2o9-54s-22 <br /> FENVIRON <br /> Environmental Services Division (' EPA#CAR000047019 WENTAL <br /> e -T— <br /> .�. •,f °---�•--�-_-}-- CA Transporter Number 3844 <br /> '' CA License#758518 <br /> GENERATOR: Consolidated Manifest Invoice: <br /> Site EPA ID#: J N 6 °^ <br /> Contact Person: Shipment Date <br /> Pdame: Driver Signature(Printed): <br /> Bk T1 x...91 <br /> Address: G�Y Truck# <br /> City,State,Zip: A (..�✓'r f PON <br /> Site Phone: <br /> Product Waste CA Manifest#0 Quantity jUnits, Price Amount <br /> Code <br /> on-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 �Non-RCRA Hazardous Waste Liquid(Used 011):Industrial 221 P J <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gal <br /> Nal-RCRA Hazardous Waste Liquid(01&Water) 221 Gar <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used 01 22.3 Drum(s) <br /> Drained Used 011 FitterDrum(s) Drums) <br /> Empty Dru n(s) Eaett <br /> Transportation&Truck Tune HR <br /> Hazardous Test <br /> Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Terms:Accounts due on ft 10th of the month following month of purchase. Past due To e t+ <br /> accounts wit be charged a FINANCE CHARGE at the PERIODIC RATE of 1-12%per month,which is the ANNUAL PERCENTAGE RATE of 18%. <br /> By signing this receipt,the Generator certifies that a program has been established to reduce the volume or quantity and toxicity of the hazardous waste to a degree as <br /> determined by the generator,to be economically practicable. <br /> - <br /> Gene(ator certifies 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. California facilities that handle or <br /> process used oil are required to meet those more stringent requirements,and some out-of-slate facilities that process used oil also meet those require- <br /> ments These include more stringent teak detection and prevention requirements,engineering certifications of tank integrity,and financial assurances <br /> for-closure and accidental releases. itis lawful to send used oil to out of staMature <br /> that pry only wit e,�ederal used oil management stan- <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Lowry Driver r1 <br /> t <br /> Signature of Generator,Representative or Agent of Generator: X 1 <br /> f <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive) <br /> Valley Springs,CA 95252 Woodville,111110 64020 Na' <br /> 209-7544600 715.6983363 <br /> CAL000214411 VAR00��1 Address: <br /> Recycling . <br /> &Disposal <br /> Facilities Riverbank Oil Transfer 5300 Ramos Environmental clef,earn,zp: <br /> Claus Road 1815 S.River Road <br /> Riverbank,CA 90367 West Sacramento,CA 95691 Phone: <br /> 209.863-6161 9163715747 <br /> CAL0000190817 CAD004003656 EPAID• <br />