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.y <br /> Mailing:P.O.Box 176,Salida,CA 95368 <br /> 4812 Kieman Court,Salida,CA 95368 <br /> 1\ <br /> •M George W. Lowry, Inc. 01 Phone:209548-0791 FAX 209-645-2241 <br /> ! Environmental Services Division ) EPA#CARUD0047019 <br /> CA Transporter Number 3844 <br /> } CA License#758518 <br /> GENERATOR: Consolidated Manifest Invoice: J +� <br /> Site EPA ID M ��� S+ <br /> Shipment Date: <br /> Contact Person: Yll J • <br /> Name: (-? Driver Signature(Printed): /� �,�• <br /> Address: ? Truck# <br /> City,State,zip: <br /> # <br /> Sito Phone. PO <br /> Product waste CAManifest#0 Quantity units Price Amount <br /> Code <br /> — Non-RCRA Hazardous Wade Liquid(Used Oil):Lublicating 221 Gat <br /> Non-RCRA Hazardous Waste Uquid(Used 011):industrial 221 7� Ga <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134e % .�r-^� Gar <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221 / Gar <br /> Non•RCRA Hazardous Waste Solids Contaminated VM Used Oil 223 Dram(c) <br /> rulned Used 011 Fifter Drums) <br /> Emply Drum(s) Each i <br /> Transportation&Trucktime .• lin. <br /> _.1•Hazardous Test <br /> Unless otherwise specified on this Consolfdaled Manifold Rowpt onvorce)Terms:Accounts due on the 10th or the month foltoMng month of purchase. Past due Total / S L <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1412%per month,which Is the ANNUAL PERCENTAGE RATE of 18%, i <br /> By signing this receipt,the Generator certifies that a program has been established to reduce the volume or quantity and t0acity of the hazardous waste a degree <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 requirements applicable to hazardous waste management ftidlfties. 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 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 with the Federal used all management sta - <br /> dards and not these more stringent requirements. C.` <br /> This notificatfan is for information only. Lowry Driver SignaRX 1 j� <br /> iv1 <br /> Signature of Generator,Representative or Agent of Generator: X — <br /> pp�r�ooggI ! <br /> 1NA I <br /> iomm ® 13 <br /> _ <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toy on Cr. 10,1 Hagen Drive <br /> Valley Springs,CA 95252 woodvi0e,will 54028 Name; <br /> zo9-r"�4 460o 115-698.3363 <br /> CAL000214411 MR000029751 address: <br /> Recycling . <br /> &Disposal <br /> �i <br /> �� t�/'Lf1 <br /> l=acilities Rtveit>an�c 011 ransfor 5300 Ramos Environmental city,state,zip; <br /> Claus Road 1515 S.River Road. <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phano: <br /> 208.8638181 9163715747 <br /> CADOD4003666 r <br /> CALOOOg190817 T EPA ID: <br /> r <br /> i <br />