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EwED <br /> Malting:P.O.Box 176,Salida,CA 95368 FEB 2016 <br /> ` 4612 Kiernan Court,Salida,CA 95368 <br /> '•George K L®Wi'y, Inc. Phone:209-54S4791 FAX 209.545 AENTAL <br /> f; .""� EPA#CAR000047019 -f�r1Cf3ARnfiE*AIT <br /> F Enviropmental Services Division <br /> CA Transporter Number 3844 <br /> CA License#758518 <br /> GENERATOR: Consolidated Manifest invoice: =t <br /> Site EPA ID#: <br /> f 'ti,u <br /> .� <br /> Contact Person: Shipment Date: <br /> Name: Driver Signature(Printed <br /> Name: <br /> Truck# <br /> City,State,Zip: 20R t <br /> Site Phone: p0# <br /> Product Waste CA Manifest#0 Quantity Units <br /> Price Amount <br /> Code <br /> YNon-RCRA.Hazardous Waste Liquid(Used 011):Lubricating 221 - / � �1� Go] <br /> V 2� <br /> Non-RCRA Hazardous Waste Liquid(Used OR):industrial 2z1 �s�3+ J Gal <br /> Non RCRA Hazardous.Waste Liquid(Used Automotive Andf eeie) 134 <br /> Non-RCRA Hazardous Waste Liquid(00&Water) 221 Gat <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 Drom(s) <br /> Drained Used 031 Filter Drum(s) Drum(s) <br /> Empty Dmm(s) Each <br /> Transportation&Trucktime HR. <br /> Hazardous Test �--•' <br /> Untess orharMse specified on this Consofidafal Manifest Receipt(invoice)Terms:Accounts due on are lotli of Uxe month following month of pi sthese.Past due TO <br /> accounts will be charged a FINANCE CHARGE at Ute PERt6D"RATE of 142%per month,which is Ute ANNUAL PERCENTAGE RATE of 16%. s a.wv <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 vraste b a res as ✓� <br /> determined by the generator,to be economically practicable. <br /> Generator 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 faciifties. 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 oil also meet those require- <br /> ments These include more stringent leak detection and prevention requirements,engineering cefit3fications 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 F Prta',used oil management Stan- <br /> dards and not these mole stringent requirements. "" ^. <br /> This notification Is for information only. Lowry Drder ignat <br /> 'Signature of Generator,Representative or Agent of Generator: 13 <br /> ! � <br /> ti <br /> Greenleaf Environmental CRI Recycl g T <br /> 3474 Toyon Cr. 101 Hagen Dnve <br /> Valley Springs,CA 95262 Woodville,Wl 54028 Hmne: <br /> 209-M4600 715-698.3363 <br /> CAL000214411 MR000029751 Address: <br /> Recycling � ,!� . <br /> &Disposal t�'J� <br /> FBCIIItI£S verbank Oil Transfer 5300 Ramos Environmental City,stato,zip <br /> Claus Road 1515&River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 <br /> 209-863-8181 916.371.4747 <br /> CAL0000190817 CAD0040035M EPArd. <br />