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Matting:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kiernan Court,Salida,CA 95368 <br /> U,,,,! Environmontol <br /> ge W. L.ow!j inc. N Phone:209-646-0791 FAX 209.645-2241 <br /> Services Division { EPA#CAR000047019 <br /> CA Transporter Number 3844 <br /> CA License#768518 <br /> GENERATOR: Consolidated Manifest Invoice: � .t, <br /> Site EPA ID#. j� <br /> Shipment Date: <br /> Contact Person: Yl-f J <br /> Name: I lZa C114POS2 4,Zd:�2 Driver Signature(Printed): ���+ • <br /> Address: Truck# r <br /> city,State,zip: <br /> Site Phone: <br /> Product waste CAManifest#0 Quantity units Price Amount <br /> Codo <br /> —-Non•RCRA Hazardous Waste Liquid(Used 011):LubtimUng 221 <br /> Non•RCRA Hazardous Waste Liquid(Used 011):Industrial 221 Get <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 — Gat S"� 1 ,S,° <br /> Non•RCRA Hazardous Waste Liquid(Old&Water) 221 <br /> Non•RCRA Hazardous Waste Solids Contaminated with Used Oil 223 Mum(s) <br /> rained Used OII Filler Dium(s) Drum(s) A <br /> Empty Drum(s) 'Each <br /> Transportation&Truck Time HR <br /> Hazardous Test <br /> Unless olharwise specified on this Consolidated Manifest Rocelpt(invoice)Terms:Accounts due on the 10th of the month following month of purchase.Post due Total S L <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1412%per month,velirrh is the 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 toxicity 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 facilities. Cafrfomia 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 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 sta - <br /> dards and not these more stringent requirements. r <br /> This notification is for information only. Lowry Driver Sdgnp e <br /> /� <br /> Signature of Generator,Representative or Agent of Generator: X ,Tq f <br /> C3 rj <br /> Greenleaf Environmental CRI Recycling �t <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> t_ Valley Springs,CA 95262 Woodville,WI 54028 Name: <br /> 209-7644600 715.698.3363 <br /> CALOOD214411 MR000029751 Address: <br /> Recycling , <br /> &Disposal � <br /> FaC➢lilies l City,state,zip: <br /> Rlvo k nsh+r 6300 Ramos Environmental <br /> Claus Road 1615 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209-663.6181 916-371.5747 <br /> CALODOD190817 CA0004003666 t EPA ID: <br /> t <br /> i <br /> I <br />