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Mailing:P.O.Box 176,Salida,CA 96368 <br /> 4612 KMeman Court,Salida,CA 95368 <br /> >Geor a W. LOW Inc. (j Phone:208.646-0791 FAX 209-646-2241 a <br /> Environmental Services Division { EPA#CAR0000470i9 0 <br /> j -.�=—W •-M- - -wa CA Transporter Number 3844 <br /> CA license#758518 <br /> GENERATOR: Consolidated Manifest invoice: ;,i G <br /> Site EPA ID#: /) <br /> Shipment Date: ' �! �" <br /> Contact Person: <br /> Name: g I K4 ,� Driver Signatur (Printed): �� q C t� <br /> Address: 1 C) C' Truck# ( • J <br /> City,State,zip: t G c <br /> PO# <br /> Site Phone: <br /> Product waste CAManifest#0 Quantity units Price Amount <br /> Code <br /> ,Non-RCRA Hazardous Waste Liquid(Used 011):Lubricating 221 Zoo o Gal <br /> Non-RCRA Hazardous Waste LNuld(Used Oil):Industrial 221 Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221 cm <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 Drums) <br /> .brained Used Oil Filter Drums) bron'sl <br /> Empty Drum(s) Each <br /> Transportation&Truck nme HR <br /> Hazardous Test <br /> i <br /> Unless otherxlso spedfied on this Consolidated Manifest Receipt(Invoice)Terns:Accounts duo on the 10th of the month following month of purchase. post due <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-1/2%par month,which is the ANNUAL PERCENTAGE RATE of 16%. <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 /> 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,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 Sign-51 <br /> Signature'of Generator,Representative orAgent of Generate n. X"' � <br /> 13 <br /> Greenleaf Environmental CRI'Recyciing <br /> 3474 Toyon Cr. /16i Hagen Drive <br /> Valley Springs,CA 96262 Woodville,Wl 54028 Name: <br /> 209-7644600 7i5 698 3383 <br /> CAL000214411 WIR00002976i Address: <br /> Recycling d�� <br /> &Disposal <br /> FacilitiesCity,state,zip: <br /> Riverbank Oil Transfer 6300 Ramos Environmental <br /> Claus Road 1616 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209.863.8181 916.371.5747 <br /> CAL000019OB17 CADOW03556 EPA ID: <br /> i <br /> 1 <br />