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' RECEIVED <br /> m 1 Mailing:P.O.Box 176,Salida,CA 95366 <br /> 4612 Kiernan Court,Salida,CA 95368 FEB2016 <br /> `:.George W. Low , Inc. !"J Phone.209-546-0791 FAX 209-545-2241 <br /> 3: <br /> Environmental Servlces�Divlsion <br /> I; EPA41CAR000047019 <br /> i 4- ..--,_e•..;"..�.--- -1' '.-,-+.e; rte..:«—..-..�.. <br /> f= CA Transporter Number 3844 ENVIRONMENTAL <br /> HEA!.Tw RFPART!r� <br /> ` J' CA License#758518 FNT <br /> GENERATOR: Consolidated Manifest Invoice: `ss:' <br /> site EPA lD#: Shipment Date: <br /> t <br /> Contact Person: l`{t✓v ' "I <br /> Name: Driver Signature(Printed):�r <br /> Address: U ��/' (../rt{ Truck# <br /> City,State,Zip: e—.-< <br /> PO# <br /> Stty Phone: <br /> Product waste CA Manifest#0 Quantity units Price Amount <br /> Code i <br /> -Non-RCRA Hazardous Waste Liquid(Used Oil):Lubdcating 221Gat <br /> t b' <br /> Non-RCRA Hazardous Waste Liquid(Used 01):industrial 221 <br /> Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221 Gar <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used 01 223 D-"Kn) <br /> Drained Used Oil Filter Drum(s) txumla) °*. U-1 l o <br /> Empty Drum(s) Each <br /> Transportation&TruckTime HR <br /> Hazardous Test f <br /> UnIm oihemM$Pedged on ads Consolidated Manifest Receipt(Invoice)Terms:Aeoounla due on the 10th of tlta month follumng nwrdb of piedume_ Past due Tota/ <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-1r2%per month,which is the ANNUAL PERCENTAGE RATE of 18%. <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 <br /> determined by the generator,to be economically practicable. <br /> Generator certifies that all Hazardous Waste listed on this Consolidated Manifest 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 facility that is required to comply with federal regulations applicable to management of used oil but that is <br /> not required to comply with the more stringent requlrements 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 oil also meet those require- <br /> ments These include more stringent teak detection and prevention requirements,engineering creRilications of tank integrity,and financial assurances <br /> for closure and accidental releases. it 1s lawful to send used oil to out of state Diliti>3sthatp only with the F <br /> - <br /> 3 <br /> for oil management stan- <br /> dards and not these more stringent requirements. <br /> This notification Is for information only. Lowry DriverSi atu_ .� <br /> i <br /> Signature of Generator,Representative or Agent of Generator: <br /> 13 <br /> Greenleaf Environmental _,C611ecycling <br /> 3474 Toyon Cr. t_ 101 Hagen Drive <br /> Valley Springs,CA 95252 Woodvilie,W!54028 Name: <br /> 209-7644600 715.698-0363 <br /> CAL000214411 MR000029751 Addreae: <br /> Recycling Cb— <br /> Ind <br /> &Disposal <br /> Facilities Riverbank Oil Transfer 5300 Ramos Environmental chy.stela,29p: <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209-8638181 916371.5747' <br /> CAL0000190817 CAD004003OW EPA ID: <br />