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a` Matting:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kiernan Court,Salida,CA 95368 <br /> GeOr a W. LOW rClG. Phone:209.54"791 FAX 209-546-2241 <br /> EnvironmentaCServlces Division <br /> i¢ EL'-;*'51V-ErN <br /> EPA#CAROOt1047019 <br /> `! <br /> =—= N O V 0015 CA Transporter Number 3844 <br /> " i CA License#758518 <br /> GEMERATOR: WF; MNT Consolidated Manifest Invoice: ` <br /> Site EPA ID#: ( )n C Shipment Date: <br /> Contact Person: ta f 7 <br /> Name: r Driver Signature(Printed): A <br /> wel <br /> Address: t Truck# W <br /> Com'Ste'tel: � � PO# i <br /> Site Phone: <br /> Product waste CA Manifest NO Quantity units Price Amount <br /> Code <br /> .Non-RCRA Hazardous waste Liquid(Used lit):Lubricating 221 }� �' "°`` E:✓ 4 a� .rt U1. <br /> Non-RCRA Hazardous Waste Liquid(Used Oiq:Industrial 221 Gal <br /> Gal <br /> Nan RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 <br /> Non-RCRA Hazardous Waste Liquid(OR&Water) 221 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used CN 223 °n1iK`l <br /> .Brained Used Oil Filter Djum(s) Drumtsl I p <br /> Empty Drum(s) Each <br /> Transportation&TruckTima <br /> Hazardous Test <br /> Unless otherwise specified on this Consolidated Manuest Receipt(Invoice)Terms:Aocotrtta due onto 10th of the month following morM of Mrchase. Pastdue <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-1/2%per month,which is the ANNUAL PERCENTAGE RATE of 18%. t <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 fisted 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 use oil but that is <br /> not required to comply with the more stringent requirements applicable to hazardous waste management facilities. Carifomia 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 is lawful to send used oil to out of state facilities, that comply only wittt the F eta1 wed oil management stan- <br /> dards and not Mass more stringent requirements. t� <br /> This notification is for information only.. Lowry Driver ig tut <br /> Al V <br /> Signature of Generator,Representative or Adent of Generator: X _ i <br /> A . 1 <br /> VLam ca. <br /> Greenleaf Environmental - CRI Recycling <br /> 3474 Toyon Cr. 101 Haagen Drive <br /> Valley Springs,CA 95252 Woodville,YYI 54028 <br /> 209-754. 600 . 716.6983363 <br /> CAL000214411 WtRODW29761 Address: <br /> Recycling f <br /> C3 cHy,state.zp: <br /> FaClllttes Riverbank Oil Transfer 5300 Ramos Environmental <br /> Claus Road 1615 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 PhOne: <br /> 209-8638181 . 916371-6747 <br /> CAL0000190817 CAD0040035S EPA Mt <br />