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06, 3 o Mailing:P.O.Box 176,Salida,CA 8536 <br /> ECEIVED <br /> J 4612 Kiernan Court,Salida,CA 96368 <br /> L Gd6r a W. Lovir '~`llic 2016 <br /> ,. �� Phone:209-545-0791 FAX 209-545-2241 <br /> ! Environmental Services Division I }!, EPA#CAR000047019 <br /> _• •"�� "-.- CA Transporter Number 3844ENVIRONMENTAL <br /> CA License#758518 H TH rWDA RTVl=KIT <br /> GENERATOR: <br /> ��y � �o(�(�, Consolidated Manliest Invoice: 2'5 <br /> Site EPA ID# �Z r./�„i✓ .d o lJ+ `� <br /> Contact Person:. Shipment Date: <br /> --7,/ <br /> Name: n �46 =. Driver Signature(Printed r <br /> Address: �1 ''� ^� Y `k.� �� Truck# <br /> City,state,zip: . ', ��i � 43 <br /> PO# <br /> Site Phone: ` <br /> Product waste CAManifest#0 Quantity Units Price Amount <br /> Code <br /> -Non-RCRA Hazardous Waste Liqudd(Used OiQ:Lubricating 221 f Gat <br /> Non-RCRA Hazardous Waste Liquid(Used 00:industrial 221 Gat v, <br /> Non RCRA Hazardous Waste Liquid(Used Autonxift Antiheeze) 134 Gal <br /> Non-RCRA Hazardous Waste Liquid(09&Water) 221 Gat <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 Drum(r) <br /> Drained Used Oil Filter Drum(s) Drum(a) <br /> Empty Drum(s) Each <br /> Transportation&TrudcTime HR. <br /> Hazardous Test <br /> Unless otherwise specified on,this Consolidated Manifest Receipt(invoice)Terms!Accounts due on the 10th of the month fotowing month of purchase. Past due Otai <br /> accounts wit be charged a FINANCE CHARGE at the PERIODIC RATE of 1412%per month,wtikh is the ANNUAL PERCENIAGEERATE of 19%. ` a" <br /> By signing this receipt,the Generator certifies that a program has been established to reduce the volume or quantfty and toxicity c 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 profited 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 o1 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 requlrements applicabie to hazardous waste management facilities. California facilities that handle or <br /> process used oil are required to meet those more-stri'ttgent 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 certification 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 used oil management stan- <br /> dards and not these more stringent rpludrements. <br /> This notification isrforaln#otmation only. %Lowry Driver SIgnatu <br /> Signature of Generator,Representative argent(of Generator. rX <br /> C2 C3 <br /> Greenleaf Environmental CRi Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95252 Woodville,"54028 Harr: <br /> 209-754-16W 716.6983363 <br /> CALOOOD2144t1 iMR000029751 Address; <br /> Recycling ��}!!!!lJ L . <br /> &t)ispasai <br /> Facilities Riverbank Oil Transfer 5300 Ramos Environmental CRY,Stats,zip; <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 96691 ane: <br /> 209863.8181 916371.5747 <br /> CALOODD190817 CAC1004003566 EPA ID; <br />