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Wci .. To. Mailing:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kiernan Court,Salida,CA 95368 ri <br /> George W. Lowly Inc. �I Phone:209.545-0791 FAX 209-646-2241 <br /> e •.Divisi n EPA#CAR000047019 <br /> Environmental 6rvioes Division � <br /> CA Transporter Number 3844 u <br /> Y f CA License#750518 <br /> : <br /> GENERATOR: Consolidated Manifest Invoice: 1.,i c; <br /> Site EPA ID#: C41 3 RA _5-5" <br /> Shipment Date: <br /> Contact Person: <br /> Name: 12—I-9 Driver Signatur (Printed): <br /> Address: 1 Truck# l2 J <br /> City,State,zip: [ <br /> PO# <br /> Site Phone: <br /> Product waste <br /> Code CA Manifest#0 Quantity Units Price Amount <br /> .Non-RCRA Hazardous Waste liquid(Used Oil):Lubricating 221 ? 'ir7/ ZOO i Gal '-,,e• <br /> Non•RCRA Hazardous Waste I-Nuld(Used Oil):Industrial 221 S tt.. 11 11`w t Gal <br /> Non RCRA Hazardous Waste Uquld(Used Automotive Antifreeze) 134 Gal, <br /> Non-RCRA Hazardous Waste Liquid(Oil&Wafer) 221 Gar <br /> Non•RCRA Hazardous Waste Solids Contaminated with Used Oil 223 Drums) <br /> ,0ralned Used 011 Filter Drum(s) <br /> Empty Drum(s) ! Each "7 <br /> Transportation&Truck Time ttR <br /> Hazardous Test <br /> i <br /> Unless otherwise specified on this Consolidated Manifest Receipt(invoice)Terms:Accounts due on the loth or the month rolrwdnD month of purchase Past duo To <br /> a <br /> accounts will be cNr9W a FINANCE CHARGE at the PERIODIC RATE of 1-112%per month,which is re ANNUAL PERCENTAGE RATE of la%, <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 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 profited to meet the Waste Codes as listed above. <br /> Note:George W.Lowry,Inc. hereby advises the Generator that X Is(Generator's signature) <br /> shipment of used oil may be transported to a facllity 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 oil are required,to meet those more stringent requirements,and some out-of-state facIfires that process used oil also meet those require- <br /> ments These includemore 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 Sign- <br /> - <br /> Signature'of Generator,Representative or Agent of Generator:. Xr' ( /t <br /> Greenleaf Environmental CRI'Recyciing <br /> Valley <br /> ToprnCr. /W000Hdville,9V184028 Name: <br /> Valley Springs,CA 95262 ; <br /> 209.7644800 j / 71"98-3363 <br /> CALOOD214411 i/ MR000029761 Adder: <br /> Recycling ��� , <br /> &Disposal <br /> t=BCilitie5 RlverbankOil Transfer 6300 Ramos Environmental City,ewe,zlp: <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209.8635181 916371.6747 <br /> CALOD00190817 CADOD4003656 EPA ID: <br />