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rftEN <br /> Mailing:P.O.Box 176,Salida,CA 95368 <br /> '"? 4612 Kiernan Court,Salida,CA 95368 <br /> CE V U <br /> 2eorge w Lowry, Inc. i J Plane:209.6454791 FAX 209-645-2241 <br /> Environmental Services Division N 0 V 2 0 2015 EPA#CAR000047019 s <br /> CA Transporter Number 3844 <br /> CA Ucense#758518 <br /> ENVIRONMENTAL <br /> GENERATOR: HEALTH AR ENT Consolidated Manifest Invoice: 25197 <br /> Site EPA ID#: Shipment Date. <br /> Contact Person: <br /> Driver Signature(Printed): <br /> Name: � r <br /> Address: liZiQ _ Truck# 1`] <br /> City,State,Zip: A to - f c7� <br /> PON <br /> Site Phone: <br /> Product waste CA Manifest#0 Quantity units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used 09):Lubricating 221 <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Industrial 221 Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gar <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221 Gat <br /> Non-RCRA hazardous Waste Solids Contaminated with Used Oil 223 Dtum(si <br /> Drained Used 01 Filer Drum(s) Drum(sl <br /> Empty Drum(s) Each <br /> Transportation&Truck Time <br /> Hazardous Test <br /> f <br /> Unless otherwise specified on this Cansoildafed Marffest Receipt(iavo m)Terms:Aaoounra due on the 10th of the month WIVNing month of purchase. Past due Tata( <br /> accounts vitt be charged a FfNANCE CHARGE at the PERIODIC RATE of 1-112%per month,which is the ANNUAL PERCENTAGE RATE of 1856 <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 profited 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!acuities. 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 certifications of tank integrity,and financial assurances <br /> for closure and accidental releases. it lawful to send used oil to out of state " that ply only ederal used oil management stan- <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Lowry Driver grtature <br /> J� h <br /> Signature of Generator,Representative or Agent of Generator: X f <br /> f ! <br /> Greenleaf Environments[ CRI Recycling <br /> 1 <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95252 woodvine.VVI 64028 Hanw. <br /> 209-7644600 716-6983363 <br /> CAL000214411 WIROOD02975 A Address: <br /> Recycling �� <br /> &Aispos at Cfty,state,2W. <br /> Facilities Rlverbank oil Transfer 5300 Ramos Environmental <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 west Sacramento,CA 95691 Phone, <br /> 2163-8181 916371.6747 <br /> CAL0000190817 CA3 EPA ID: <br />