Laserfiche WebLink
� <br /> mailing:.P:O.Box 176,Salida,CA 95368 <br /> n <br /> 4612 lGeman Court,Salida,CA 95368 <br /> Geome W I..owry, Inc. NOV 2015 Phone:2095450791 FAX 209-545-2241 <br /> Environmental Services Division j` EPA#CAR000047019 <br /> ENVIRONMENTAL CATrattsporterNumber3844 <br /> i CA License#758518 <br /> HEALTH DEPARTMENT <br /> GENERATOR: Consolidated Manifest Invoice: 25261 <br /> Site EPA 10#: �. ,?. ' , $` " <br /> Shipment.Date: <br /> Contact Person: <br /> Name: .e Driver Signature(Printed): <br /> Address: ! 2_0 Chx, lf,.;W Truck# <br /> Com'ate'Zip' -hre- zio PON c� <br /> Site Rhone: <br /> Product wasie CAManifest#0 Quantity units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used 00) Lutlricafing 221 Gal <br /> Non-RCRA Hazani w Waste Liquid(Used(A:Industrial 221 Gat <br /> Non RCRA Hazardous Waste liquid(Used Automotive Antifreeze) 134 Gar <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221 sal <br /> Non-RCRA Hazardous Waste Sof Contaminated with Used Ol t orun ts) %,� - <br /> Drained Used 00 Fritter Drum(s) Dsum{s) <br /> Empty Drum(s) Each <br /> Transportation&Truck Time HR. <br /> Hazartious Test <br /> Unless otherwise specified on(tis Consolidated Manifest Receipt(invoice)Temps:Accounts due on the 10th of the mom,ane moven ct pus3,am Past due Tota) 6 u�. <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-1r2%per month,which is the ANNUAL PERCENTAGE RATE of 18%. <br /> By signing this receipt,the Generator cartifies 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 prot8ed to meet the Waste Codes as fisted 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 facilities that process used oil also meet those require- <br /> ments These include more stringent leak detection and prevention requirements,engineering CBrtlfications,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 inforination only. Lowry Driver Signature X �l�t <br /> i <br /> Signature of Generator,Representative or Agent of Generator: X <br /> Greenleaf Environmental CRI Recycling <br /> 3474 ToyoeCr, 101 Hagen Drive <br /> Valley Springs,CA 96252 Woodville,WI 54028 Nom; <br /> 209.7544600 715.598-3363 <br /> CALo00214411 WIR000029761 Adm: <br /> R@C]fCtiftg <br /> t}IS pOSai City,State,Zip: <br /> FdCOhti@S Riverbank Oil Transfer 5300 Ramos Environmental <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 <br /> 209563-8181 916-3715747 <br /> CAL000019OB17 CA0004003656 EPA 10: <br />