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Mailing:P.O.sox 176,Salida,CA 95368 <br /> 4612 Kiernan Court,Salida,CA 95368 <br /> George W. L®Wry, Inc. E IVED Phone:209-6454791 FAX 209-545-2241 <br /> f <br /> Environmental Services Division EPA#CAR000047019..._}� '`:... <br /> --- ---- —— Nov a) ® 2015 CA Transporter Number 3844 <br /> L+ CA License#758518 <br /> GENERATOR: ENT Consolidated Manifest Invoice: C-K. 25409 <br /> Site EPA ID 0: / },.7&KS377 Shipment Date: _ <br /> Contact Person: ` <br /> Name: ►Z, 1 Driver Signature(Printed): <br /> Address: �.r �. Truck# <br /> City,State,Zip: /4A PO N <br /> sttg Phone: „ <br /> Product Waste CA Manirest#0 Quantity units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 Gal <br /> Non-RCRA Hazardous Waste Liquid(used q:ladusaial 221 Gat <br /> Non RCRA Hazardous Waste Liquid(Used AldattoWe Andli eeze) 134 Gal <br /> Not-RCRA Hazardous Waste Liquid(Oil&Water) 221 Gat <br /> le -RCRA Hazardous Waste Solids Contaminated with used(M 223 �� 35��-f S J�� °^u"m �,''` 7' <br /> Drained Used Oil Filter Drubs) Drum(s) <br /> Ett>)tty Drum(s) <br /> Each <br /> Transportation&Tnldr Time <br /> Hazardous lest A <br /> Unless otherwise speaW on ads CongofideW Mw#eA Receipt(Invoice)Tums:Accounts due on the 10th of the month following month of purchase. Fast due Total 'may <br /> accounts will be eh"rgad a FINANCE CHARGE at the PERIODIC RATE of,14r2%per menti,which is to ANNUAL PERCENTAGE RATE of 18%. <br /> By signing this receipt,the Generator certifies that a program has been established to reduce the volume or quantity and tox(dty 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 ReWpt is profited to meet the Waste Codes as listed above. <br /> Plote:.George W.Lowry,Inc.hereby advises the Generator thatk* `s(Generator's signature) <br /> shipment of used oil may be transported to a facility tfi'at is required to comply With federal regulations applicable to management of used oil but that is <br /> not regBhed 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 certifications of tankintegrity,and financial assurances <br /> for closure and accidental releases. It is lawful to send used oil to out of state,fbeilities that comply only with the federal used oil management stan- <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Lowry Driver Signature X <br /> e� <br /> Signature of Generator,Representative or Agent of Generator: X <br /> 1� <br /> Greenleaf Environmental ---CRI Recycling <br /> 3474Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95252 Woodville,WI U028 Mama: <br /> 209-7544600 71589133363 <br /> CALOOD214411 WIROOD029761 Address: <br /> Recycling y, <br /> &Disposal M City.State.zrp: <br /> Facilities Riverbank oil Transfer 5300 Ramos Environmental <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 98367 West Sacramento,CA 95691 ,e: <br /> 2099.863.8181 916.371-5747 <br /> CALOOOD190817 CAD004003NO EPA ID: <br />