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tb! h'3h r * Nrxs y Mcr5-1. ,•z .tx-�q] -r r s ] C z ;( 4C"f ✓^ :.+s irt`t�Y �,,• ■� <br /> ',<�'.n` `.2 .1.�t+. -ri t'E}Y, r t'*^ [4Y: r L'.x"t'4 * ltgz '^r +..4✓ ,r ' d 4��, wi Yzo <br /> t <br /> �SASC- <br /> �)J t <br /> L:Mailing:P.O.Box 176,Salida CA 95368th <br /> Kiernan.Court,Salida,CA 953L68: . <br /> t t?. George W. Lowry, Inc - Phone:2D9S454791 'FAz209545-z21; <br /> Environmental Services Division- EPA#CAR000047019 - r <br /> CA Transporter Number 3844 <br /> CA License#;758518. - •'? <br /> GENERATOR: - Consolidated Manifest invoice: ; tg - <br /> SiteEPAID#: <br /> Shipment Date: <br /> Contact Person: <br /> F .sDriver Signafure(prName mted): <br /> - <br /> Address: r^✓:Y 'vtF 7 '�:f✓;.�.'' Truck# r <br /> i! L <br /> II e <br /> City,Stale,Zip:: (PO# <br /> Site Phone: I <br /> Product wasto CAManifest#0 Quantity Units Price Amount <_ <br /> Code T <br /> :Non RCRA Hazardous Waste.Liquid(Used Oil):Lubricatirg 221. j'y �, l%'{. <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Industrial 221 ._!.3 _ (3sl <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 <br /> - Non RCRA Hazardous Waste Liquid(011&Water) 221 - < Ger " <br /> -Non RCRA Hazardous Waste Solids Contaminated Wth Used 00 223. 'M rrx,$) <br /> I -Drained Used Oil Filler Dmm(s)_ Dmm(t,) ( A <br /> 'Empty Dmm(s) . _ J Earn s <br /> ransportation.&Truck Time -.. HR ' f <br /> 1' <br /> Hazardous Test - <br /> Unless aNe�tnse speafietl on this ConsdAated M11anAest Recespt(Invoim)Tmns Aoxun(5 due on the 70M of IM month tollaxrg month orpuchase Past due Total <br /> acwuntswll be rhamed a FINANCE CHARGE at the PERIODIC RATE a 1-W%per month which is the ANNUAL PERCENTAGE RATE ef19%. <br /> 1'. <br /> By signing this receipt,the Generator certifies that a program has been established to reduce the volume or quantity and towaty,of the hazardous waste to a degree as <br /> determined by the generator,to be economically.practirable.. - - <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, Inc. hereby:advises the Generator thabX 's(Generator's signature) <br /> shipment of used oil may transported to a facility that is required to comply with federal,regulations,applicable to management of used oil but that is <br /> not required tocomply with the more stringent requirements applicable to'hazardous wastemanagement 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 processusedoil also meet those;require- <br /> ments These include more:stringent leakdetection and prevention requirements,engineering certifications of tank integrity,and financial assurances <br /> for closure and accidental releases It is lawful to send used ori to out of state facilitiesthat comply only with the Federal'.used'oil management stan- <br /> dards and not these more stringent requirements.. - <br /> v� e' <br /> :.This notification is for information only. Lowry.:Drlver Signature X_') f-' tr l.° <br /> Signature of Generator,Representative or Agent of Generator:' X <br /> ®' ® ri <br /> la, i Greenleaf Environmental CRI Recycling <br /> K. 347470 on Cc 101 Hagen Drive <br /> Toy <br /> on <br /> Valley Springs,CA 95252 Woodville,Wt 54028 <br /> ....,-.-` 209-754-46W 715-69133363 _ � ce3. �T. <br /> i <br /> CAL000214411 WIROOOD29751 Add.: <br /> r <br /> FSp S <br /> aclitiesl., 4 cuy,suits,Zip <br /> Riverbank Oil Transfer 5300 Ramos Environmental <br /> Claus Road 1515 S.River Road. <br /> Riverbank CA 96367 West Sacramento,CA 95691 Pro.: <br /> r�}�� }' i�• 209637$181 1 Y� 9163715747 <br /> `^r r 'aw CAL�000D190617 mob. i ° CAD00/003556EPA ID. 1 <br />