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At <br /> Melling:P.O.Box 176,Salida,CA 95368 <br /> v+ 4612 Kiernan Court,Salida,CA 95368 <br /> :'VeOr LOWCC. 20854 -0791 -545-2241 av <br /> Environmental Services Division' SPA#CAR000047019 <br /> a Tom. T.-.-..-.-- ,-,� ..�• <br /> CA Transporter Number 3844 <br /> CA License#768618 <br /> Gi=idERAtOR: �-~ Consolidated.Manifest voice: i'+a q <br /> Site EPA ID C F. ?` Shipment Date: <br /> Contact Person: <br /> Name: y� Driver Signature(Printed): <br /> Address: Truck# <br /> f <br /> cry,state,zip-., c ' e4 ro# <br /> Site Phone: <br /> Product Waste CA Manifest#0 Quantity Unita price Amount <br /> Coda <br /> on-RCRA Hazardous Waste Liquid(Used 011):Lubricating 221 - <br /> Non-RCRA Hazardous Waste Liquid(Used 011):Industrial 221 v [� Gat <br /> Non RCRA Hazardous Waste llquId(Used Automotive Antifreeze) 134 Gat <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221 cat <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used 01 223 onrmta) <br /> Drained Used Oil Filter Drum(s) oniin(s) <br /> Empty Drums) Each <br /> Transportation&Trucit Time HR. <br /> Hazardous Test <br /> Unless otherwise ` / f <br /> spedfiad on t1ds.Consolldated ManOest Reoeipl(Invoice)Terms:Accounts due On aro 10th of the nKK1Ub following month of Purchase.Past due TOtaJ <br /> accounts will be char <br /> ged a FINANCE CHARGE at the PERIODIC RATE of 1-1r2%per month,which is the ANNUAL PERCENTAGE RATE cf 16%. <br /> By signing this receipt,the'Generatorcertifies that a program has been established to reduce the volume or quentity.and toxicity,ofthe.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 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 Was(&management facilities. Catifomia 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 stan- <br /> dards and not these more stringent requirements. ---�--. . <br /> This notification is for Information only. Lowry Driver Sig�ture X-24,47>0 <br /> Signature of Generator,Representative or Agent of Generator:. <br /> Greenleaf Environmental CRI:Recycling. <br /> 3474 Toyon'Cr. 101 Hagen Drive <br /> .Valley Springs,CA 95252 f. Woodville,WI 54028 Nom: <br /> 209.7644600 �' 715-698.3363 . <br /> CAL000214411 WIR000029751 Addrosa: <br /> Recycling f � <br /> &Disposal -r f City,steto;2rp: <br /> f=aailities Rtv rbank C)il Transfer 5300 Ramos Environmental <br /> CfauB Road 1616 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209.863.8181 816371-Sr'47 <br /> CAL000019OB17 CAD004063666 <br /> EPAID., <br /> I <br />