Laserfiche WebLink
t=uEIVEL) <br /> Mailing:P. x 176,Salida,CA 95368 <br /> 4612 Kiernan Court,Salida,CA 95368 <br /> '>Geor a W. Low Inc. NOV. 2015 Phone:209-545-0791' FAX 209-545-2241 <br /> • � Environmental Services Division '" " EPA#CAR000047019•, <br /> t E O XTAL CA Transpoter Number 38" <br /> /ENT <br /> HEALTH <br /> CA License#758518 <br /> GENERATOR: ' Consolidated Manu Invoice: <br /> 692 <br /> Site EPA #:ID �` <br /> ��. . <br /> Shipment Date: <br /> Contact Person: 49 —122 <br /> Name: f� Driver Signature(Printed-}, <br /> 1 lJ <br /> Address: f; �`�,•-,r:f ,rrs Truck 2 <br /> # d r�g r <br /> City,state;Zip: / t' PO# ! ! <br /> S119 Phone: r <br /> Product Waste CA Manifest#0 Quantity units Price Amount <br /> Cade �r c <br /> on RCRA Hazardous waste LAM(Used o 221 - <br /> "Non RCRA Hazardous waste LiqGat <br /> uid(Used oil) Indushiad 22i"; r'" <. <br /> n.... <br /> Nan RCRA,Hazardous Waste(Auld(Used Aularry ive Antireeze}, t34 'Gel <br /> Nat-RCRA Hazardous Waste Liquid(ail&Wale* 221 Gar <br /> Non-KORA Hazan69`Wast-Wids'Contsminated.%0 Used 01 223 <br /> Drained Used Oil Filter Drunl(s) Dr "IM <br /> Empty Drum(s) Fact -, <br /> Trensporlatlon&Tmck Tns <br /> Hazardous Test <br /> Unless otherwise spoccfied on this Consondated Manaest Receipt(Imoice)Terns:Acmmts due on the 10th of the month following moth of purchase.Past d� Tota) <br /> Iacciounls wilt b4•charged a FINANCE CHARGE st tt[e IO <br /> PERDIC RATE of 142%per rnrnttr,which is the ANNUAL PERCENTAGE RATE of ta%. `c . <br /> By:signing this receipt,the Generator certifies that a program has been established to reduce the volume or quantity and to"a of.the hazardous waste to a deg a t � <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.t_owM 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 coinpVwith lideral 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 /> menu These include more stringent leak detection and prevention requirements,engineering certifications of tank Integrity,and finanragrassfirances <br /> for closure and aorddental,releases. It is lawful to send used oil to out of state facilities that comply only with the Federal used oil ement Stan- <br /> dards and not these more stringent requirements. / <br /> v <br /> This notification is for information only. Lowry Driver Signature .. <br /> Signature of Generator,Representative or Agent of Generator: X <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. i0i Hagen Drive <br /> Valley Springs,CA 95252 Woodville.W154028 Hama' <br /> 00 <br /> At.A611 IMRX29751 Address: - <br /> Recycling �� ..:� :'' <br /> 8r Disposal � . _ cur,,state,2W.Facilities G;H T4ansfer 5300 Radios Environmental _ <br /> Cis s Road 1515 S.River Road - <br /> k,CA 9067 West Sacramento,CA 95691 phone. <br /> 209-863-8181 916-3715747 <br /> CAL0000190817 CAD0040036S EPA 10: <br /> ;6i ' <br />