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iAalling:P.O.Box 176,Salida,CA 95366 <br /> 4612 Klernan Court,Salida,CA 96368 <br /> FED <br /> f"E"EIV <br /> Ge®rQ@ w LOW�(t �11C. Phone:2a9-546-0791 FAX 209-545-2241 <br /> �. II ! IIII! ,.... <br /> .91 <br /> Environmental Services Division I <br /> 2015 EPA#CAR800047019 <br /> 1` N O V CA Transporter Number 3844 <br /> y CA License#758618 <br /> ranaRaWAENIAL <br /> GENERATOR: HEALTH bEPARTM NT Cons-olidated Manifest Invoice:. c. <br /> i` <br /> Site EPA ID#: lr Shipment Date: <br /> Contact Person: <br /> r ,r Driver Signature(Printed): ' <br /> Name: i <br /> Address: Track <br /> City,State,Zip: Ci/4 r0# t� <br /> Site Phone: <br /> Product waste CA Manifest#0 Quantity Units Price Amount <br /> Code <br /> Non-RCRA Hazardous waste Liquid(Used 09):Lutxicaft 221 Gat <br /> Naas-RCRA Hazardous waste Liquid(Used Ot):industrial 221 cat <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antiheeae) 134 l' <br /> Nan-RCRA Hazardous Waste liquid(0118 Water) 221 <br /> Non-RCRA Hawrilous Waste Solids Contaminated with Used Oil 223 "" Dn+mtel <br /> Drained Used 01 Fier Dt m(s) Drum(s) <br /> Empty Drums) Each <br /> Transportation&Truck Time HR <br /> HazardDus Test ... <br /> 51A ama <br /> racwunts <br /> Accounts due al"loth oft1®mornficuuMng menlh ofpurchase. Pastdus Total <br /> will be charged a FINANCE CHARGE at the PERIODIC RATE of 142%per month,which is the ANNUAL PERCENTAGE RAPE of 1696, <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 as Hazardous Waste fisted on this Consolidated Manifest Receipt is profited to meet the Waste Codes as listed above." <br /> Mote:George W.'Lowry,Inc. hereby advises the Generator that X s(Generator's signature) <br /> shipment of used o9 may be transported to a faciiity 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. Califomia 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 teak detection and prevention requirements,engineering cartifcations of tank integrity,and financial assurances <br /> for dosure and accidental reuses. it is lawful to send used oil to out of state facilities that corn*only with the Federal used oil management stan- <br /> dards and not these more stringent requirements. <br /> This msttfication is for information only. Lowry Driver Signature X7. <br /> Signature of Generator,Representative or Agent of Generator: 13 <br /> i <br /> Greenleaf Environmental eRR yed c ling <br /> 3474 Toyon Cr. 1Q1•(lagen Drive <br /> Valley Springs,CA 95262 •- ftociville+1'111U028 0 28 ' <br /> 209-754.4600 716698-3363 <br /> CAL000214411 IMR000029751 Adder: <br /> Now <br /> Recycling <br /> &DisposalSolid clh,state,zip: <br /> Facilities Riverbank oil Transfer 5300 Ramos Environmental <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Pte^a: <br /> 20956346181 91637l-h747 <br /> CAL0000190817 CA0004003656 EPA to.- t <br /> i <br />