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.; Mai60 Box 176,Salida rE"�os ®..d <br /> C 4612 Kteman Court,Sallda,CA 9536 '• <br /> George W. Lowryt In(; Phone:209545-0791 FAX 209-645-2241 <br /> Environmental services Division - EPA#CAR000047019 APR O S 2015 <br /> .y CA Transporter Number 3844 •rNVIRONMENT�L <br /> �•..,c.~� ' ". CA License#758518 1' <br /> GENERATOR: 'j�O1Tu rlro1QTnpch)T <br /> Site EPA 10#: Consolidated Manifest Invoices ,.� <br /> �°' _ <br /> Contact Person: - Shipment Date•. ! - - <br /> ! <br /> Name: - !/! .fix:. •.i �pST : PPrai»yrlA Driver Signature(Printed): <br /> Address: Sri/ <br /> City,state; Truck #zip: 5�ri��lr. J <br /> site Phone: _ PO# - <br /> -Product _ Wast. CA Manifesto <br /> Coda Quantity .units Price Amount'' <br /> Non-RCRA Hazardous Waste Liquid(Used 0iq:Lubricating 221. - - <br /> Gel <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Industrial 221 <br /> Gat <br /> Non RGRAHazardous Waste Liquid(Used AutamotiveAntiheeze) 134 <br /> Gat . <br /> NanACRA He Waste Liquid(Oil&Water) 221 <br /> Non-RCRA Hazardous Waste Solids Contaminaled with used Oil 223' <br /> 'Drained Used Oil F lerOmm(s) Dru <br /> .. . - <br /> EmptyDntrn(s) �r13fL1 t •J`tq / �IJIt ' <br /> GtfAar_s 3 134f <br /> ' - '- Transportation&Tmd;Time <br /> HP .. <br /> azanlous t <br /> rlcrslr 1�!/C f e 19K/ <br /> U esealherMs6ged6edanthis Cmsdidaletl M1Wnife Remipt(Invace)Tams:AawnLs due on the l0at o(e»rnairlh fallaxin nwriar of <br /> a ants will be dorgeda FINANCE CHARGEat Ore ERIODIC RATE of 1_72%WnoaLh.which is the ANNUAL PERCENTAGE RATE of 18�%.�� Pmt Gue Total <br /> Sys nine by receipt,the Generator 'fies That a:program has been established to reduce the volume or quantity and toxicity of the hazardous waste to a degree as <br /> Bete ed by i e generator,to nomieally practicable. - <br /> Generalo 'fies4hatal azardous Waste listed on this Consolidated Mant(est Receipt is profiled tomeet the Waste Codes as listed above. - <br /> Note:George W.Lowry, Inc, hereby advises the Generator that X <br /> 's signature <br /> "shipment of used oil may tie transported to a facility that Is required to complyo I with federal regulations applicable to management of used but that)is <br /> not requireds Used <br /> comply with the more stringent.requirementsappltcable to hazardous waste management facilities. Califiomta-facilittes that handle or <br /> Process usdoil 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 accidentaireing e i Itis IawPol to send used onto out Of state fadlitias that comply o9ly with the Federal used oil management stars- <br /> dardsandnotthesemorestnngentrequirements ^.'(/ <br /> This notification is for information only'kyLowry Driver Signature X:* n) t f/✓1 ' <br /> Signature of Generator Representaii4e or AgeSt of Generator: - X <br /> End.. - <br /> GieenleafEnvironmedtal CRY Recycling <br /> 3474 Toyon Cr;' - 101 Hagen Drive <br /> ValleySprings,CA 95252 <br /> Woodville,VVI M28 Name: <br /> 209-754-0800 - 7155985363 - . <br /> CALOOD214411 WIR000029751 <br /> Recycling Address: <br /> Disposal . <br /> ( CIIIt1eS R Riverbank Oil Transfer 5300 :; OS Environme0fal City,stab,Zip: <br /> Claus Road ! -t515:$c RiverRoad - <br /> Riverbank,Cg96367. J';-.,Wes(Sacramento,CA 95691 Phorro: t <br /> 209.8635181 ° �;;9163715747 - . . , <br /> CAL0000190817 CAD004003656 <br /> EPA ID: <br />