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•`. -'n ... . -+.. �.:.. .�.:i.::;. ;'f+r-� _�..:.p; .�:'. :.. - -I v.;-:r..';."?"t ,l,'i T1. :1..:. t S :Y� t,'v�J••, <br /> IVED <br /> t ` <br /> Mailing:P. x 176,Salida,CA 8 6 <br /> Inc. EG"E ' <br /> 4612 Kiernan Court,Salida,CA 96366 <br /> Ge®rge W. LowM iPttone:209�54"71ti1. PAX2o9-545-2241FEB 17 2016 <br /> Environmental services Division EPA#CAR000047019. <br /> •t. <br /> y .CA TtartsporterNurh6er 3644 ENVIRONMENTAL <br /> CA lFcense'#75e518 <br /> HEALTH DEPARTMENT <br /> GENERATOR: Consolidated Manifest invoice: _ <br /> Site EPA fD#: ` 36-9 <br /> ` Shipment Date. <br /> Contact Person: <br /> Name: F, -r: Driver Signature(Printed)<,' � <br /> Address: e"'` �i 1-4.45- ✓ FTrmu#ck I <br /> Sit@ Phone: /f <br /> Product Waste CA ManUW NO Quantity unite Price Amount <br /> Coder + <br /> mRCRA ftwdous Waste I:iquid(tJSed 0�},:i.ubiiea ft 221 `�.� 1 r t::� <br /> Non.RCRA hazardous Waste liquid(used al).Indusfiai 224' Gal /J <br /> Nat RCRA Hezatdotu WSS(B ligeBd(Used AtifflrnObve Anbfieeze}.. 134 Gat a! <br /> Non- CRA Hazardous Waste liquid(Oil&Witter) 221 -r r Gar <br /> Non-RCRA Hazardous Wa iC SoOds`Cattaminalad.with used 00 223 tmuints) <br /> Dtaated Used Ori Fftr Dnim(s) txum(e} <br /> Transportation&TmckTinre -tIR <br /> Haandm Test <br /> Unless ahen"ise speofied on df Consofidntad Mariff"i=aipt.(Invoke)Teems:Aexants due on the 101h oiofe nwtM foUawkV apM of prdiasa Psadee Tafal <br /> aacaiitts wHr bq.dtarged a FWAtiCE CHARGE at PERIQttiC RTE of 1-112%per month,whkh is ate ANNUAL PERCENTAGE RATE of 18%. <br /> By signing this fessxiipt,the Generator certifies that a program has been established lo,reduce the volume or puan6ly'and4oxi0ty,of the hazardous waste to a <br /> determined by the generator,to be economicallypracticable. <br /> Generator certibes that all Hazardous Waste listed on this Consolidated Manifest Receipt Is profled to meet the Waste Codes as listed above. <br /> Nott::George W.Lowry,Inc.hereby advises the Generator that X ';c1 {fin ,'i 's(Generator's signature) <br /> shipment of used oil may be transported to a fadiky that is required to coin0q*A itttf6deril 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 fad0ties: California facilities that handle or " <br /> process used oil are required to meet those more shingent_nequirements,and some out-of4late facilities that process used oil also meet theme require- <br /> ments These include more stringent leak detection and prevention requirements,engineering certifications of tank integrity,and finanrajr strrances <br /> for closure and accidentai'releases. it is lawful to send used o0 to out of state facilities that comply only with the Federal used on maria ement stan- <br /> dards and not these more stringent requirements. f <br /> This notification is for information only. Lowry Driver Signature <br /> w <br /> Signature of Generator,Representative or Agent of Generator: X j <br /> Greenleaf Environmental CRI RecycUng <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 05252 Woodville,V&64028 7AWddr*m- <br /> 11 <br /> : <br /> 209-'54.4600 715.698-3363 <br /> AIA® 11 WIROM029761 <br /> Recycling f � �r�Road <br /> Tfanster 5300 Rafts EnvinnmerttatCit'• <br /> C ./ 1515 S.River Road <br /> .C.A 96367 West Sacramento,CA 95691 : <br /> 20963-8181 916374-5747 <br /> CAL0000190817 CADOOM36M EPA l0: <br />