Laserfiche WebLink
' 1 <br /> t <br /> vil3 Mailing:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kfeman Court,Salida,CA 95368 <br /> George W. Lowry, Inc Phone:209.54"791 FAX 209.545.2241 <br /> Environmental Services Division <br /> _ � � r; EPA#CAROOD047019 <br /> � ff <br /> f' <br /> rr CA Transporter Number 3844 <br /> CA License#780518 <br /> GENERATOR: Consolidated Manifest invoice: <br /> site EPA iD rL Shipment Date: <br /> Contact Person: int _Y i <br /> Name 6 Driver Signature(Printed) <br /> Address: ,4, ( r� Truck# <br /> City,State,zip: <br /> PO t{ <br /> Sitg Phone: <br /> Product Waste CA Manifest#0 Quantity units Price Amount <br /> Code ! <br /> -Non-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 4- i Gal <br /> Non•RCRA Hazardous Waste Liquid(Used Oil):Industrial 221 J r i Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221 Gar <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 <br /> Drained Used Oil Filter Dfum(s) COJ I� <br /> Empty Drum(s) ,each <br /> Transportation&TruckTime NR <br /> Hazardous Test <br /> Unless olhemise specified on this Consolidated Manifest Receipt(Invoice)Tomes:Accounts duo on the lath'of ate month fallowing month of purchase. Past duo Tota r <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1412%per mwmh,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'e ree.as-11� <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 /> Note:George W. Lowry,1nC.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 teak detection and prevention requirements,engineering certifications of tank inteer�city,and financial assurances <br /> for closure and accidental releases. It is lawful to send used oil to out of state c1litle'; t-comely with the F e`rallutsed oil management stan- <br /> dards and not these more stringent requirements, <br /> This notification is for information only. LowryDriver t1 ture —4-1 ,r <br /> Signature of Generator,Representative or Agent of Generator: X--''-.�_/ Y <br /> ® <br /> Greenleaf Environmental •CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95262 Woodviite,Wl 54028 Name: <br /> 209-764.4600 715.6983363 <br /> CALOOD214411 VWIR000029751 <br /> Address: <br /> &Disppsal ®� City,state,zip: <br /> Facilities Riverbank Oil Transfer 6300 Ramos Environmental <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 96691 Phona: <br /> 209.863.8181 916-371-5747' <br /> CAL0000190817 CADD04003656 EPA ID: <br /> l <br />