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"ECEIVED <br /> -C. <br /> Waning:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kiernan Court,Salida,CA 95368 fEB 17 2016 <br /> i`George W. Lowry, 1r1C. Phone:209-604791 FAX 2O9-545 22a <br /> j <br /> Environmental Services Division ) EPA#CAR000047019 <br /> CA Transporter Number 3644 <br /> ENVIRONMENTAL <br /> CALioense#758518 HIE lTN T_FPARTYFNT <br /> GENERATOR: Consolidated Manifest Invoice: <br /> Site EPA ID#. )-- <br /> Contact Person: Sh)pmentDate: s 1 a tom' c-" <br /> Name: (� j Driver Signature(Printed): ✓����JG <br /> Address: D 2 rz Truck* <br /> city,State,Zip: <br /> fU..Cc4 Pow <br /> ,. <br /> Site Phone: <br /> Product Waste CA Manifest#0 Quantity Units Price Amount <br /> Code <br /> on-RCRA Hazardous Waste Liquid(Used 00)-Lubricating 221 <br /> Non-RCRA Hazardous Waste Liquid(Used 011):Industrial 221 cal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Anffineze) 134 - J C cal pt Sr41-17" <br /> GalNon-RCRA Hazardous Waste Liquid(Oil&Water) 221 J <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used all 223 acomia) <br /> rained Used Oil Fftter Drums) Drum(a) A - 10- <br /> Empty Drum(s) 'Each <br /> Transportation&Truck Time HR. <br /> Hazardous Test <br /> Unless otherwise Vediffed on this Consolidated Mmtifest Receipt(Invoice)Tants:Accounts due on the loth orthe month following month of purchase.Past dire Total �/e <br /> 1300=116%0411 be d%arged a FINANCE CHARGE at the PERIODIC RATE of 1-11296 per month,which is ate ANNUAL PERCENTAGE RATE of 1996. 5G <br /> BY signing this receipt,the Generator certifies that a program has been established to reduce the volume or quantity and toftitp of the hazardous waste a degree <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'ssignature) <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 those more stringent requirements,and some out-of-state facilities that process used oil also meet those require- <br /> ments These include more stringent leak detection and prevention requirements,engineering cetifiicatrons of tank integrity,and financial 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 cit management slit - <br /> dards and not these more stringent requirements. ' # <br /> This notification is for information only. Lowry Driver Signjit�yce-X 1 ji j <br /> Signature of Generator,Representative or Agent of Generator: X t <br /> /'. <br /> U 13 <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95252 Woodville,WI 54028 Name: <br /> 209-7544600 715-6983363 <br /> CALOOD214411 WIR000029751 Address: <br /> R@CyCilltlg _ wnoil� <br /> I' fRt ransfer 5300 Ramos Environmental C�'s��'�p' <br /> Claus Road 1515 S.River Road, <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209.863.8181 916-371-5747 <br /> CALOODO190817 CAD0040035% n EPA ID: <br />