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. . . . . . . . . . . . .. ;,.. <br /> " ' "M611i119:'P.O.Box 176,Salida,GA 95360 <br /> 4612 Kiernan Court,Salida,CA 96388 <br /> George W.L2wa Inc. ,'t Phone:209.545.0791 FAX209.545.2241 <br /> Environmental services Divisionf <br /> EPA#CAR0000470i9 % <br /> CA Transporter Number 3844 <br /> CA License#758518 <br /> .GENERATOR: Consolidated Manifest Invoice: <br /> Site EPA ID#: <br /> Shipment Date: � <br /> Contact Person: ! / <br /> A <br /> f <br /> Name: be Driver Signature(Printed): , (� <br /> Address: j ✓ <br /> Truck# ` <br /> City,State,zip: lye <br /> Site Phones <br /> PO# <br /> Product waste CA Manifest#0 Quantity units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 Gat <br /> Non•RCRA Hazardous Waste Liquid(Used 011):Industrial 221 Gat <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gal <br /> Non•RCRA Hazardous Waste Liquid(011&Water) 2z1 Get <br /> Non•RCRA Hazardous Waste Solids Contaminated with Used Oil 223 013+3,530 t nrum(sy r,�c�,KJJe ?� , <br /> Drained Used Oil Filler Drum(s) <br /> LmtnKey z0 <br /> FV <br /> Drum(s) Each <br /> Transportation&Truck Time HSL <br /> Hazardous Test <br /> Unto"otherwise specified on this Consoridaled Mantfest Rocelpt(Invoice)Terms:Accounts due on the loth or the month following month of purchase.Past due <br /> amounts will be chs Total <br /> charged a FINANCE CHARGE at the PERIODIC RATE of 1-112% month,whkh is the ANNUAL.PERCENTAGE RATE of 18%, L. <br /> By signing this recelpt,the Generator cartifies 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 ail 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 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 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,arxi 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 bit manatiement stan- <br /> dards and not these more stringent requirements. <br /> This notification Is for infofflnation only. Lowry Driver Signature X �/•a <br /> Signature of Generator,Representative or Agent of Generator:' X �Jlt �tY <br /> Greenleaf Environmental CRI Recycling <br /> 3474 ToyorrCr. 101 Hagen Drive <br /> Valley Springs,CA 96262 Woodville,WI 54028 7Addr.ow <br /> 209.7544600 715-698.3363 <br /> CAL000214411 VAR000029751 <br /> Recycling • <br /> &Disposalct <br /> �aClhtles Riverbank Oil Transfer 6300 Ramos Environmental City,State,23p; <br /> Claus Road 1615 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 96691 Phone: <br /> 209-863-8181 916-371-5747 <br /> CAL0000190817 CAD004003656 EPA nuc <br />