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no Mailing:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kiernan Court,Salida,CA 95368 <br /> George W. Lowg, Inc. f phone:209.5464791 FAX 209-546-2241 <br /> vir <br /> onmentall Services Division EPA#CAR000047019 <br /> CA Transporter Number 3844 <br /> CA License#768618 <br /> GENERATOR: Consolidated Manifest Invoice: r, w <br /> Site EPA ID#: Shlpmentbate: <br /> Contact Person: f I <br /> .� <br /> Name: yr+� /r Driver Signature(Printed): (,. <br /> Address: ( C16u^ l N / Truck# /J <br /> City,State,Zip: 4/, .�n t.' <br /> PO# <br /> Site Phone: <br /> Product waste CAManifest#0 Quantity Units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 Gal <br /> Non-RCRA Hazardous Waste Liquld(Used 011):industrial 221 Gat <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 "Gal,:: <br /> NomRCRA Hazardous Waste Litluld(Oil&Water) 221 Gal ' <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 <br /> Drained Used 011 Filter Mum(s) Drum(a) <br /> Empty Drum(s) Each <br /> Transportation&Truck Tulle HR <br /> Hazardous Test _ <br /> t1' uSI�= Q A,5 all I <br /> f•'Untess dhermie specified on(Ills Consolidated Manifest Receipt(Invoice)Terms:Accounts duo on the'10th of tho nlomth 1040%ing month of purchase. Past duo Total <br /> 'accounts will be charged a FINANCE CHARGE at the PERIODIC RATE cf'1-tr2%per month,which is the ANNUAL PERCENTAGE RATE of 18%. � •�"�' <br /> By signing this receipt,the Generator eerfifies 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 V1f:•.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 compty`only with the Federal used ail management stan- <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Lowry Driver Signature X �('! <br /> Signature of Generator,Representative or Agent of Generator: X { •- <br /> Greenleaf Environmental CRI Reoycr` ing <br /> 3474 Toyon Cr. 101-Hagen drive <br /> Valley Springs ,CA 96262WI 54028 Name: <br /> 209-75446DO 716.898-3363 <br /> CAL000214411 MR000029751 Address: <br /> Recycling , <br /> &Disposal ' <br /> FacilitiesClty,State,zip: <br /> Riverbank Oil Transfer 6300 Ramos Environmental <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 109.863-8181 916.371u747 <br /> CAL0000190817 CAD004003656 EPA to: <br /> z <br />