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d° {' Mailing:P.O,Box 176,Salida,CA 95368 < <br /> 4612 Kiernan Court,Salida,CA 95368 y <br /> George W. Lowry, Inc. l,i Phone,209-14"791 PAX 209-MS.2241 <br /> i Environmental Service's Division �,�' i. q. EPA#CAR000047019 <br /> --�---- CA Transporter Number 3844 <br /> IPCA Llcense#760518 <br /> :r <br /> GENERATOR- Consolidated Manifest Invoice: �tty °`f <br /> 1 10 <br /> Site EPA ID#: C47 —.5` 7' Shipment Date: I J7 / r C� <br /> Contact Person: �d <br /> Name: Driver Signature(Printed):r <br /> Address: Truck# Y <br /> City,State,Zip: / { <br /> PO# <br /> Site Phone: <br /> Product waste CAManifest#0 Quantity Units Pike Amount <br /> Code <br /> 'Non-RCRA Hazardous Waste Liquid(Used 011):Lubrioating 221 0 13f �. Gal d /` �) <br /> Non-RCRA Hazardous Waste Liquid(Used Oil);Industrial 221 Gat' <br /> Non t CRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 . Gal <br /> Non-RCRA Hazardous Waste L(quid(011&Water) 221 cal <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 t Drums) <br /> Drained Used Oil Filter Drum(s) Drurn(s) <br /> Empty Drum(s) Each <br /> Transporlation,97rudcTima NR''., <br /> -HazardousTest <br /> t. <br /> Unless otherwise specified on this Consolidated Manifest Recoipt(Invoice)Texms:Axaunla duo on 0w 100t of the month following moral of purrhaso. Past due otdl �..v <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-1r2%per month,which is the ANNUAL PERCENTAGE RATE of 10%. <br /> d <br /> By signing this recelpt,the Generator certifies that a program has been estabiished to reduce the volume or quantity and toxicity of the hazardous waslelo q 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(Generat'or'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. California facilities that handle or' <br /> process used ail are required to meet those more stringent requirements,and some'dilt-of-state fac)lities.fhat process used oil also meet those require- <br /> ments These include more stringent leak detection and,prevention requirements,engineering certifications oftank integrity,and financial assurances <br /> foi closure and accidental releases.• It is lawful to send used oil to out of state tacllit'les that comply ohly.with the Federal lised oil management Stan. <br /> dards and not these more stringent requirements. <br /> tip, •. <br /> This notification is for information only. Lowry Driver Signature)C"� <br /> �✓ / <br /> Signature of Generator,Representative or Agent of Generator: X ' <br /> L , <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 96262 Woodville,Wl 54028 Nampo <br /> 209.754-4600 71598,3363 <br /> CAL0002WI l WiR000029761 Address:. <br /> Recycling c. T <br /> &Disposal ® City.Stato,zip: <br /> Facilities Riverbank Oil Transfer 5300 Ramos Environmental <br /> Claus Road• ISIS S.River Road <br /> Riverbank,CA 96367 West Sadramento,CA 95691 Phone: <br /> 209-863-8181 916-37.1:5747 <br /> CAL0000190817 CAGUM03656 Epp ID: <br />