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Malting:P.O.Box 176,Salida,CA 95388 <br /> 4612 Kiernan Court,Salida,CA 95368 <br /> c g <br /> U� _Enviro?nmentalge W. LOWCy, Inc. NOV ® 20 15 Phone.209-5454791 FAx 209-545 2241 <br /> Y J EPA#CAR000047019 <br /> Services Rivlslon I <br /> .. __..,.__ CA Transporter Number 3844 <br /> J ENVI ENTAL CA License#758518 <br /> �-y ENT <br /> GENERATOR: Consolidated Manifest Invoice: 720 <br /> 24 <br /> Site EPA ID#: CAI Q S' Shipment Date: / � <br /> Contact Person: 10 11s <br /> Name. _?' Driver Signature(Printed): <br /> Address: / ,G+ Truck# ?Z <br /> City,state,Zip: J� <br /> � PO# <br /> Site Phone:' <br /> Product waste CAManifest#0 Quantity units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used N:Lutxicatiq 221 / �-� L Gal 0-5 <br /> Non-RCRA Hazardous Waste Liquid(Used Otl):Industrial 221 Gal <br /> Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antiliam) 134 <br /> Non-RCRA Hazardous waste Liquid(Oil&Water) 221 Ga' <br /> Non-RCRA Hazardous waste Solids Contaminated with Used Oil 223 +Kf! <br /> Drained Used 08 Filter Drum(s) <br /> Each <br /> Empty Drum(s) <br /> Transportation&TruckTime HR <br /> Hazardous Test <br /> Unless oiheiwise speaBed on this Consolidated Manifest ReceIPt(Invoice)Tams:Aocamts clue on Die 1Uth of the nwrdh fotfowinp month of punhase. Pest due Total . <br /> axounts vriN be dmrged a FINANCE CHARGE at the PERIODIC RATE of 1-W%per month.which is the ANNUAL PERCENTAGE RATE of 19%. <br /> By signing this receipt,the Generator certifies that a program has been established to reduce the volume or quantity and tokelty of the hazardous waste to a degree as <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 Med 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-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 assurances <br /> for closure and accidental releases. It is lawful to send used an to out of state facirdies-thaLmomply only with the F used oil management stan- <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Lowry Driver Sig <br /> Signature .--. <br /> re of Generator Representative or Agent of Generator: X ! 7. 4- . E 0 <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive Nam <br /> Valley Springs;CA 95252 Woodville,Wl 54028 <br /> 209.7544600 715.6983363 <br /> CAL000214411 WIR000029T51 Address: <br /> tZeCyCling / <br /> DispOSal •- —• City,State,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 /> 209-863-0181 916371-6T47 <br /> CAL0000190817 CAD0040035W EPA to: ,�µ�`�& <br /> 04 <br />