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j Mailing:P.O.Box 176,Salida,CA 95368 <br /> `r�. �_)) GE 4612 Kiernan Court,Salida,CA 95368 <br /> U' GeiOEge [.OWffy l G4 Phone:209-rA"791 FAX 209-545-2241 <br /> N0 V 20 2015EPA#CAR000047019 <br /> ents!Services DlvisEon i CA Transporter Number 3844 <br /> r` ENVIRONMENTAL CA Uceiise#758548 <br /> NT <br /> GENERATOR: Consolidated Manifest Invoice: Q <br /> Site EPA ID#: � `� <br /> 2,520 <br /> Shipment <br /> Contact Person•. <br /> Name: Driver Signature(Printed): r <br /> Address: j ,,....�� Truck# 12,2 <br /> City,State,Zip: . PO# <br /> Site Phone: <br /> Product waste CA Manifest#0 Quantity units Price Amount <br /> Code <br /> •Non•RCRA Hazardous Waste Liquid(Used 0):Lutxicatfng 221 013 r,300 GAI 4-1,r <br /> Non-RCRA Hazardous Waste Liquid(Used 011):Industrial 221 Get <br /> Nor!RCRA Hazardous Waste Liquid(used Automotive Antifreeze) 134 Gal <br /> Nan-RCRA Hazardous Waste LWil(01&Water) 221 Gst <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Of 223 f)rsmis) <br /> Drained Used 01 Filter Drum(s) oramta) <br /> fly Druni(s) Each <br /> Transportation&Truck Tim HR. <br /> Hazardous Test , <br /> i <br /> Unless oQrervrise spe6fied on Qts Consolidlated Manifest Receipt(rmoice)Temtss Ac=mm due on the 10Qi of the isflh foQawinp ffKVM of pudmse. Past due <br /> a000unts wiQ be dwrged a FINANCE CHARGE at the PERIODIC RATE of 1412%per month.wriich is the ANNUAL PERCENTAGE RATE of 18%. r <br /> By signing this receipt.the Generator certifies(hat 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 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 re4uirements applicable to hazardous waste management facilities. California facilities that handle or <br /> process used oll 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 off to out of state facilities that comply only with the Federal used off management stan- <br /> dards and not these more stringent rrequirements. <br /> This notification iscfor inlformatlon only. Lowry Driver Signatu <br /> 1\1 Signature of Generator,Representative or'Qgant of 0enerator: ,X r liv IV <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95252 Woodville,wi sme N <br /> + 209-764.46600 716.6983363 <br /> CALOOD21g47 <br /> YVIR000029761 Address: <br /> 8 Disposal12 City,Stats,zw. <br /> FBCettti@5 Riverbank Oil Transfer 5300 Ramos Environmental <br /> Claus Road 1515 s.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209.863.8181 916371-6747 <br /> CALODOD190817 CAD0040036W EPA ID: <br />