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FTECEIVE,D <br /> Mailing:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kiernan Court+Salida,CA 95369 <br /> NOV 2® 2015 <br /> George LOWIy, Inc. .j Phone:209-645-0791 FAX 209-645-2241 <br /> Environmental Services Division `J EPA#CAR000047049 <br /> - - — — _ ENVIRONMENTAL CA Transporter Number 380 <br /> HEALTH DEPARTMENT CA Licensers 758518 <br /> GENERATOR: Consolidated Manifest Invoice: r� 24568 <br /> Site EPA to M CAL,t'X.� LEI Shipment Date: <br /> Contact Person: 545-14 <br /> 1f�, Driver Signature(Printed): <br /> Name: �(SC��I' Ar., f <br /> Address: 1 Wa(- Truck# j f <br /> City.State,Zip: J- Gly/,�"a PON <br /> Site Phone: <br /> Product waste CAManifest#0 auantKy Unita price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used 01):Lubricating 221 Get <br /> Nan-RCRA Hazardous Waste liquid(Used Oil:Industrial 221 Gat <br /> Non RCRA Hazardous Waste Liquid(used Automotive Antifreeze) 134 Gal <br /> Non•RCRA Hazardous Waste Liquid((1&Water) 221 Gat <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 C)1,2fj <br /> Dnum(aI <br /> Drained Used OB Fiber Drum(s) <br /> Empty Dnim(s) <br /> Each <br /> Transportation&Tntdc lime HPL <br /> Hazaidous Test _ <br /> unless olhe wise spedfied on this C.onsoridated Manifest Receipt(Invoice)Terms:Accounts dye on the,10th of the mr#h fournweg north of purchase. Pstduae Total fh <br /> a000unts will be charged a FINANCE CHARGE at the PERIODIC RATE of I-1&%per month,which is the ANNUAL PERCENTAGE RATE or 18%. J <br /> By signing this receipt,the Generator certifies that a program has been established to reduce the volume or quantity and toxaaty of the hazardous waste to a degree as <br /> determined 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 /> 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 otl are required to meet those more stringent requirements,and some out-of-state facilities that process used or also most those require- <br /> ments These include more stringent leak detection and prevention requirements,engineering" ions 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 x'6;1 <br /> /Lk <br /> Signature of Generator,Representative or Agent of Generator: X / • <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen drive <br /> Valley Springs,CA 95252 Woodville,Wt 54028 <br /> 209-754-4600 795.698.3363 <br /> CAL000214414 tMR000020751 Adder; <br /> Recycling <br /> &Disposal Cr,fie,zip, <br /> FaCilitieS Riverbank oil Transfer 5300 Ramos Environmental <br /> Claus Road 1515 S.River Road ` <br /> Riverbank.CA 96367 West Sacramento,CA 95691 <br /> 209.863-8181 9163715147 <br /> CAL000®190817 CAD0040035M EPA to: <br />