Laserfiche WebLink
' f <br /> a <br /> RECEIVEDMelling:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kiernan Court,Salida,CA 95368 <br /> George W. �..OWEy, Inc. Phone:209.645-0791 FAX 209-545-2241 s' <br /> tj N 0 V `0 2015 <br /> i Environmental Services Division EPA#CAR000047019 <br /> i.i <br /> CA Transporter Number 3844 <br /> ENVIRON L <br /> HEALTH DE ENT cALicense#756618 <br /> .. = <br /> GENERATOR: Consolidated Manifest invoice: ::?. 24583 <br /> Site EPA ID# C.,4L3nfa2 <br /> w Shipment Date: <br /> Contact Pers : <br /> t <br /> Name: f. Driver Signature(Printe <br /> At <br /> Address: <br /> Q jZA kL Truck# '`��- 1 <br /> City,State,21p: PO# t <br /> Site Phone: <br /> Product waste CAManifest#0 Quantity Units price ." ount <br /> Coda w <br /> :51on-RCRA Hazardous Waste Liquid(Used Ot):Lub"ng 221 ° Gal ( �" <br /> f Non-RCRA Hazardous Waste Liquid(Used Oil):Industrial , 221 <br /> Nal RCRA Hazardous Waste Liquid(Used Automotive AnGfieeze} 134 cal <br /> Nan-RCRA Hazardous Waste Liquid(011&Water) 221 <br /> Non-RCRA Hazardous Waste Sords Contaminated with Used Oil 223 Deungs) <br /> ralrW Used Oil FitterDnnn(s) Drums) "A" <br /> °r mpty Drums) Each <br /> Transportation&Truck Time art <br /> Hazardous Test <br /> } <br /> Unless adhenvise spedficd on els consowew Manifest Receipt(Invoice)Tens:Accounts due on the 1 oth of the 0=111 lbNowing M)n1h of pudhese. Past due TOW <br /> aemunrs will be dnrged a FINANCE CHARGE at the PERIODIC RATE of 1.112%per moth,which is the ANNUAL PERCENTAGE RATE of 1994. v <br /> f <br /> By signing this receipt,the Generator tifirfifies�l►mt a program has been established to reduce the volume or quantity and toxicity of the hazardous waste to,QK'r1r(4/ <br /> •fj— <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 /> [dote:George W.Lowry,Inc.hereby advises the Generator that X 's(Generator's signature) <br /> shipment of used o1 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 stringeht 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-of-state facilities that process used oil also meet those require- <br /> ments These include more stringent leak detection and prevention requirements,engineering certifications of tank integrity,and financial asuranctes <br /> for closure and accidental releases. It is lawful to send used oil to out of state facilities that comply only with the f=ederal used oil manag.ftent Stan- <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Lowry Driver Sign fere XIf <br /> �'�' <br /> Signature of Generator,Representative or Agent of Generator: X <br /> Greenleaf Environmental CRU Recy�iiy ; <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Va11ey SpA gs,CA 95252 Woodville,W 54 <br /> l 028 NNW. <br /> I <br /> 10 <br /> 715.6983363 <br /> 2�L00 1441 � VAR000629751 r Address: i <br /> RecyclingA. <br /> &Dns analCItzip, <br /> F8cil�lteeS Transfer 5300 Ramos Environmental X <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96361 West Sacramento,CA 95691 Phorm I <br /> 209.863-6181 916371-6747 <br /> CAL000019f1817 CAD00400 M EPA 10: ! <br />