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W Malting:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kleman Court,Salida,CA 95368 <br /> George W Lowry, Inc ? NOrV 2 2015 <br /> Phone*209-546-0791 FAX 209-545-2241 <br /> Environmental Services Division ERA#CAR000047019 ?` <br /> - - - <br /> _,...__._-._-..-._._.,,.___ .._. CA Transporter Number 3844 <br /> ENVIRONMENTAL cALltense#75ss1s <br /> SPAR <br /> ENT <br /> GENERATOR Consolidated Manifest Invoice: s ; Q <br /> Site EPA ID# J _ `f j 1 W <br /> Shipment Date: „r ---- <br /> Contact Pe{s n: s `. <br /> Narita: Driver Signature(Pri <br /> L d <br /> Address: ( .f'(f , , Truck# <br /> City,state,Zip. ZZ-4 " t,D 0 <br /> Site Phone: <br /> Product waste CA Manifest#D Quantity units Price �An QjU f <br /> Code '� [,yi`a; %Tj - <br /> RCRA Hazardous Waste Liquid(Used Oil):Lubtfcaling 221 7 14 t ry / <br /> Non-RCRA Hazardous Waste Liquid(Used( ):industrial 221 Gal <br /> } 5 <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antiheeze) 134 Gal <br /> CRA Hazardous Waste L'quid(Oil 8,Water) 221 Gat <br /> n <br /> -RCRA Hazardous Waste Solds Contaminated wttl Used OR 223 <br /> Drained Used OR F terDrum(s) ' DP41"Ie) <br /> -' <br /> ' Empty Drum(s) Each - <br /> Tiansporta bn&Tnxk7iime HR <br /> Hazardous Test <br /> 1. 1,a gorse specified on this Cormwated Manifest Receipt(Invoice)Tarmz Acwurds due on the 10111 of the moria forowing month of pw;hase. Past due Total E IG, q �• <br /> ao=mts will be charged a FINANCE CMARGE at the PS;UWIC RATE of 1-112%per;mo tlh,which is the ANNUAL PERCENTAGE RATE of 18%. l t°J <br /> By signing this receipt,the Generator certifies that a program has been established to reduce the volume or quantity and toxicity 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 listed above. <br /> Note:George W.Lowry,Inc.hereby advises the Generator that X `s(Gerierator's signature) <br /> shipment of used oil mai be transported to a facility that is required to comply with federal regulations applicable to management of used oil but that is <br /> not required to comply+iMh 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 requ <br /> ments These include more stringent leak detection and prevention requirements,engineering certifications of tank integrity,and financial assy�a�tces <br /> comply closure and accidental releases. It is lawful to send used oil to out of state%cilkles'that nply only with the Federal used manage It`t stan- <br /> dards and not these more stringent requirements. n <br /> This notification is for information only. Lowry Driver Signature X � A �f <br /> •r' , <br /> Signature of Generator,Representative or Agent of Generator: X <br /> MISSION <br /> C3 Lj <br /> Greenleaf Epironmental CRI Recycling <br /> 3474 Too Cr. 101 Hagen Drive <br /> Valley S, GA 9 52 Woodville,N54028 <br /> �09.7g4.4600 715&983363 <br /> G 090214411 WfR000029751 Address: <br /> Recycling <br /> 8c®iSposai %�j' City.State,Zip: <br /> FaCilitieS rick Ot T nsfer 5300 Ramos Environmental <br /> // Claus oad ISIS S.River Road <br /> L•- Riverbank,CA 96367 West Sacramento,CA 95691 - Phone: <br /> 209.963-8181 1 916371-6747 <br /> CAL00001901117 CAD004GO3656 EPA 10- <br />