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Mailing:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kiernan Court,Salida,CA 95368 <br /> ,.Geor a W. Lowry, Inc. Phone:209.545-0791 FAX 209.545.2241 <br /> it Environmental-Services Division 3{t EPA#CAR000047019 <br /> CA Transporter Number 3844 b <br /> , CA License#758518 <br /> E_NERATOR• <br /> Consolidated Manifest Invoice: ?' ;,-t '25237 <br /> Site EPA ID#: Shipment Date: <br /> CoritactPerson: <br /> Name: p rAbD 1P f Driver Signature(Printed): <br /> Address: Fruck#City,State,zip:Site Phone: <br /> t <br /> Product ., wasie I CA Manifest#0 Quantity units Price Amount <br /> Code <br /> -Non-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 2Z1 ^1^ 7t Gat <br /> Non-RCRA Hazardous Waste liquid(Used 011)-.Industrial 221 /I ��!! Gar (/J <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gal <br /> Non-RCRA Hazardous Waste Liquid(011&Water) '221; Gat <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 nfurt(s). <br /> Drained Used 011 FilterDium(s) Drum(e) f'� liA <br /> Empty Druili(s) Each <br /> Transportation&TtgckTime HR, <br /> Hazardous Test - <br /> Unless otharMae speatted on this Consolidated Manifest Receipt(Invoice)Terns.Accounts due on the 10th of are month folftriringmonth of'purchaso: Past due r fa) <br /> acmunis wlll be charged a FINANCE CHARGE at the PERiODiC RATE of 1-1/2%per month,which is the ANNUAL PERCENTAGE RATE er to%. <br /> By signing this recelpt;the Generator certifies 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 Receipt is profiled to meet the Waste Codes as listed above, <br /> t <br /> ti <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,.Califomia 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 oll•also meet those require- <br /> inerts 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 stan- <br /> dards and not t1lbse more stringent requirements. <br /> This notification is for•informiation only. Lowry Driver�Sigft fur 4 w <br /> Signature of Generator,Representative or Adent of Generator: X i 1 <br /> • tin 13 <br /> • / <br /> Greenleaf Environmental CRI Recycling <br /> 3474 ToyomCr. .„ 101 Hagen Drive <br /> Valley Springs,CA 95252 Woodville,Wi N028. Ham: <br /> 209-7544600 . 716-69843363 <br /> CAL000214414. V61ROOD029751 Address: <br /> Recycling , <br /> FaciHfies Riverbank oil Transfer 5300 Ramos Environmental oily,siate,vp: <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209-863.8181 . 916371-5747 <br /> CALDDDO19OB17 CAD004003558 EPA ro: <br />