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91 <br /> E E I VE D <br /> Nailing:P.O.Box 176,Salida,CA 959 <br /> ;t 4612 Memo"Court,Salida,CA 95368 <br /> UEnvlronmental <br /> ae W. Lowry, Inc. ' Phone:209-546-0791 FAX 209-645-2241 FEB 17 20,6 <br /> Services Division EPA#CAft000047019 <br /> CA Transporter Number 3844 <br /> CA License#758518 ENVIRONMENTAL HEALTH rwPARTMENT <br /> GENERATOR: Consolidated Manifest Invoice: " 2 <br /> Site EPA ID# 'Co ✓ � t" e <br /> Shipment Date: .�,6...,. <br /> Contact Person: r <br /> Ilf- <br /> Name: Driver Signature(Print Sinzdq. <br /> Address: #2o. Truck# dtr <br /> City,state,Zip: <br /> PO# <br /> Site Phone: <br /> Product Waste CA Manifest 00 Quantity Units Price /' unt <br /> Code (` , <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 IA7Gal 135- <br /> Nat-RCRA Hazardous Waste Liquid(Used OiQ:Industrial 221 c:7 Gat <br /> Atom RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gal 6 I <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221 �•3 Gm <br /> Non-RCRA Hazardous Waste Sofids Contaminated with Used Oil 223 Drums) <br /> Drained Used Oil Filter Drum(s) Drum(s) <br /> Empty Drums) Each <br /> Transportation&TnickTrme NFL <br /> Hazardous Test <br /> Unless otherwme wedlied ore thls Coesokated Menest Receipt(invoice)Terms:Accounts due on the 10th ornee month following month of purchase. Past due TOW <br /> ecccunts will be charged a FINANCE CHARGE at the PERIODIC RATE of 141296 per month,wMch is the ANNUAL PERCENrAGE RATE of IML <br /> 13y 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(de45s41' <br /> determined by the generator,to be economically practicable. <br /> Generator certifies that all Hazardous Waste listed on this Consolidated Mantfest 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 facNllty that is requited 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 facilities. Calefomla facirdles that handle or <br /> process used oil are required to meet those more stringent requirements,and some out-of-state facilities that process used olt also meet those require- <br /> ments These Include more stringent leak detection and prevention requirements,engineering certifications of tank integrity,and financi ssurances <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 oil ma went stan- <br /> dards and not these more stringent requirements. <br /> This notification is for information only, Lowry Driver Signature X <br /> Signature of Generator,Representative or Agent of Generator. X <br /> low <br /> Greenleaf Environmental CRi Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95252 Woodville,Wa 54028 Name: <br /> 209-754-4600 71&6983363 <br /> CAL000214411 YAR050029761 Address: <br /> Recycldttg <br /> &Disposal m <br /> FaCllitteS Riverbank Oil Transfer 5300 #RR-%jLA14 i nm rda �' Scity ato,Zip: <br /> Claus Road 1615 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 ane: <br /> 209-8638181 916371S747 <br /> CAL0000190817 CAD0040035. EPA 10: <br />