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- - <br /> ` E ECEIVE <br /> ilAaBing:P.O.BOX 176,Salida,CA 95366 FEB. 2016 <br /> 4612 Kiernan Court,Salida,CA 95368 <br /> • <br /> Geo r_ a YY�w�•.LOWIii/. Inc. Phone:M-594"791 FAX 209-SSS-2241 <br /> Environmental Services Division EPAaf CAR080047019 ENVI <br /> RONMENTAI <br /> f� CA Transporter Number 3844 NCAI'(¢-►ITPARTMENT <br /> CA License#758518 <br /> GENERATOR: <br /> Consolidated Manifest invoice: <br /> Site EPA ID#: f'r { <br /> Confect Person: Shipment Date: ` <br /> Name: _ an Driver Signature(Printed): { <br /> �!1 <br /> Address: €.2tJ lrra� Tntck# '1 <br /> City,State,Zip: r t�.f r f S r �"` <br /> Site Phone: PO# <br /> Product waste CA Manitest#0 Quantity units Price Amount <br /> Code <br /> ' :Non-RCRA Hazardous Waste Liquid(Used Oti):Lubricating 221 Gat <br /> Nat-RCRA Hazardous Waste Liquid(Used M:Industrial 221 S <br /> Non RCRA Hazardous Waste Liquid(used Automotive An i34 - <br /> Non-RCRA Hazardous waste Liquid(Oil 8 Water} 221 <br /> NmRCRA Hazardous waste solids Contaminated with Used ON 223 i�`f'2 '�� r l• Deumts) 1I <br /> Drained Used 00 Fffter au s• R - 1t <br /> •�r'4,a OIYBn(e) ..« .a.n•° <br /> Empty Dnini{s) ,�.. �.. !r <br /> ti 'Each <br /> r <br /> Transportawri 97 uck Time <br /> Hazardous Test. �' �, , <br /> Junto-otherwise specifed on this Consowated Manifest Receipt pnvdos)Temr�.Accamts due an the 10th of trie iabnihYonowinp month of pudease Psi due <br /> accounts venni be du*d a FINANCE CHARGE at the PERIODIC RATE of 1 4x194 i Total <br /> per month,wwtnidi is the ArVNUAL PERCENTAGE RALE of 18% ,•� ,s��•.' <br /> By signing this receipt,the Generator oet0fies that a,program has been established io reduce.•he volume or quanittji-and toxicity of the hazardous waste to a degree as <br /> determined by the generator,to he ecmnoiriicaity practicable. <br /> Generator certifies that all Hazardous Waste listed on this Consolidated Manifest Receipt is profi{led to meet ihC waste Codes as listed above. <br /> Note: George W. Lowry,Inc.hereby advises the Generator that X ..11 • i 4{` ��'!r , <br /> s(Generator's signature) <br /> shipment of used til may be transported to a facility that is required to corholy Hdtfl 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-state fadlitles that process used ori aim meet those require- <br /> ments These include more stringent leak detection and prevention requirements,engineering certr'tications of tank integrity,and finandal 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 of management Stan- <br /> dards and not these more(stringent requirements. <br /> This notification Is for information only. Lowry Driver Signature X A <br /> Signature of Generator,Representative or Agent of Generator: X <br /> Gmenieat'Emilronmentat CRI Recycling <br /> 34T4 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95252 Woodville,WI 54028 Name: <br /> 209-7544600 71S•698-3363 <br /> CAL000214411 WVIROD0029751 <br /> Recycling w Addnm: <br /> l£Disposal G t't • <br /> FaCllttles Riverbank Oil Transfer 5300 Radios Environmental cam• 'zip' <br /> Claus Road. 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209.863'8181 916-371-6747 <br /> CALOODDISO817 CAD004003656 EPA m- <br /> • r <br />