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MECENEL) Matting:P.O.Box 176,Salida,CA 95368 <br /> d <br /> _ 4612 Kiernan Court,Salida,CA 95368 <br /> GeoraeW..Lowry, Inc. <br /> NOV -0 2015 Phone:209545.0791 FAX 209-645-2241 <br /> Environmental Services Division ' EPA#CAR000047019 <br /> •-••- ^^-- --^ `" GA Transporter Number 3644 <br /> E ' N{wENTAL CA License#758518 <br /> H DEPARTMENT <br /> GENERATOR: Consolidated Manifest Invoice: 239320 <br /> Site EPA ID#: r A/ .�. <br /> -- Shipment Date: <br /> Contact Person:' f <br /> Name, Driver Signature(Printed): i6 f <br /> - � . t,�^ - �+ 3 i 1fA <br /> Address: )}�Zt J t `r.a.1.4 '# fit._r Track# <br /> City,State,Z.Ip: `- r(/f� r P®# <br /> Site Phone: <br /> Product Waste CA Manifest#0 Quantity Unita Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid Used 0ii :Lubrimlin 221 `"` Go <br /> Mat-RCRA Harandals waste Liquid(Used Ol):Industrial 221 car <br /> Non RCRA hazardous Waste Liquid(Used Automotive Antifreeze)' 134 <br /> Non-RCRA Hazardous Waste Ligtdd(011&Water) 221 i tGal <br /> a <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 <br /> Drained Used Ol Filter Drum(s). f �` naumts) � �� �°• <br /> Empty Drurn(s) ', " ach <br /> t N <br /> Transportation&Truck Time <br /> Hazardous Test <br /> L item otherwise spaafied an this Manifest Receipt(nvace)T .Accounts dus cn the tell or the iiibnth Upwing month or puKhase.Past d� Total <br /> xi , <br /> aocate wi71 ba eh®rged a FINANCE CHARGE at the PERIODIC RATE of 1411%per month,which is are ANNUAL`PERCEWAGE RATE of 18%1 <br /> By signing this receipt,the Generator certifies that a,program n has been established to dupe the volume or quell-tyand toxk ity of the hazardous waste to a degree as <br /> determined by the generator,to be economically prai%.6ble. <br /> Generator conifies that all Hazardous Waste fisted oil this Consolidated Manifest Receipt is profiled to meet tshc Waste Codes as listed above. <br /> Note: George W. Lowry,InC.hereby advises the Generator that X J,. ii - � `s(Generator's signature) <br /> shipment of used oil may be transported to a fatuity that is required to cortidly Witfi 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. Calffomia 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 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 ac idental:reteases. It Is lawful to send used oil to out of state facilities that comply only with the Federal used of management stan- <br /> dards and not these more stringent requirements. <br /> This notification Is for information only. Lowry Driver Signature X ' A <br /> n <br /> Signature of Generator,Representative or Agent of Generator: X - <br /> v <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95252 Woodville,WI 54028 Nan <br /> 209-75446W 715698.3363 <br /> CAL00021"11 WIRW W29751 Address: <br /> Recycling <br /> &Disposal `j{ city,state,zip: <br /> !Rtedrank <br /> Ol Transfer 5300 Rortlos Environmental <br /> Claus Road 1516 S.River Road . <br /> Riverbank,CA 96367 West Sacramento,CA 95691 _ Phone: <br /> 209.863$181 916.371-6747 <br /> CALOW0190817 CAD0040036M EPA to: <br />