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RECEIVE-0 Mailing:P.O.Box 176,Salida,CA 95368 <br /> U'Reorcie <br /> 4612 Kiernan Court,Salida,CA 95368 W. Lowry, Inc. i iN 0 V 2 0 2015 Phone:209545-0791 FAX 209-545-2241 <br /> ental Services DivisionEPA#CAR000047019ENVIRONMENTAL, CA Transporter Number 3844 CA License#758518 <br /> HEALTH DEPARTMENT <br /> GENERATOR: Consolidated Manifest Invoice: <br /> 25056 <br /> Site EPA ID#: 6-4Shipment Date: r! <br /> Contact Person: it <br /> Name: Driver Signaturv(printed): <br /> Address: f �v �, Truck# j?Z <br /> City,State,Zip: �,4 PO# [c. <br /> Site Phone: <br /> Product Waste CA Manifest#0 Quantity units Pike Amount <br /> Code ^�—� <br /> on-RCRA Hazardous Waste Liquid(Used 04:Lubricating 221 of i;l f Z 0 0 <br /> Non-RCRA Hazardous Waste Liquid(Used 01):Industrial 221 Gat <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Anfifiem) 134 Gat <br /> Non-RCRA Hazardous Waste Liquid(00&Water) 221 Gat <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used 017 223 OatiKffiy <br /> raided Used Oil Filter Drum(s) ') <br /> EnVh Dmn(s) Each <br /> Transportation&TructTam Hk <br /> Hazardous Test <br /> Unless otherwise.specified on this r onsordated Manifest Receipt(Invoice)Terms:Accounts due on ft 1 oth or ftte mwth following month of Pumhase. Pest due 7a t' .j,� <br /> acoounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-1t2%per month,wtft h Is the ANNUAL PERCENTAGE RATE of M. <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 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 oil are required-to meet those more stringent requirements,and some out-of-state faciTRies that process used oil also met 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 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 Silg .e <br /> Signature'of Generator,Representative or Agent of Generator.. X_ <br /> Greenleaf Environmental I-Recycling <br /> 3474 Toyon Cr. t01 Hagen Drive <br /> Valley Springs,CA 95252 / Woodville,WI 54028 ualmn. <br /> 209-76446W 7156983363 <br /> CAL000214411 MR000029761 Address: <br /> Recycling - <br /> 8c DIspASatlNMI City,State,Zip: <br /> Facilities Riverbank Oil Transfer 5300 Ramos Environmental <br /> Claus Road 1516 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 'one <br /> 209.8633181 916.371-6747 <br /> CAL00o019O817 CAD004003 '556 EPA lo: <br />