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go <br /> C' Enviro?—nmental <br /> Mailing:P.O.Box 176,Salida,CA 98368 <br /> 4612 Kiernan Court,Salida,CA 95368 <br /> ge W. Lowry, inc. Phone:209.545-0791 PAX209645-2241 <br /> Services DivisionEPA#CAR000047019 <br /> CA Transporter Number 3844 <br /> CA Llc¢nse#758510 <br /> GENERATOR: Consolidated Manifest Invoice: ' 25403 <br /> Site EPA ID#: :Cf�, �rt <br /> • Shipment Date: `t��/� <br /> Contact Person: 1 <br /> Name: Driver Signature(Printed): <br /> .1 c.. ' <br /> Address: Truck# <br /> City,State,Zlp: jl A <br /> PO# <br /> Site Phone: <br /> Product waste CAManifest#0 Quantity units Pace Amount <br /> Code <br /> 14on-11611A Hazardous Waste liquid(Used 011):Lubricating 22! c- oU C+7+ Gar , <br /> Non-RCRA Hazardous Waste Liquid(Used 011):Industrial 221 Gat <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221 Gat <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 Drums) <br /> Eiralned Used Oil Filler Drum(s) Drums► <br /> i <br /> • Empty Drum(s) <br /> Each <br /> Transportation&Truck*nine 3 it% <br /> Hazardous Test <br /> L7 •ms.r 4 <br /> Unless otherwise specified on this Consolidated Manifost Receipt(Invoice)Tens:Accounts due on the loth of the manth following month of purchase. Past due TOfal �' <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-12%per month,which Is the ANNUAL PERCENTAGE RATE of 16%. d ft <br /> By signing this receipt,Ufa 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 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.comptywith 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 leak detection and prevention requirements,engineering cert)fications of tank integrity,and financial assurances <br /> for closure and accidental releases. it is lawful to send used'oll to out of state faclliB y with that comply only, the f=ederal used o)1 management stan- <br /> dards and not these more stringent requirements./ <br /> This notification is for infomration only. Lowry Driver Signature <br /> Signature of Generator,Representative or Agent of Generator: ' X <br /> ® ® <br /> Greenleaf Environmental CRi Recycling / <br /> 3474 Toyon Cr. 101 Hagen Dri,e <br /> Valley Springs,CA 95252 Woodville,IM 540 8 Hazrsr <br /> 209-7644600 7166983363 <br /> CAL00021 11 MR600029761 Address; <br /> Recycling . <br /> &Disposal lYand City,Stato,27p; <br /> I'acilltieS k6rbank oil Transfer 5300 Ramos Environmental <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 fin° <br /> 209863.818! <br /> 916-371-5747 <br /> CAO <br /> D0400360 <br /> 004003556 <br /> EPA ID: <br /> c <br /> I <br />`r. <br /> I <br />