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N99-07-2008(WED) 10: 11 (� 1A1-iiIZ <br /> Melling:P.O.box 176,Sallda,CA 95$88 <br /> ® 4613 Kidman Court Salida,CA MCA � + <br /> George W. Lowry, Inc. Perone:2o9-6460791 FAX 209-545-2241 it <br /> Erweronontzl S.M...Dlvlelon kt EPA A CARD001i19 <br /> CA Traruporler Number 3644 <br /> � r <br /> CA License a 756516 <br /> GENERATOR: Consolidated Manifest Invoice: 17 O 9 <br /> Site EPA ID 4 L <br /> Shipment Date: / S— <br /> Contact Person- <br /> Name Cj 9 Driver Signature(Printed): C�o - <br /> Addrse t: -I� Truck e <br /> city.state,zip: POE <br /> 51to POone: y <br /> Product Wines CA Man,losl ell GUanOty Uma PHGG Amount <br /> code <br /> Non-RCRA Hazardous Waste Liquid(Used Oii):Lubricabi 221 Del <br /> n-RCRA Hruzi dgus Waste Liquid(Used 011):Industrial 221 J -7Gel <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Anflfronzo) 134 0.l <br /> Non•RCRA Hazardous Waste Liquid(0118 Water) 221 dal <br /> Non,RCRA Hazardous Waste Solids Conbminated with Used Oil 277 orvtnn <br /> Drained Used 011 Filler Drums) prolan <br /> Empty Drum(s) Eh <br /> Transportation 6 Tmdr Time "K <br /> Hazardous Test <br /> Unless tram Wecvned on miv com'd�tsd M—K.9 Rv pl(Invo.t)Te,ms Amunot d,.e o I Ve 1 ala of uta morn rollowlrq nwnm or p rcrase. Purl nue Total <br /> ercwnle rill be charged a PI NPNCE CHARCE at trle PERIODIC RATE 01-1/2%Por ntvM,shish is the ANNUAL PERCENTAGE RATE of 10Y. <br /> By signing this receipt,the Generator carefies that a program has been established to reduce the adumo or quanmy and In otity of the hai9mous waste to a degree as <br /> determined by the generator,to be economically pradlrable. <br /> Generator Certifies that all Hazardous Waste listed on this Consolldafed Me It RecelIbprollled Ip meet the Waste Codes as listed above, <br /> Note: George W. Lowry, Inc. hereby advises the Generator thatX fir'" 'a(Generator's signature) <br /> shipment of used oil may be transported to a facility that is required to com city with federal regulations applicable to management of used oil but that is <br /> not required to comply with the more stringent requirements appli- - td Ylamardous waste management facilities. Callfomia 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 anageme t Stan- <br /> dards and not these mare stringent requirements. /�- <br /> This notlflcatlon Is for Information only. Lowry Driver <br /> /Signature <br /> LX/i{v7Cl <br /> Signature of Generator.Representative or Agent of Generator: ri <br /> X �I /✓��� , <br /> Ir <br /> v v <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive ' <br /> Velley Springs,CA 95252 Woodville,WI 54029 Renee, <br /> 209-754,0600 715698-3363 <br /> CA 2144111 WIROOD029751 <br /> Recycling /) — — <br /> $Di3po3al ,/'/O / clrr.st,.o,nP: <br /> Facllltia8 / � nk 011 ,snare, Woo Raman Environmental <br /> Claus Road 1515 S.River Road <br /> Rlverhank,CA 96367 West Sacramento,CA 96691 <br /> 209863-3101 916-371-6747 <br /> CALOGGO19GS17 CAV0040036W EPA to: <br />