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Malting:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kiernan Court,Salida,CA 96368 <br /> ';.Gq-r a W. Loom- I ic� �`� Phone:209-546-0791 FAX 209-545-2241 <br /> Environmental Services Division t }}'; EPA#CAR000047019 <br /> CA Transporter Number 3844 <br /> y rf'j CA License#758518 <br /> GENERATOR: Consolidated Manifest Invoice: <br /> Site EPA Ib#: <br /> Contact Person: Shipment Date: 71 e? / <br /> Name: ' Driver Signature(Printed): <br /> Address: �J ,-� "" 'i.1 Truck# <br /> City,State,Zip: . /� P09 <br /> Sitq Phone: <br /> Product Waasst® CAManifest#0 Quantity Units Pao Ambunt <br /> Codl Non•RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 G t r cal O.t`f' /1 ✓ <br /> Non-RCRA Hazardous Waste Liquid(Used 011):Industrial 22'( y° 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 /> Drained Used Oil Filter Drum(s) Drums) <br /> Empty Drum(s) Each <br /> Transportation&Truck Time HR• <br /> Hazardous Test <br /> Unless otherwise apeciffed on this Consolidated Manifest Receipt Onvoico)Termai Accounts due on the 10th of die month following month of purchase. Past due oNdl <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1.12%per month,which Is the ANNUAL PERCENiAGE•RATE of 18%. f r <br /> By signing this receipt,the Generator cartities 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 Recelpt 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 /> I. not required to comply with the more stringent ret ulr6ments applicable to hazardous waste management facilities. California facilities that handle or <br /> process used oil are required to meet those,--moib•std!ngent 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 facilties that comply only with the Federal used oft management stan- <br /> dards and not these more stringent a uirements. <br /> E This notification isrfor)tn ormation only. •Lowry Driver Signallu3 <br /> Signature of Generator,Representative or Qgent df taerierator: -X •r,IV ' <br /> C3 ri <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95252 Woodville,iNt 84028 Name: <br /> 209-764-4600 716-698-3363 <br /> CALOOD21441 WIR000029751 Addrasa: <br /> Recycling ,•,��}� (.,,. <br /> &Qisposal Y City,state,zip: <br /> Facilities Riverbank off Transfer 5300 Ramos Environmental <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone:' <br /> 209.863.8181 916471.5747 <br /> CALOODO190817 CAD0040035% EPA 10: <br />