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Mailing:P.O.Box 176,Salida,CA 95368 <br /> RECEIVED Coll Salida C <br /> A 95368 <br /> 4612 Kiernan , <br /> r <br /> i � <br /> Ce �e �..OW , /n V. '' Phone:M,""791 FAX 209-545-2241 <br /> Environmental Services Division ! NOV 2 0 2015 ERA#CAR000047619 <br /> CA Transporter Number 3844 <br /> ENV ENTAL CA License#788518 <br /> — NT <br /> GENERATOR: Consolidated Manifest Invoice: <br /> Site EPA iD#: <br /> Shipment Date:5 � a <br /> Contact Parson: <br /> Name �, , - 1j�� Driver Signature(Printgdr ,• <br /> Address: ` ' r.f Truck# ' <br /> City,State,Zip: tdsge� <br /> PO# <br /> Site Phone: <br /> Product waste CAManifest#0 Quantity units Price /Aey unt - <br /> Code ( r� <br /> Noir-RCRA Hazardous Waste LWd(Used Oi}:Lutxirating 221 ��" L� GarGal <br /> p ` <br /> Non-RCRA Hazardous Waste Liquid(Used OiQ:Industrial 221 + € J <br /> .. Jon RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 \ Galt <br /> Nan-RCRA Hazardous Waste Liquid(oil&Water) 221 Gel <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 DrUNSi <br /> Drained Used Oil Fitter Daum(s) Drums) <br /> Empty Drum(s) Each <br /> Transportation&Truck rune HR <br /> Hazardous Test <br /> Unless otherwise specified ore Ods Oo=Udated Mantes(Receipt(invoice)Terms:Acmunis due on the 10th or tris month following menth of pwdh - Past due Total `7M ..- <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-tr2%per month,which is the ANNUAL PERCENTAGE RATE of 1896 �(f <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 clegges+` <br /> determined by the generator,to be economically 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 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 facilities. California fatalities that handle or <br /> process used oil are required to meet those more stringent requirements,and some out-of-state facilities that process used off also meet those require- <br /> ments These include more stringent leak detection and prevention requirements,engineering certifications of tank integrity,and financi'ill'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 man went stan- <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Lowry Driver Signature X <br /> Signature of Generator,Representative or Agent of Generator: X ' <br /> man <br /> sum <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95252 Woodville,WI 64028 Nauta: <br /> 209-754.4600 7.15-M-3363 <br /> CAL000214411 rROgOO29761 Address; <br /> Recycling # ly' <br /> 8r Disposal0 <br /> End ( r <br /> FaCiiitlt3S Riverbank OR Transfer 5300 4., Raaf Enviroom rdal <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 56367 West Sacramento,CA 95691 Phone: <br /> 209-863.8181 916.3715147 <br /> CAL00D0190817 CAD0040036. EPA lo: <br />