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iRECEIVED <br /> Mailing:P.O.Box ITS,Salida,CA 95368 <br /> t1EnvIr4o?nme'nta1 <br /> 4612 Kieman Court,Salida,CA 95368 <br /> ewr aq� ►°Y. LOW i11C. F Phone:209.54SW91 FAX 209545-2241rv, N ;V . 2015 <br /> Services Division `; , ' 4- EPA#CAR000047019 <br /> CA'Transporter Number 3ft44ENVIRONMENTAL CA License#758518 <br /> HEALTH DEPARTMENT <br /> GENERATOR: Consolidated Manifest invoice: 'A' <br /> <! E <br /> SiteEPA ID#: C,&J .a Shipment Date: <br /> Contact Person: d a <br /> Name. Driver Signature(Printed): <br /> Address: b ktw Truck# <br /> City,State,zw /', r0# <br /> Site Phone: <br /> Product Waste CA Manifest#0 Quantity units Price Amount <br /> code <br /> 40 <br /> ,Non•RCRA Hazardous Waste Liquid(Used 04:Lubricating 221 � � -� a - r <br /> Non-RCRA Hazardous Waste Liquid(Used Oa):Industrial 221 Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gal <br /> Non-RCRA Hazardous Waste Liquid(al&Water) 221 Gat <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used 011 223 <br /> Drained Used al Fater Drum(s) Dr"n(s) <br /> Empty Drum(s) E.. r <br /> Transportation 9 Truck Time HR <br /> -Hazardous Test <br /> unless olberwtse speadW on lids Consdrdated monrfed Receipt(invoice)Terms:Accounts due on the 108r of the owe forowing monih of pashas Pastdue oPsl Civ <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-112%per rtwrft which is the ANNUAL PERCENTAGE RATE of 1896. <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 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 6yt-of-state facilities that process used oil also meet those require- <br /> ments These include more stringent leak detection and prevention requirements,engineering ceitificatim 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'lised oil management stan- <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Lowry Driver Signatu E <br /> Signature of Generator,Representative or Agent of Generator: X <br /> Greenleaf Environmental CR!Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95262 Woodville,W)54028 X109 <br /> 209.7544600 715.098.3363 <br /> CAL000214411 WIR000029761 Address: <br /> RecyCling �,T, ( , <br /> &Disposal City.state,2,p: <br /> l`aC1)ities Riverbank Oil Transfer 5300 Ramos Environmental <br /> Claus Road. 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 <br /> 209-863.8181 91637.1.:1747 <br /> CAL0000190817 CAD004003656 EPA ID., <br />