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-* <br /> 77 <br /> - R <br /> F.."EIVED'" <br /> Mailing:P.O.Box 176,Salida,CA 96366 <br /> N 0 V .. 2 015 4612 Kiernan Court,Salida,CA 95368 <br /> George W. Low! inc. Phone:209-6454791 FAX 209-545-2241 <br /> moa nisi m s ewiw� ,:� <br /> Environmental Services Division � EPA#CAR000047019 <br /> ENVIRONMENTAL CA Transporter Number 3844 <br /> HEALTH DEPARTMENT CALicense#758518 <br /> 116 <br /> GENERATOR: Consolidated Manifest invoice: <br /> IVI <br /> Site EPA ID#: f-- Y9� f <br /> Shipment Date: j I <br /> Contact Person: U <br /> Name: �r ���- J 4 Driver Signature(Printed): �, 1(�, <br /> Air <br /> Address: 1 )Lo �fTruck# � ) <br /> City,State,Zip: 4;n PO# t <br /> Site Phone: <br /> Prodi waste CA Manifest#0 Quantity units Price Amount <br /> Code <br /> Nat-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 Gal <br /> Nott-RCRA Hazardous Waste liquid(Used 00):industrial 221 Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifteeze) 134 <br /> Nrp-RCRA Hazardous Waste Liquid(Ol&Water) 221 <br /> Non-RCRA Hazardous Waste Somas Contaminated with Used Oil 223 r Z 1 2 _jj <br /> DrWned Used Ort Finer Drum(s) °ft""tsi <br /> Fac <br /> Empty Dnrm(s) ' <br /> Transportation 8 Trude TiHR <br /> Tim <br /> Hazardous Test <br /> unless otherwise Specified on this Consotidated Manifest Receipt(Invoice)Terms:A=unts due an a ie,j&s of the,mahN faftwing month of ptadtase.Past due TOtal =1901;rl <br /> accounts WO be drarged a FINANCE CHARGE at the PERIODIC RATE of 1-1[29:per month,which is the ANNUAL PERc&rAGE RATE of ta76:: <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 /> detennined 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 /> f <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 with 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 facitifies_ Califomia facilities that handle or <br /> process used oil are required to meet those more stringent requirements,and some out- -sWe facilities that process used o1 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 accidental releases. it is lawful to send used oil to out of state facilities that comply only with the Federal used oil management stan- <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Lowry Driver Signature X L <br /> Signature of Generator,Representative or Agent of Generator: X ` <br /> 13 <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95252 Woodville,WI 54028 Name: <br /> 209-764-4600 716498.3363 <br /> CAt.000214411 VOR000029751 Address; <br /> Recycling <br /> 8r d3isposalsum City.State,zip: <br /> FaCili$eS Riverbank Oil Transfer 5300 Ramos Environmental <br /> Claus Road 1515 5.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209.863-8181 9163716747 <br /> CALOD00190817 CADW4003ON EPA to: <br />