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.:g,,, Mailing:P .Box 176,Salida,CA 95368 <br /> RECEIVi -,. <br /> �- 4612 Kiernan Court Salida,CA 95368 <br /> CI@Orge W. LOW Il1t:.. Phone:209545-0791 FAX 209.545-2241 <br /> Environmental ServicesDivision 7:' NO v G ® Z 01 5 EPA#CAR000047019 <br /> CA Transporter Number 3844 <br /> a. <br /> ENVIRONMENTAL CAUcense#758518 <br /> GENERATOR: Consolidated Manifest Invoice: 4 ®, <br /> Site EPA ID#: CAL ) ,, r� <br /> Shipment Date: ij ��� <br /> Contact Person: i`�" <br /> Name l00 2 Driver Signature(Printed): 4 ' <br /> d �k (ivy <br /> Address: � � y Emru <br /> ck# !� <br /> City,stats,Zip: ?' �t"?t a 0/'4 If t <br /> Site Phone: <br /> Product waste CA Manifest#0 Quantity units Price Amount <br /> Code t <br /> -Non-RCRA Hazardous waste Liquid(Used al):Lubricating221FaMR "4 U Gal ,�'o <br /> Non-RCRA Hazardous Wadine Liquid(Used Q :Industrial 221 (1 _ Gal <br /> Nan RCRA Hazardous Waste Liquid(Used Automotive Anb7reeze) 134 Gal <br /> Non-RCRA Hazardous Waste Liquid(Of&Water) 221 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 °"101tad <br /> Drained Used Oil Filter Drums) Drum(s) <br /> Empty Drums) <br /> Each <br /> Transportation 8 Tnmk Time HR <br /> Hazardous Test <br /> Unless othervose specified an titin Cornowaw Manifest Receipt(invoice)Telma:Accaemta due on the 10th of the month foilowinp month of p schase. Past due T / <br /> accounts win be charged a FINANCE CHARGE at the PERIODIC RATE of 1-1f2%per month,which is the ANNUAL PERCENTAGE RATE of 18%. !1{ <br /> By signing this receipt,the Generator certifies that a program has been established to reduce the volume or quantity and toxicity of the hazardous waste to a <br /> determined by the generator,to he economically practicable. <br /> Generator certifies that ail 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 oil are required to meet those more stringent requirements,and sante out-of-state facilities that process used of 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 reuses. It Is lawful to send used oil to out of state cl ty t-G= oniy with the F used oil management stan- <br /> dards and not these more stringent requirements. <br /> This notification is for Information only. Lowry Driver Si atur <br /> Signature of Generator,Representative or Agent of Generator: X� = <br /> Greenleaf Environmental 4391 Recyclin <br /> 3474 Toyon Cr. / 101 Hagen Or-Iva <br /> Valley Springs,CA 95252 Woodville,WI 50028 Hama: <br /> 209-754-4600 7156983363 <br /> CAL000214411 MR000029751 Adder: <br /> LDisp?",ling (� . t.... <br /> may,Ste,Z : <br /> tieS Riverbank 0)F Transfer 5300 Ramos Environmental <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 2098635181 916371-5747 <br /> CALOM190817 CAD004003566 WA ID: <br />