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M 1 ng:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kiernan Court,Salida,CA 96368 <br /> �'Georg_ W Lomy, Inc. Phone:269.545-0791 FAX 209-645-2241 <br /> Environmental Services Division EPA#CAR000047019,.` <br /> CA Transporter Number 3844 <br /> CA License#758518 <br /> GENERATOR: Consolidated Manifest Invoice: <br /> 53,3 11 <br /> Site EPA ID#:. <br /> Shipment Date- <br /> Contact <br /> ateContact Person:' <br /> Mame: r );. Driver Signature(Printed): �r <br /> ._� r y:, 1 t, 'r <br /> Address: >4V Truck# , <br /> City,State,Zip: ja PO# <br /> Site Phone: <br /> Product Waste CAManifest#0 Quantity units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquld(Used 011):Lubricating 221 Gat <br /> Non=RCRA Hazardous Waste Liquid(Used 011):Industrial 221 Gat <br /> Non RCRA Hazardous Waste Liquid!(Used Automotive Antifreeze); 134 Gal <br /> Non-RCRA Hazardous Waste Liquld(Oil&Water) 221 Gat <br /> Non-RCRA Hazardous Waste Solids Con low Oil223 oti�al' <br /> Drained Used 011 Ftiter Drum(s) Drumle) ryr <br /> Empty Drum(s) Each <br /> j <br /> Transportation Truck Time SALES wR <br />! Hazardous Test PARTS. <br /> r, <br /> SERVICE <br /> Unless othenviss specified on this ConsolidatedIx <br /> ifest Reoei :lowing month of purchase. Past due Total <br /> axounis will be charged a FINANCE CHARGEe PERIODIC RATE of 1-1f2%per month,which is the ANNUAL FERC NTAGE RATE of 18%,I <br /> By signing this receipt,the Generator certifies that a program has been establisheduce a vo urns or quantity and toxicity of the hazardous waste to a degree as <br /> determined by the generator,to be economicaily practicable. <br /> Generator c antes that all Hazardous W46%listed on this Consolidated Manifest Receipt Is profiled to meet the Waste Codes as listed above. <br /> f3ote:George W. Lowry,Ino. 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 foil but that is <br /> not required to'compiywith the morestringent requirements applicable to hazardous waste management facilities. California facilities that handle or <br /> process used oil arerequired to meet those morestringent requirements,and some out-of=state{fecilkies 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:;aixidentai 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 mote stringent requirements. <br /> This notification Is for information only. Lowry Driv, "ignature X t r <br /> Signature of Generator,Representative or Agent of Generator: X i t <br /> ® ma <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95252 Woodville,WI 54028 Name <br /> 208 754.4600 715598.3363 <br /> CAL000214411 WIR000029751Address: <br /> Recycling <br /> 8 Disposal ® \ <br /> Facilities Riverbank On Transfer 5300 Ramos Environmental City. om'gyp' <br /> Claus Road 1615 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209.863.8181 916371-5747 <br /> CAL0000190817 CAD0040035M EPA ID: <br />