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Ary r Mailing:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kiernan Court,Salida,CA 95368 <br /> George W. Lowry, tn_c. Phone:209-545-0781 FAX 200-546-2241 <br /> I Environmental Services Division 11.j EPA#CAR000047019 _ <br /> � r' `�•, CA Transporter Number 3044 <br /> �i CA License#758518 <br /> GENERATOR: Consolidated Manifest +Invoice: f: <br /> Site EPA ID#: t tf C^ f �7 'r Jr� (' �A <br /> 09 <br /> Shipment Date: <br /> Contact Person: <br /> A - <br /> // Driver Signature Prihted <br /> Name: l fl "19 g ( ) � ) <br /> Address: Truck# f <br /> City,State,zip: 4A <br /> S14-Phone: 1_r0# <br /> Product Waste CA Manifest#0 Quantity units Price Amount <br /> Code <br /> Non•RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 cal <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 ftld(Oil&Water) 221 Gar <br /> 7Von•RCRA Hazardous Waste Solids Contaminated with Used Oil 223. �)t J?�!�7 �i'~ f \�a�` Drum(r) O'V_ �^ <br /> Drained Used 011 Filter Drums) �i thuhn(aj ce�7 <br /> Empty Drum(s) Each <br /> Transportation&Trudt.Time HfL <br /> Hazardous Test <br /> Unless otherwise specified on this Consolidated Manftest Receipt(invoice)Terms:Accounts due on the 10th of the month fallowing month of purchase. Past duo Total4 , y ;Aatxbunts will be charged a FINANCE CHARGE at rhe PERIODIC RATE of,14t2%per month,which Is the ANNUAL PERCENTAGE RATE of 16%. ,/ r <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= 's(Generator's signature) <br /> shipment of used oil may be transported to a facility t�ot;is iequired to comply with federal regulations applicable to management of used oil but that is <br /> not regflired to comply with the more stringent requirements applicable to hazardous waste management facilities. California facllities 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,and'financiai assurances <br /> for closure and accidental more. <br /> It is lawful.to send used oil to out of state,faciliti6s.that comply only with the Federal used oil management stan- <br /> dards and not these more stringent requirements, /r <br /> This notification is for4riformation only. Lowry Driver Signature X �•e �� <br /> Signature of Generator,Representative or Agent of Generator: <br /> 13Greenleaf Environmental _.rCRi Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95262 Woodville,Wi 54028 Name <br /> 209-7644600 715698'3363 <br /> CAL000214411 WIR000029761' <br /> Recycling Address: <br /> &Disposaf ® , <br /> Facilities Riverbank oil Transfer 5300' 'Ramos Environmental <br /> crty,stato,zrp: <br /> Ctaut Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 <br /> 209.5638181 916'3715747 <br /> CAL0000190817 .: CAD004003656 EPA 1D: <br />