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�_—utivED <br /> 46112 Kiernan Court,Salida,CA 95368 ling:P.O.Box 176,Salida,CA 8:AN 04 2010 <br /> UG�eonqeW. Lowry, Inc. Phone:209546-0791 FAX209-W-2241 <br /> ental Services Division EPA#CARD00047019 Ej\pi Y��ONMENT^' <br /> Gtl/ ,v-v�� ^r.. <br /> CA Transporter Number 3841 LJC01TU r1CO9O1rR4❑q'T <br /> CA Licens #768518 <br /> GENERATOR: Consolidated Manifest Invoice: 253 1 5 <br /> Site EPA ID#: <br /> Shipment Date: <br /> Contact Person: _ <br /> Name. Driver Signature(Printed): % ((9 <br /> Address: Truck# t <br /> City,Stale,Zip: PO# <br /> Site Phone: <br /> Product waste CA Manifest 00 Quantity Urias Price Amount <br /> Coda <br /> Nm-RCRA Hazardau Waste Liquid(Used Oil) Lubricating 221 Ger <br /> '. 'Non-RCRA Hazardous Waste Liquid(Used Oil):Industrial 221 3 .t _i; <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antrmti s) 134 Ger <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221 <br /> NonRCRA Hazardous Waste Solids Contaminated With Used 011 223 on."-) <br /> Drained Used Oil Fitter Drum(s) Dn'a4s) <br /> Empty Drum(s) E.m <br /> Transportation&Truck Time ' <br /> Hazardous Test <br /> 7-1 <br /> Unbs+Nhawise apedried on ova CoadMalsd RMden Rerapl(Brvoke)Tema Amdmra auaman 101,MNarnorM fo9oain9 rtiorM of Orrtd,sse Pastdue Torah <br /> scmuna wit be dar9ad a FROVICE CHARGE Mew PERIODIC RATE of 1-1r1%per rnQAffn whidl a era ANNUAL PERCENTAGE RATE of 19% <br /> By signing Nis receipt the Generator oerblies that a program hes been e"Nished to reduce the volume or quantity and tonaty of the hazardous waste to a degree as <br /> determined by the generator,to be economically pracorable <br /> Generator certifies that ail Hazardous Waste ailed on this Consolidated Manifest Receipt Is profiled to coed 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 a <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 od 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 felicities 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 Signature X Lr" <br /> Signature of Generator,Representative or Agent of Generator: X <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 96252 Woodvilta,col 54028 Name: <br /> 209-754.4600 716-698a363 <br /> CAL000214411 WR000029751 Addo: <br /> Recycling <br /> & Disposal Q 0City,Slistai,Zi,: <br /> Facilities Riverbank Oil Transfer 5310 Ramos Environmental <br /> Claus Rwd 1515 S.River Road <br /> Riverbank,CA 96367 wrist Sacramento,CA 9681 Phos: <br /> 209-88-9181 91"71-8747 <br /> CAL000019817 CAD004003NO EPA ID: <br />