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'N7 <br /> Mailing:P.O.Box 176,Sailda,.CA 9536.8 <br /> :CEIVUL-) <br /> 4612 Kiernan Court Salida,CA 95368- <br /> Phone.M-545-0791 FAX209S45-2241 <br /> Environmental Services Division <br /> Geome W.,Lowrv, Inc. NOV 202015 EPA#CAR000047019 <br /> CA Transporter Number 3844 <br /> EN tMENTI <br /> E ME ENT <br /> L CALtcense#758518 <br /> LICA! <br /> GENERATOR: Consolidated Manifest Invoice: 237-8811) <br /> site EPA ID M Shipment Date: <br /> Contact Person: <br /> Name <br /> Driver Signature(Printed): <br /> -- A—n <br /> Address: Truck.# k"',Nll <br /> City,State,Zip: < <br /> PID# <br /> Site Phone: <br /> NTA <br /> Product Waste C, nifies!0- Quantity 11`4 Price Amount <br /> Code 77, <br /> AQn-Rdl A Hazardous Waste Liquid Used 011):Lubricating 221 f" .t 2 7r <br /> Ai <br /> Non-RCRA Hazardous Waste Liquid(Used 0111).industrial 221 Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 f 17 <br /> Ge, <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221 Gat <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used OR 223 <br /> ..7 <br /> F_ <br /> Dialned Used OlFilter l)rum(s) <br /> Empty Each <br /> Drum(s) J <br /> Transportation&Truck Time HR. <br /> Hazardous Test <br /> Unless otherwise specified on this consolidated Manifest Receipt(Immica)Tom:Ac=jnts dui on the 90th or the month fo Owing RxNM of purdh*60. Post due T" <br /> ecocKmta wjff be charged a FINANCE CHARGE at the PERIODIC RATE of 1-12%Per month,which is the ANNUAL PERCENTAGE RATE of 18%. <br /> rx, <br /> By signing this receipt,the Generator certifies that a program has been established to reduce the volume or quantity and to)dcfty 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 Receiptjs pOled to meet the Waste Codes as listed above. <br /> ry <br /> Note:George W.Low ,Inc.hereby advises the Generator that X 4, 's(Generator's signature) <br /> shipment of used oil-may be transported to a facility that is required to comp pwvMth 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. Carltomia facilities that handle or <br /> process used oil are required to meet those more stringent requirements,and some out-of-state facilities that pmoess Used oil also meet those require- <br /> ments These include more stringent leak deteWon and prevention requirements,engineering certifications of tank integrity,and financial assurances <br /> for <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 m ^gement stan- <br /> dards and not these more stringent requirements. 7) <br /> ' 4 <br /> This notification is for information only. Lowry Driver Signaturex <br /> Signature of Generator,Representative or Agent of Generator. X <br /> one <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 96262 Woodville,V111 54028 Name- <br /> 209-7"00 p 715-698-3363 <br /> ,�AL00014411 VIFIR000029751 Address:city,State.zip: <br /> Sc DtSPOSBI 1r <br /> FacilitiesKnk 01 nsfeir 5300 Ramos Environmental <br /> 'Claus Road ISISS.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209-863-8181 916-371-6747 <br /> CAL0()00190817 CA00040035S EPA to: <br />