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i Mailing:P.O.Box 176,Sallda,CA 95368 <br /> 4612 Kiernan Court,Sallda,CA 95368 <br /> 1�George W. Lowal Inc. j Phone:209-546.0791 FAX 209-645-2241 <br /> Environmental Services Division EPA#CAROODo47019 <br /> • '�"�f""" CA Transporter Number 3044 <br /> l CA license 111768618 <br /> GENERATOR: Consolidated Manifest Invoice: ; s;3 <br /> Site EPA ID#: ���� 8 5� <br /> Shipment Date: S•� <br /> Contact Person: <br /> Name: Driver Signature(Printed); <br /> Address: Rxx <br /> .4 DzWj9l Truck# <br /> City,State,Zip: <br /> Sit¢Phone: <br /> Product waste CAManifest#0 Quantity units Price Amount <br /> Cod. <br /> — Non RCRA Hazardous Waste Liquid(Used Oil):Lubticating 221 cat <br /> Non-RCRA Hazardous Waste Liquid(Used 011):Industrial 221 Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 S. cal <br /> Non-RCRA Hazardous Waste Liquid(011&Water) 221 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used oil 223 Drurn(s) <br /> reined Used 011 Filter Dium(s) txum(e) 7` /��.. <br /> a 7i <br /> en <br /> Empty Drums) 'Each <br /> Transportation&Truck time HR. <br /> •Hazardous Test <br /> .i <br /> Unless otherwise speri6ed on Oils Consolidated Manifest Rowrpt(invoice)Terme:Acc.unts due on the 101h of the rnonl h following month of ptrchase.past duo Total / , 5 L <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE ori-1r2%Per month,which Is the ANNUAL PERCENTAGE RATE of 19%. ( <br /> By signing this recelpt,the Generator Certifies that a program has been established to reduce the volume or quantity and toidcity or the hazardous waste a degree <br /> determined by the generator,to be ecandmically praoticable. <br /> Generator cerfifies 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(Gen erator'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 fadlfties. 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 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 s - <br /> dards and not these more stringent requirements. r <br /> This notification is for information only. Lowry Driver Signa <br /> Signature of Generator,Representative or Agent of Generator: X <br /> M C3 13 <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95262 Woodvllle,WI 54028 Name: <br /> 209-764.4600 716-898.3363 <br /> CALOOD214411 MR000029751 Address: <br /> R�GyGIIng . <br /> &Disposal �y� � <br /> Facilities Rtve rEaan(c OilXvister 530D Ramos Environmental City,state,zlp: <br /> Claus Road 1615 S.River Road. <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209,863.8181 916371-5747 <br /> CAL0000190817 CA0004003666 h EPA ID: <br />