Laserfiche WebLink
} Mailing:P.O.Box 176,Salida,CA 95368 <br /> George 4612 Klernan Court,Salida,CA 95368 <br /> G <br /> I, t� eorge W. Lowm Inc. `''i Phone:209.546-0791 FAX 209-645-2241 <br /> ! Environmental Services Division { EPA#CAR000047019 <br /> CA Transporter Number 3044 <br /> CA License#758518 <br /> GENERATOR: Consolidated Manifest Invoice: ` a <br /> Slte EPA ID#: ���� S" 1y <br /> Shipment Date: R 1 � c-�^ <br /> Contact Person: A - J <br /> Name: ,�� J Driver Signature(Printed): <br /> Address: "' Q e/? Truck# <br /> City,State,Zip: <br /> Sito Phone: <br /> Product wasto CAManifest#0 Quantity units Price Amount <br /> Code <br /> —-Non-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 f Q Gal . q, <br /> Non-RCRA Hazardous Waste Liquid(Used 011):Industrial 221 Get <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated WM Used Oil 223 Orum(s) <br /> ralned Used Oil Filter Drum(s) ,- <br /> Empty Drum(s) 6 Each 17 <br /> Transportation&Truck time <br /> •Hazardous Test <br /> Unless otherwise specified on this Consolidated Manifest Receipt Qnvorco)7em=Accounts due on the 10th or the rnonlh following month or purchase.Post due Total <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE or 1-112%per month,which lithe ANNUAL PERCENTAGE RATE of 18%. (� <br /> By signing this recerpt,the Generator Certifies that a program has been established to reduce the volume or quantity and to)dcttg of the hazardous waste a degree <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,lnG. 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 tiled oil but.that is <br /> not required to comply with the more stringent requirements applicable to hazardous waste management facilRtes. talifomia facilites 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 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 sta - <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Lowry Driver Sign�ittte-X L oil, <br /> j t <br /> Signature of Generator,Representative or Agent of Generator: X i <br /> ® 13 <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95252 Woodville,WI 54028 Name: <br /> 209-7644600 715-698.3363 <br /> CAL00D214411 MR00D029751 Address: <br /> Recycling � <br /> &Dis osal <br /> Facilities ` lam' ��'l�) T <br /> city,State,7Jp` <br /> p Rtvet6anLt O?ransfer 53000' Ramos Environmental <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 96691 Phone: <br /> 209.863.8181 916.3715747 ;r.. <br /> CAL0000190817 CA0004003666 n EPA ID: <br /> l <br /> i; <br /> i <br /> E <br />