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9 R ECE1VED-'.`* <br /> Mailing:P.A.Box 176,Salida,CA 95368 :. <br /> " N 0 V. TO 2Q 15 4612 Kiernan Court,Salida,CA 95368 <br /> o Phone.209-6454791 FAX 209-645-2241 <br /> Ge®Cge W. LowM Inc. <br /> _R EPA#CAR000047019 <br /> Environmental Services Division ENVIFMMENTAL CA Transporter Number 3844 <br /> HEALTH DEPARTMENT cEeLicense#rs6519 <br /> GENERATOR: Consolidated Manifest invoice: , <br /> Site EPA ID#: f > ? "" .r/ Shipment Date: 1 6) ft—( <br /> Contact Person: Gr f <br /> Name �, ! Driver Signature(Printed): 3 It, <br /> Address: C1 r 1. Truck# <br /> City,State,Zip: 1 r. A PO 9 <br /> Slie Phone: <br /> Product waste CA Manifest#0 Quantity units Pike Amount <br /> Code <br /> Ggd <br /> Non-RCRA Hazardous Waste Liquid(Used 0i):Lubricating 221 <br /> Non-RCRA Hazardous Waste t.igtrid(Used 0d):Industrial 221 Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gal <br /> NonACRA Hazardous Waste Liquid(Pit&Waw) 221 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used 01 223 <br /> Drained Used Oil Filter Drum(s) Dr fel <br /> Each <br /> Empty'Drum(s) <br /> Transportation 8 Truck Time HR <br /> Hazardous Test <br /> Unless otherwise spedW on this Consolkleted Manifest Receipt(invoice)Terms:Accounts due on the 10th of the month following month cd purchase. Past due TOtat �"7/' <br /> accounts will be changed a FINANCE CHARGE at the PERIODIC RATE of 14294 per month,which is Ow ANNUAL PERCENTAGE RATE of 189ti. ♦Ca <br /> `f <br /> By signing this receipt,the Generator cer0fres that a program has been established to reduce the volume or quantity and toxicity of the hazardous waste to a degree as <br /> determined by the generator,to be economically practicable. <br /> Generator ceniftes that all Hazardous Waste fisted on this Consolidated Manifest Receipt is profiled to meet the Waste Cry 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 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 cerffmtlons 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 cxDrrt on with the f=ederal used oil management stah- <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Lowry Driver Signature X � l <br /> Signature of Generator,Representative or Agent of Generator: X ��U �r�md1 z/ <br /> PER <br /> Greenleaf Environmental. , CRI Recycling <br /> 3474 Toyon Cr.. 101 Hagen Drive Nanre <br /> Valley Springs,CA.95252 Woodville,W1 5028 <br /> 209-754.46 715.698-3363 <br /> CAL000214411 WIR000029751 Address- <br /> R6CyClit7g <br /> &DispAsal city.sate,zip: <br /> Facilities Riverbank Ail Transfer.5300 Ramos Environmental <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone., <br /> 209563.8181 3163715747 <br /> CAL0000190817 CAD004003566 EPA 1D: <br />