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IN BEL;EIVEU <br /> Willing:P.O.Box 176,Sailda,CA 95368 <br /> 4612 Kieran Court,Salfda,PA 95368, FEB 17 2016 <br /> - <br /> George W. Lowry, Inc. Phone:2N-646-0791 FAX 20944S-2241 <br /> E 7 Ir nial Services Division <br /> nV onme EPA III CAR000047019 <br /> -J <br /> ENVIRONMENTAL <br /> CA Trans porterNumber31l" <br /> HEALTH n pART oWENT <br /> CA License#759518 F <br /> GENERATOR- <br /> Consolidated Manifest Invoice: 2.3 7-8 8 1 ID <br /> Site EPA ID M CAL <br /> Shipment:Date: <br /> Contact Person:. <br /> Name: Driver Sigbature(Printed):Maine- <br /> [�Address: <br /> J_ J <br /> Ago ba�r Truck <br /> # <br /> CRY.State,2(p: <br /> S Sttq <br /> I*Phone: <br /> Product waste "tuts Amount <br /> coo <br /> �n-R Hazardous Waste Liquid(Used 01):Lubrkarmg 2211 <br /> $70 <br /> N0n­RCRA Hazardous Waste Liquid(Used 08):Industrial 221 Gal <br /> x. 3q <br /> im <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Get <br /> Non-RCRA Hazardous Waste Liquid(01&water) 221 Gal <br /> _75 Z_ <br /> Non-RCRA hazardous Waste Solids Contaminated with Used 00 , <br /> 223 cl <br /> v <br /> Drained Used 01 RWDrum(s) <br /> 6� <br /> :Empty Drum(s) Each <br /> Transportation&Truck Time <br /> Hit <br /> -Hamidous Test <br /> Un"otherwise specified on Oft ConsollMed Manifest Receipt(Invoice)Terms:Accounts dmon are 10th of the month roormofputhase, <br /> Peg due 7013 <br /> 80?*LM will be duqPd B FINANCE CHARGE at the PERIODIC RATE.of 1-12%per nwntt%whkh is ft ANNUAL PER=ROVE of 167. <br /> BY <br /> s' nim ft receipt the Generator certifies that a program has been estab <br /> lished to reduce the volume or quantity and to)ddly of the hazardous waste to a degree as <br /> determined by the generator,to be 6mnomk**practicable. <br /> Generator certifies that all Hazardous Waste listed on this Consolidated manifest Ret 1s pOled 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 coniplyhiffi 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 off are required to meet those more stringent requirements,and some out-of-slate,facilities that process used of also meet those require- <br /> ments These include more stringent leak detection and prevention requirements,engineering oerfifeations of tank integrity,and financial assurances <br /> for closure and accidental releases. it is lawful to send used off to out of state facilities that comply only with the Federal used oil madhoement stan- <br /> dards and not these more stringent <br /> This notification Is for Information only. Lowry Driver Signature X x,_ ,4 <br /> Signature of Generator,Representative or Agent of Generator: X <br /> 13 <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95262 Woodville,W!54028 <br /> 2097644fiNiP 715-6984363 <br /> 214411 WIR000029751 <br /> Address: <br /> Recycling ,rf <br /> 8c DisposalPOM - <br /> FaCilitleS imnk 061 T Defer 5300 Ramos Environmental fir.State,zip: <br /> Claus Road ISIS S.River Road <br /> Riverbank,CA 99367 Wag Sacramento,CA 95691 Pwrie: <br /> 209-863-8181 916-371-6747 <br /> CAL0000190817 CAD004003556 EPA 10: <br />