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ECEIVED <br /> U72 m-imq:P-o-Box 176,Salida,CA 95368 <br /> 4612 Kiernan Court,Salida,CA 95368 <br /> ge W. Lowry I,tI NOV ® 2015Phone:2os 5a5 0791 FAX 209 545-2241 <br /> ental5ervices Division ii EPA#CARODW47019 <br /> CA Transporter Number 3844ENVIRONMENTAL CAUcense#758518 <br /> _. HEALTH DEPARTMENT <br /> GENERATOR: Consolidated Manifest invoice: <br /> F2.44.35 <br /> Site EPA. ''= <br /> d . a.�' !Z ` <br /> � Shipment Date: <br /> Contact P -on: J .� <br /> t <br /> Nam a g 1 Driver Signature(Printer' , <br /> . r <br /> A. <br /> Address: ifs, T y�°' Trucker <br /> City,State,Zip: '• >"j 1'O# ��- <br /> Sl(q Phone: <br /> Product waste CA Manifest#0 4uanftty units Price Amount <br /> Code y <br /> v 'CRA Fra-zettlotiS Waste LlgUtd(Used Oi):Lubrighng 221 FFt�p•rjjly!y ."�f' u� �1yy �---- <br /> '.� �Y Orr B! k ewr/ tial <br /> Non-RCRA Hazardous Waste Liquid(Used 011):Industrial 221 `r Gal ,r <br /> Ad <br /> Non RCRA Hazardous Waste Liquid(Used AI><o=tive AIIWO ze) 134 cat r ` ! :r <br /> Non-RGRA Hazardous Waste Liquid(05&Water) 221 Gat <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 Murals) <br /> Drained Used Oil Filter Dnan(s) D41Nal <br /> Empty Drum(s) Each <br /> Transportation&Truck k Time Hut <br /> Hazardous Test s <br /> Unless otherwise specified on this Consolidate!Manifest Receipt(Invoice)Terns:Acoounis due on the 10th of the month roliawing month of purchase. Past due Tow <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 142%per month,which is the ANNUAL PERCENTAGE RATE of 18%. <br /> By sighing this receipt the Generator ceftes that a program has been established to reduce the volume or quantity and toxicity of the hazardous waste to ddegr"tias€ <br /> determined by the generator,to be econornically practicable. <br /> Generator certifies that all Hazardous Waste fisted on Us Consolidated Manifest Receipt is profiled to meet the Waste Codes as feted 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 facilities that handle or <br /> process used oil are required to meet those more stringent requirements,and some out-o"tate facilities that process used oil also meet those require- <br /> ments These include more stringent leak detection and prevention requirements,engineering caMfiications of tank integrity,and finandal asjg rances <br /> for closure and accidental releases. It is lawful to send used cit to out of state facilities that comply any with the Federal used cit era erp'�t stan- <br /> dards and not these more stringent requirements. �,.✓A} <br /> This notification Is for information only. Lowry Driver Signature XiiZv <br /> Signature of Generator,,Representative or Agent of Generator: X L <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley.Springs,CA 95252 Woodville,WI 54028 Name: <br /> 209-7"00 716498-3363 <br /> -AL00 21441I/ WIR000029751 Address: <br /> ReaycBing . <br /> Uispasaland <br /> City,State,zip: <br /> FaCllitieS nk 9 t Transfer 5300 Ramos Environmental <br /> Cie Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 phone: <br /> 20"63.8181 916371.6747 <br /> CAL0000190817 CADOOM35.e6` EPA ID: <br />