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:75— 71R7 <br /> Malling:P.Q.Boz 176,Salida,CA 95368 FEB 17 2016 <br /> 4612 Kiernan Court,Salida,CA 96368 <br /> George w LQWry/, inc.. 1 Phone:209545-0791 FAX 209545 9 <br /> Environmental Services Division j•' <br /> "I; EPA#GAR000047019 <br /> CA Transporter Number 3844 '40A1i T1'rWPARTMENT <br /> CA License#758618 <br /> GENERATOR: Consolidated Manifest Invoice: f'1 <br /> Site EPA II)# C 'w 24009 V <br /> ! FT Shipment Date: .._ <br /> Contact Peds n: � f <br /> Name: f• rs� 'r" Driver Signature(Pri d� <br /> / C 3 Crt <br /> Address: pp Truck# <br /> city,state,zip: �,�'.� S` <br /> Stta Phone: ' <br /> PO# <br /> Product waste <br /> " CA Manlfest#0 Quantity units pieCode lArryount <br /> ri-RCRA Hazardous waste Liquid(Used 011}:Lubricating 221 <br /> Non-RCRA Hazardous Waste Liquid(Used 04:industrial 221 T t Gal ` <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Ari freeze} 134 Gal <br /> -RCRA Hazardous Waste Liquid(Ori&•Water] 221Gal <br /> • •RCRA Hazardous Waste solids Contaminated with Used ON <br /> -Drained Used Oil FlerDrum(s) ' oium(s1 <br /> Empty Drum(s) , <br /> Transportation&Truck Time R� <br /> Hazardous Test <br /> We-cthemisospedRedOnVis CowdidatedWnirestReceipt(invoics)T ':AaF'ppp sdueonMel0eiofthemenihfogowirig nvrotptrCtase Pastdue Totdl ...� <br /> a000unts will be d-ged#FINANCE CHARGE at the PERIODIC RATE of 14/296 Per month,which Is the ANNUAL PERCENTAGE RATE of 1696. <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 waste to a dree as <br /> determined by the generator,to be economically practicable. .. eg <br /> Generator certifies that all Hazardous Waste listed on this Consolidated(Manifest Receipt is profiled to meet the waste Codes as fisted above. <br /> Note:George W.Lowry,InC.hereby advises the Generator that X `s(Generator's signature) <br /> shipment of used oil miq�be transported to a facility that is required,to comply with federal regulations applicable tri 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 facilities that process used o1 also meet those requ 0- <br /> merits These include more stringent leak detection and prevention requirements,anginee►ing certifications of tank integrity,and financial assy�a <br /> for closure and accidental releases. it is lawful to send used oil to out of state facllmesthat comply only with the Federal Ilse l o manage t3`stan- <br /> dards and not these more stringent requirements. <br /> This notification is for iMormatlon only. t owry Driver Signature X74 <br /> J <br /> Signature of Generator,Representative or Agent of Generator: X .'.l <br /> r <br /> Greenleaf.F,pWronmentat CRI Recycling <br /> 3474 Toyo Cn 101 Hagen Drive <br /> Valley nge'CA�52 Woodville,VA 54028 New= <br /> 'rl�09 7 00 7156983363 <br /> Recyciing 0214411 WIROOD029751 Address: <br /> FSCiiitles Ri nk T nater 5300Ranlos Environmental City'State'ap: <br /> CClaus oad 1615 S.River Road <br /> .. Riverbank,CA 96367 West Sacramento,CA 95691 Phone- <br /> 209-863-8181 916371.5747 <br /> CALCOOD190817 CA0004O0 WG EPA ID• <br />