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— - - -- - <br /> Mailing:P.O.Box 176,Salida,CA 85368 <br /> U: 9Env!r*nRe. <br /> , 4612 Kiernan Court,Salida,CA 95368 <br /> Q@ LOWi"y, enc Phone:209-546-0791 FAX209-645-2241 <br /> ntal Services Division i N O V 2 2015 <br /> EPA#CAR000047019 <br /> CA Transporter Nuimber 3844 <br /> CA License#758518 <br /> ENVIRONMENTAL <br /> GENERATOR• ENT <br /> a � Consolidated Manifest Invoice: t:,,, 24248 <br /> .Site EPA ID#: 6_7 <br /> Shipment Date: <br /> Contact Person: 1 <br /> Name Driver Signature(Printe <br /> Address: f d/' Truck# <br /> City,State,Zip: . PO# 1 <br /> t <br /> Site Phone: <br /> Product Waste CA Manifest#0 Quantity Units Price Amount <br /> Code <br /> Non•RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 Ge <br /> Nat-RCRA Hazardous Waste Liquid(Used Oiq:Industrial 221 Gal <br /> Nat RCRA Hazardous Waste Liquid(Used Automotive Anhfteeze) 134 Gat <br /> Nql-RCRA Hazardous Waste Liquid(oil&Water) 221 Gai <br /> C`- r -lM Hazardous Waste Solids Contaminated with Used Oil 223 ,,?� " -t, s) �4. <br /> Drained Used Oil Fitter Drum(s) Drum(s) <br /> Empty Drum(S) Each <br /> Transportation&Truck Time <br /> Haze rdous°Test <br /> Unless otherwise specified an"Consolidated lNani W Receipt(Invoke)Tema:Axaml's due on the 10th of the month following month of Purchase.Past due Teta! ^�!y - <br /> accounts will be charged a FINANCE CHARGE at the PERio is RATE or i-1x %per month.which is the ANNUAL PERCENTAGE RATE of 1&%. # <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 Gated an 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(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 facilRies. 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 off 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 al to out of state faciffies that comply only with the Federal used of 'anagement stan- <br /> dards and not these more stringent requirements. <br /> This notification Is for Information only. Lowry Driver Signature X <br /> .sn <br /> Signature of Generator,Representative or Agent of Generator: X <br /> V <br /> NMI 13 <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr_ 101 Hagen Drive <br /> Valley Springs,CA 95262 Woodville,Wl 64028 Hate: <br /> 209-7544800 7154983363 <br /> CAL000214411 y18R00oo29761 Address: <br /> I'ieCyCilrig <br /> 8o Dispgsalin city,state,r4p. <br /> Facilities Riverbank Oil Transfer Woo Ramos Environmental <br /> Claus Road 1615 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209-863.8181 916371.6747 <br /> CAL0000190817 CAD004003566 EPA fl): <br />