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Ar. ) Malting:P.O.Box 176,Salida,CA'95368 <br /> an.•.•1v.:u <br /> 4612 Kteman Court,Salida,CA 95368 <br /> George W. LoWt'1/� �tlty. i Phone:209545-0791 FAX 209.545-2241 <br /> Environmental services Division Bf'A#CAR000047019 <br /> CA Transporter Number 3844 <br /> CA License#758618 <br /> GENERATOR. Consolidated Mianifest Invoice: •,� , , <br /> Site EPA ID#• � <br /> Shipment Date: <br /> Contact Person: <br /> Address: <br /> ame: "� Driver Signature(Printed): . <br /> Z() (r-7�, , Truck# /) t <br /> City,State,Zip: ,► PO# c' <br /> Slte Phone: <br /> Product waste CAManifest#0 Quantity Units price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used 011):Lubrimfing 221 Gat <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Industrial 221 Gat <br /> Non RCRA Hazardous Waste liquid(Used Automotive Antifreeze) 134 Gal. <br /> Non-RCRA Hazardous Waste 1-4uki(Oil&Water) 221 Gar <br /> Non-RQRA Hazardous WestvSolids Contaminated with Used 0i1 223 f 5 .� _ - � � Drum(a) ��Lt <br /> Drained Used Oil Filter Drums) <br /> Empty Drums) Each <br /> Transportation&Truck Time HR. <br /> Hazardous Test <br /> V=Au i s PFAT <br /> Unless otherwise specified on this Consolidated Manifest Receipt(invoice)Temis:Accounts due on the 101h of the month following month of purchase. Past due Total <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1412%per month,which Is the ANNUAL PERCENTAGE RATE of 18%. <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 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-statte 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 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 Signatur �� <br /> - <br /> j Signature of Generator,Representative or Agent of Generator: X <br /> Bum <br /> Sao <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Togon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95252 Woodville,Wl 54028 Nemo: <br /> 209-764.4600 715698.3363 <br /> CAL000214411 WIROOD029761 <br /> Address; <br /> Recycling ' ; . <br /> )7isposai ® p:. <br /> Facilities Riverbank Oil Transfer 5300 Ramos Environmenfaf City,senor,ZIP; <br /> Claus Road 1515 S.River Road ' <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone, <br /> 209553-8181 916-371-5747 <br /> CALOOD0190817 CAD004003656 EPA to-. <br /> i <br />