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RECEIVED <br /> Mailing:P.O.Box 176,Salida,CA 95368 <br /> - 4612 Kiernan Court,Salida,CA 95366 FEB 17 2 016 <br /> '.Geor a W. Lowm Inc. i' <br /> ii Phone:209545-0791 FAX 209-545-2241 <br /> Environmental"Services Division t EPA#CAR000047019 <br /> ENVI <br /> CA Transporter Number 3844 RONMENTAL <br /> CA License#758518 HEAITW n�ptaTltgFni� <br /> GENERATOR: ` ' <br /> f..J <br /> _''� Consolidated Manifest Invoice: i-eJ Z 5 2 3, 7 <br /> Site EPA ID#: <br /> Shipment Date: <br /> contact Person: <br /> Name: �1ja '` Driver Signature(Printed): J <br /> Address: �rat A4 Truck# rt - <br /> Ctty,State,zip: `� �T,—( PON <br /> Site Phone: t <br /> Product waste CAManifest#0 Quantity units Price Amount <br /> Code <br /> .Non-RCRA Hazardous Waste Liquid(Used 011):Lubricating 221 9"7 �i^�� ®-- 1 Geo Q ty I` Gam, <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Industrial 221 I S I-u! 9 Gal rtt/1 <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antiheeze) 134 Gat <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221; Get <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 orum(s). <br /> -Drained Used ON Filter Dwm(s) orum{sl y � P <br /> Empty Drum(s) Each <br /> Transportation B TrudtTime NR <br /> Hazardous Test <br /> Unless alherwlse 3pe6Qad on this Consolidated Manifest Receipt(Invoice)Tem6s:Aooamis duo an the loth of the month following mordh of prdmse. Past due tel <br /> accounts w <br /> ie be charged a FiNANCE CHARGE at the PERIODIC RATE of 1-1/246 per month,which is the ANNUAL PERCENTAGE RATE of 1846. <br /> By signing this recelpt,'the Generator certifies that a program has been established to reduce the volume or.quantity and toxietty 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 fisted above. <br /> h <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 fatality 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 facilitiies that process used oilalso 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 �� <br /> releases. It Is lawful to send used oil to out of state faclIfts that comply only with the F eMLused oil management Stan- <br /> dards and not these more stringent requirements. "' <br /> This notification is for.information only. Lowry Drive r ig to <br /> Signature of Generator,Representative or Adent of Generator: X i`It / <br /> Z..5 f <br /> 44 <br /> C2. V 13 <br /> Greeideaf Environmental CRI Recycif <br /> 3474 Toyon Cr. .„ 101 Hagen Drive <br /> Valley Springs,CA 95252 Woodville,WM U028_ HMO: <br /> 209-7544600 . 716-6983363 <br /> CAL000214411 MR000020751 Address: <br /> Recycling <br /> &Dispose! RI <br /> _h . <br /> Facilities Riverbank oil Transfer 5300 Ramos Environmental Oily,Stara,zip: <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phoeo. <br /> 209,663.8181 . 916.371.5747 <br /> CAL0000190917 CAD004003556 EPA ID: <br />