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— rap <br /> i Mailing:P.O.Bax 176,Salida,CA 95368 <br /> + <br /> 4612 Kiernan Court,Salida,CA 96386. <br /> '•.George K Lowy,, Inc. 3• Phone:209545-0791 FAX 209.545-2241 <br /> Enviropmental services Division EPA#CAR000047019 <br /> '+ CA Transp orter Number 3844 o <br /> CA License#758518 <br /> GENERATOR: Consolidated Manifest invoice: r'• <br /> Site EPA ID#: <br /> Contact Person: Shipment Date: - <br /> Name. 64 Driver Signature(13048 <br /> Address: Z/ '? fit Truck# <br /> 'city,state,zip: 1 60 <br /> Po It <br /> Sit9 Phone: <br /> Product waste CA Manifest#0 quantity Units Price Amount <br /> Codo <br /> ,Non-RCRA.Hazardous Waste Liquid(Used 011):LubdwUng 221 -,� / �� /`}�j �/� Gm <br /> _ Non-RCRA Hazardous Waste Liquid(Used Oil):Industrial 221Gail <br /> .Non RCRA Hazardous-Waste Liquld(Used Automotive Antifreeze) 134 (• Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221 Gal <br /> Non•RCRA Hazardous Waste Solids Contaminated with Used Oil 223 17rum(s) <br /> Drained Used Oil Filter Drums) <br /> Emply Drum(s) Each <br /> Transportation&.Trucktine HR. <br /> Hazardous Test <br /> i <br /> Unless otherMso spedfled on this Consolydaled Manifest Receipt(Invoice)Terns:Accounts duo on the 1019of the month following month of purchase. Past due Tota <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%. . m• <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 to aree es y' <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 /> I ' <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. California facilities that handle or <br /> E 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 leek 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 compty only with the FedefMsed oil management stan- <br /> dards4and not these more stringent requirements. <br /> This notification is for information only. Lowry DriAerignat ~`r <br /> Signature of Generator,Representative or Agent of Generator: <br /> Itj 11 t <br /> Greenleaf Environmental CRI Recyci g <br /> 3474Toyon Cr. 101 Hagen Dnve <br /> Valley Springs,CA 95262 Woodville,Wi 64028 Nama: <br /> 209-764.4600 715.698-3363 <br /> CAL000214411 WIR000029751 <br /> Address: <br /> Recycling f ,rq r <br /> Z Disposal � , <br /> Facilities 1Rivertrank oil Transfer 5300 Ramos Environmental City,seats,un: <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone <br /> 2D9.863.8181 918-3715747 <br /> CAL0000190817 CAD004003M EPA ID: <br />