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Mailing:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kiernan Court,Salida,CA 95368 <br /> ,l George W. Lowry, Inc. Phone:209545-0791 FAX 209-646-2241 <br /> Environment ['Services Division <br /> EPA#CAR000047019 <br /> CA Transporter Number 3844 <br /> ,y <br /> CA License#758518 <br /> v <br /> w <br /> 4 <br /> �'��.:•x:=ice" ,-.. <br /> GEidERATOR: j. Consolidated Manifest Invoice: '" <br /> Site EPA ID#: I� '^5, i ti 523 ff <br /> 77_ Shipment Date: 1r .�- <br /> CoritactPerson: ,, r <br /> Name: �7)1P 451 Driver Signature(Printed): f � <br /> Address: 6 .r Truck b! r <br /> City,State,Zip: t� IC�✓�—�. f Pohl <br /> i <br /> Site Phone: <br /> Product y,t wasii CA Manifest#0 Quantity units Price Amount <br /> Code <br /> -Non-RCRA Hazardous Waste Liquid(Used 011):Lubricating2z1 � � , �.' �+ _tM^"°y�, /1 Get Q 1110 <br /> Non-RCRA Hazardous Waste Liquid(Used 011):Industrial 221 6•✓ at 111 <br /> Non RCRA Hazardous Waste liquid(Used Automotive Antifreeze) 134 Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221° Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 DNumle). <br /> Zrained Used Oil Filter Dmm(s) <br /> Empty Drum(s) Each a E <br /> Transportation&TrucR Time ttR <br /> .Hazardous Test <br /> f <br /> Unless otherwise specified on this Consolidated Manifest Rocelpt(invoice)Terms:Accounts due on the loth of the monti following month of m rclw o, Past dueT lel <br /> acwunis will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-1/2%per month,which is the ANNUAL PERCENTAGE RATE of 18%. ✓Ff <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 profiled to meet the Waste Codes as listed above, <br /> 1 Note:George W.Lowry,Inc.hereby advises the Generator that X 's(Generator's signature) <br /> 1 shipment of used oil may be transported to a facility that is required.to comply with federal regulations applicable to management of used bit but that is <br /> not required to comply with the more stringent requlrements applicable to hazardous waste management facllities,.Califomia facilities that handle or <br />[ proeess'used oil are required to meet those more stringent requirements,and some out-of-state facilities that process used ofl•also meet those require- <br /> mems 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 FcGai u�t ed oil management stan- <br /> dards and not these more stringent requirements. <br /> This notification is for,information only., Lowry DriverSign <br /> Signature of Generator,Representative or Adent of Generator: X 2i <br /> f <br /> ca. i <br /> t3reenteaf Environmental CRI Recycling <br /> 3474 ToyomCr. 101 Hagen Drive <br /> vatfey 5pringa,CA 95252 Woodville,WI 54028. Nano: <br /> 209.7544600 . 715-0983363 <br /> CAL000214411 W1R000029751 Address; <br /> Recycling <br /> 8r Disposal w <br /> City,Steto,Zip; <br /> FaCIUt1eS Riverbank Oil Transfer 5300 Ramos Environmental <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209-863.8181 916371.5747 . <br /> CAL0000190817 CAD004003556 EPA to: <br />