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Mailing:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kiernan Court,Salida,CA 95368 <br /> RECEIVED <br /> Phone:209-5464791 FAX 209-545-2241 <br /> `.Georcie W. Lowry, Inc- r NOV 2015 <br /> Environmental ServiBes Division 1'{ EPA#CAR000047019 <br /> t` CA Transporter Number 3844 <br /> J�1E44NMENTAL CA License#758518 <br /> EEAB�MENT <br /> GENEtlD#.* <br /> OR' Consolidated Manifest Invoice: y a <br /> Site EPA •- r Shipment Date: <br /> Contact Pepilm. <br /> 1 !�v9y ' Driver Signature(Printe <br /> Name: le'l �''Z 4117 `" <br /> Address: - ,v,+ g°�_ e'�"��fa.P Truck d <br /> City,state,Zip: "�, � / f PO ft <br /> Site Phone: - - <br /> n j <br /> Product waste CA Wirifest#0 Quantity units Price Amount <br /> Cod® <br /> 4` on RCRA Hazardous Waste Ligidd Nsed Oil):Lutrrica6ng �1 "t # -� <br /> e, , r <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):industrial 221 Gat <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze} 134 Gat <br /> Non-RCRA Hazardous Waste Liquid(oil&Water) 221 car <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Ort 223 Dtusi <br /> tkum(a) <br /> Drained Used Oil Filter Drum(s) <br /> Each <br /> Empty Drum(s) <br /> HR. <br /> Transportation&Truck Time. <br /> Hazardous Test <br /> s rdeaounts�wil be a FIP NCCE C aE GE at�theER Receipt <br /> tRAi i 1 r2%per ffloni�whichIsi the0th Of 110 month ANNUAL PERCENTAGE R smol of 18%. se. Past due Total , M , ,, ., ..... <br /> �r <br /> By signing this receipt,the Generator c aftifies that a program has been established to reduce the volume or quantity and to:ocity of the haze US We tgbad ree,a-It <br /> determined by the generator,to be economically practicable. <br /> Generator certifies that all Hazardous Waste fisted on this Consolidated Manifest Receipt is profiled to meet the Waste Codes as listed above. <br /> Note:George W. wry, <br /> Lo .Inc.hereby advises the Generator that X `s(Generator's signature) <br /> shipment of used oii•may to 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. Califomia 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 thoseSequire- <br /> ments These include more stringent leak detection and prevention requirements,engineering certifications of tank integrity,and financia�ss rances <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 gem t stan- <br /> 01 <br /> dards and not these more stringent requirements. , <br /> This notification is far in <br /> only. Lawry Driver Signature X f <br /> Signature of Generator,Representative or Agent of Generator: X <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive eell <br /> V lipSp ngs,GA 95252' Woodville,M 54028 <br /> AR , <br /> 716'8983363 <br /> 411 ' tiViR000029T51 Address: <br /> ecycinDisposal ' ;� City,State,Zip: <br /> FaciII 0 s Oil Transrter 5300 Ramos Environmental <br /> d 1615 S.River Road <br /> phol <br /> CA 96367 West Sacramento,CA 55691 <br /> \ 209.863'8181 916371-5747 <br /> 1 <br /> CAL0000190817 CAD004003666 EPA iD: <br />