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REC' D <br /> Mailing:P.O.Box 1Tida,CA 95368 <br /> r tri 4612 Kiernan Court,Saltda,CA 96368 <br /> George W. Low[Z Inc R 2UIv Phone:209-545-0791 FAX 209.545-2241 <br /> - <br /> j Environmental Services Division EPA#CAR000047019,. <br /> aems � m <br /> CA Trarisporter Number 384 <br /> 'CALcense#758516 <br /> . PARTMENTHEA f <br /> GENERATOR: - Consolidated Manifest Invoice: ;r23564 <br /> S1te EPA!D#: S` <br /> Shipment Dater <br /> contace pe f j <br /> 1 Driver Signature(Printe " <br /> Name: r 1�? f dt"'f`" •1, O cr <br /> Address: t , �!' .e � Truck# «g <br /> City,State,Zip: <br /> PO# r <br /> Sft@ Phone: Pr <br /> Product Weds CA Manifest#0 Quantity, units Price Amount <br /> Code <br /> jIle � 8CRA Hazardous Waste Liquid(Used Oil):Lubricating 221 0� <br /> .. t hlt <br /> Nat-RCRA Hazardous waste Liquid(Used Olt):Industrial' 221 Gal f <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gal r I <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221 Gal <br /> Nei-RCRA.Hazardous Waste Solids Contaminated with Used Oft 223 Dr+"daf <br /> irad UseI.Oti Filter Drum(s) <br /> ✓" . <br /> Em <br /> Des) PaGth <br /> Transportation&Truck Tirne NR' <br /> Hazardous Test <br /> Unless othewrse specified on this ConaotidaW Manifest Recut(Invoice)Temw:Accoouots doe on the 10th ofthe month folkiMM month of purchase Past due Total <br /> accounts wNl be charged a FINANCE C14ARGE at the PERIODIC RATE of 1-U2%per mach,which is the ANNUAL PERCENTAGE RATE of 18%. <br /> By signing this receipt,the Generator certifies that a program has been established to reduce the volume or quantity and tohrFaly of the hazardous wasteto aa OC s-R°� <br /> 1Y <br /> determined by the generator,to be ecohomically practicable. <br /> Generator certifies that all Hazardous Waste listed on this Consolidated Manifest Receipt is profited to meet the Waste Codes as fisted 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 wi)h 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 ori also meetthgse rrequire=' <br /> merits These include more stringent leak detection and prevention requirements,engineering certifications of tank integrity,and financjal.assuraffices; <br /> for closure and accidental releases. It is lawful to send used oil to out of state facilities that comply only w!WW.Federaf it i star- <br /> dards and not these more stringent requirements. f �•" <br /> This notification is for information only. Lowry,Driver S0'nature X �f <br /> i <br /> 4" <br /> rt J <br /> Signature of Generator,Representative or Agent of Generator: X <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 tiagenwDrI <br /> Valley Springs,CA 95252 1Noodvilte,WI di4028 Name: <br /> X09-754-0b00 %' <br /> 7154M"363 <br /> 0i�1E000 411 WIROOtM29TS1`. Address: <br /> R@C)/Ciing <br /> &Disposal L/y//� city state,�_ <br /> FaCllitiBS R nk Oi iransfe{sm Ramos Environmental <br /> Cls Road i 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95694 PhO°e= <br /> 2094863-8181 916371-5747 <br /> CAL0000190817 'CADUNW3656 EPA ID: <br />