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MEUEIVED <br /> Sts( Mailldg:P.O.Box 176,Salida,CA 953 <br /> 4612 Kiernan Court,Salida,CA 95368 <br /> George W. Lowry, Inc. Phone:209545.0791 FAX 2095454241 FEB 17 2016 <br /> Environmental Services Division r i EPA#CAR000047019 <br /> CA Transporter Number 3844 <br /> ENVIRONMENTAL <br /> CA License#758518 <br /> GENERATOR: Consolidated Manifest invoice: 25403 <br /> !`tc:: <br /> Site EPA 0D#: nL <br /> Contact Person: Shipment Date: <br /> Name: `� Driver Signature(Printed): }�l, <br /> l <br /> Address: Fruck#City,State,21p: .rt I J�Site Phone: <br /> Product waste CAManifest#0 Quantify units Price Amount <br /> Code <br /> r"Kon-RCRA Hazardous Waste Liqufd(Used Oii):Luttrkabng 221 Gat <br /> Non-RCRA Hazardous Waste Ligtrid(Used Oil):industrial 221 i Gat <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gat <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221 Gat <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 Dn,mta) <br /> Drained Used Orf Iter Drum(s) Drumts) r tic <br /> Empty Drum(s) Each i <br /> Transportation&Truck Time HR. <br /> Hazardous Test <br /> c S,,,, <br /> Unless otherwise speaYed on this Consolidated Manifest Receipt(Invoics)Terms:Accounts duo on the 10th of the month following nooth of pvdtase. Past due Total <br /> aocormts vdil be charged a FINANCE CHARM at the PERIODIC RATE of 1-1f2%per month,which is the ANNUAL PERCENTAGE RATE of 18%. <br /> By signing this receipt,th'e Generator certifies that a program has been established to reduce the volume or quantity and toxicity of the hazardous waste to a degree as <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 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 certifications 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 oil management stan- <br /> dards and not these more stringent requirements. /f <br /> This notification is for information only. Lowry Driver Sign pure k, la t(ice <br /> Signature of Generator,Representative or Agent of Generator: ' X L 44 <br /> I/ <br /> Greenleaf Environmental CRI Recycling) <br /> 3474 Toyon Cr. 101 Hagen Dri e <br /> Valley Springs,CA 95252 Woodville,Wl 540 8 Nmrta <br /> 209-764-4600 7166983363 <br /> CAL000214 11 MR000029761 Adm: <br /> Recycling <br /> �Disposal �y� _ <br /> Facilities <br /> trbnk Oil Transfer 5300 Ramos Environmental Cih,State,27P <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 throne: <br /> 209$638181 9163715747 <br /> CAL0000190817 CAD00M.36W EPA ro: <br />