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03 i Mailing:P.C.Box 176,Salida, EAV E D <br /> 4612 Kiernan Court,Salida,CA 63 <br /> GeoLge W. Lowg, Inc. Phone:209-54SO791 FAX 209-545-2241 <br /> j <br /> Environmental Services Division EPA#CAR000047019 FEB 17 2016'! <br /> CA Transporter Number 3111" <br /> CA Ucense#758518 ENVIRONMENTAL <br /> HEAITU ncoapnilemi- <br /> GgNERATOR.- <br /> Consolidated Manifest Invoice: <br /> 24583 <br /> Site EPA ID III: <br /> A Ix g%contact Pers r�: i Shipment Date: <br /> Name. tDriver Signature(Printed A'-, <br /> .Addr#ss: tit - Truck# <br /> City,State,zip: P0'# <br /> Safe Phone: <br /> Product Waste CA Manifest#0 Quantity units Price ount <br /> Cods <br /> tson-RCRA Hazardous Waste LkItdd(Used OIQ:Lubrlwgng 221 =1 Gal <br /> JN) on-RCRA Hazardous Waste Liquid(Used OR),Industrial 221 <br /> Non RCRA Hazardous Waste Liquid(Used Automotive An 134 Gal <br /> Non-RCRA Hazardous Waste Liquid(oil&Water) t 221 ew <br /> Non-RCRA Hazardous Waste Sords Contaminated with Used OR 223 <br /> ;VraitM Used Oil Fiftei-Drum(s) Drurn(s) <br /> lEmpty Drum(s) Each <br /> Transportation&Truck Time RR <br /> Hazardous Test <br /> Unless otherwise Wedfled on this Consdidated Manifest Receipt(Invoice)Terms:Accounts due on the 10thofthe month following month afix-rchase. Past due Total <br /> eccqynts will be charRed.a FINANCE CHARGE at the PERIODIC RATE of 1-1/2%W mono.which Is the ANNUAL PERCENTAGE RKM of 18%. <br /> er r <br /> By signing this receipt,th6 Generator certifies that a program has been established to reduce the volume or quantity and Ux4city of the hazardous waste to g <br /> determined by the generator,to be economically practicable. <br /> Generator certifies that all Hazardous Waste fisted on this Consolidated Manifest Receipt Is profiled to meet the Waste Codes as listed above. <br /> Note:George W.Lowry,-Inc.hereby adviseg the Generator that x Is(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 requirements applicable to hazardous waste management facilities. California facilities that handle or <br /> process used oil are required to meet(how more stringent requirements,and some out-of-state fieclifts that process used oil also meet those require- <br /> ments These include more stringent leak detection and prevention requirements,engineering certifications of lank integrity,and financial q;surances <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 Mang Anent stan- <br /> dards and not these more stringent requirements. <br /> - 7 <br /> This notification Is for Information only. Lowry Driver Sign/ <br /> ,dre x <br /> Signature of Generator,Representativeor Agent of Generator: <br /> X <br /> C3. <br /> slim <br /> Greenleaf Environmental CRI Re alp <br /> 3474 T*yon Cr. 401 Hagen Drive <br /> Valley Spirl CA 95252 Woodville,WI 54028 Ranw. A <br /> 209-75 70 la' 71"98-3363 <br /> C LOD 1441 WIR000029761 Address: <br /> Recycling <br /> aciiltiesCity.ststo.Zip: <br /> Transfer 5300 Ramos Environmental <br /> Claus Road- 1615 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 96691 Phone-. <br /> 209863-8181 916,371-P47 <br /> CAL0000190817 CAD00400306 <br /> FPA 10. <br />