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MafOng:P.O.Box 176,Salida,CA 95368 <br /> r 4612 Kiernan Court,Salida,CA 95368 <br /> r�,,George W LOwp& Inc. [I Phone.209-645-0791 FAX 209.545-2241 <br /> ents$Services Division { /q ® °Zo15 EPA#CAR000041019 <br /> NOVY N CA Transporter Number 3844 <br /> CA License#768518 <br /> E IRONMENTAL <br /> GENERATOR: HEALTH DEPART ENT Consolidated Manifest Invoice: <br /> 25091 <br /> Site EF Ono 380 1-57-El <br /> Shipment Date: " <br /> Contact Person: S, MAIJ <br /> Name: 1 C11AP <br /> Driver Signature(Printed): Yr- <br /> Address: ^ ? Truck# l/ <br /> City,State,Zip: PO# <br /> Site Phone: <br /> Product Wye CA Manifest 00 Quantity units Price Amount <br /> Code <br /> RCRA Hazardous Waste Liquid(Used 011)iubdedrig 221 (? rE p cal <br /> Non-RCRA Hazardous Waste Liquid(Used(M):Industrial 221 Gad <br /> Nal RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 <br /> Non-RCRA Hazardous Waste liquid(011&Waw 221 <br /> Non-RCRA Hazardous Waste Solids Confanttitalet with Used Ofi 223 {q <br /> rakred Used Oil Filter Mum(s) ° At- <br /> Empty Drum(s) Each <br /> Transportation&Truck Tare reit <br /> Hazardous Test <br /> s <br /> Unl�otherwis®spedw on this CwwffdaW Manifest Rocetpt(Invoice)Terms:=1d.clue on the 10th We month folrowing month of purchase.Pmt due Torn$ <br /> acommts w8 be charged a FINANCE CHARGE at the PERIODIC RATE of 1.112%per month,which is"ANNUAL PERCENTAGE RATE of 1a%. e <br /> By signing this receipt,the Generator unifies that a program has been established to reduce the volume or quantity and tokkity of the hazardous waste a degree <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 Cortes 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 Wlities 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(awful to send used oil to out of state facilities that comply only with the Federal used oil management star <br /> dards and not these more stringent requirements. <br /> This notification Is for information only. Lowry Driver Sign <br /> �ft X , <br /> Signature of Generator,Representative or Agent of Generator: X <br /> r t <br /> OWN <br /> mod <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr_ 101 Hagen Drive <br /> Valley Springs,CA 95252 Woodville,Wl 54028 Harm. <br /> 209-7"4600 715-6983363 <br /> CALOOD214411 WVIR000029751 Address: <br /> tZBCyCling �.-, <br /> 8a Disposal �r! r/r/ City,Stam,Zip: <br /> F3CilltieS Rive t?il ransfar 5300 Ramos Environmental <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209.863.8181 916371.5747 ; <br /> CALOOD0190817 CA0004003656 EPA to: <br />